血府逐瘀汤联合综合康复训练对气虚血瘀型脑梗死偏瘫的疗效及肢体功能、神经功能的影响  

Effect of Xue Fuzhuyu Decoction combined with rehabilitation training on cerebral infarction hemiplegia of qi deficiency and blood stasis type and its effects on limb function and nerve function

作　　者：温隆妹 WEN Longmei(Department of Rehabilitation,Ma’anshan Hospital of Traditional Chinese Medicine,Anhui Province,Ma’anshan243000,China)

机构地区：[1]安徽省马鞍山市中医院康复科,安徽马鞍山243000

出　　处：《中国医药导报》2022年第24期139-142,共4页China Medical Herald

摘　　要：目的探讨血府逐瘀汤联合综合康复措施对气虚血瘀型脑梗死偏瘫的疗效及肢体功能、神经功能的影响。方法选择2018年6月至2021年9月安徽省马鞍山市中医院康复科收治的气虚血瘀型脑梗死偏瘫患者80例展开研究,采用随机数字表法分两组,每组各40例。对照组给予综合康复治疗,观察组在对照组的基础上加血府逐瘀汤治疗,两组均治疗4个疗程。干预后比较两组疗效,记录干预前后美国国立卫生研究院卒中量表(NIHSS)、日常生活能力量表(ADL)、肢体功能[上肢肌力、下肢肌力、简式Fugl-Meyer评分量表(Fugl-Meyer)]变化。结果观察组疗效优于对照组,差异有统计学意义(P<0.05)。干预后,两组中医证候积分均较干预前降低,且观察组低于对照组,ADL评分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组上肢、下肢肌力及Fugl-Meyer评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论血府逐瘀汤联合综合康复训练干预气虚血瘀型脑梗死偏瘫的效果理想,可有效改善患者的神经及肢体功能,可在临床推广运用。Objective To explore the effect of Xuefu Zhuyu Decoction combined with comprehensive rehabilitation measures on cerebral infarction hemiplegia of qi deficiency and blood stasis type and its effect on limb function and nerve function.Methods A total of 80 hemiplegia patients with qi deficiency and blood stasis cerebral infarction treated in the Department of Rehabilitation,Maanshan Hospital of Traditional Chinese Medicine in Anhui Province from June 2018 to September 2021 were selected for this study.They were divided into two groups by random number table method,with 40 patients in each group.The control group was given comprehensive rehabilitation treatment,the observation group was given comprehensive rehabilitation treatment on the basis of the control group,both groups were treated four courses.After intervention,the efficacy of the two groups were compared,and the changes of national institutes of health stroke scale(NIHSS),daily living scale(ADL),and limb function(upper limb muscle strength,lower limb muscle strength,simplified Fugl-Meyer scale[Fugl-Meyer])were recorded before and after intervention.Results The curative effect of observation group was better than control group,the difference was statistically significant(P<0.05).After intervention,traditional Chinese medicine syndrome scores of both groups were lower than before intervention,and the observation group was lower than the control group,ADL scores were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,muscle strength of upper and lower limbs and Fugl-Meyer score of the two groups increased compared with before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Xuefu Zhuyu Decoction combined with comprehensive rehabilitation training has an ideal effect on cerebral infarction hemiplegia of qi deficiency and blood stasis type.It can effectively i

关 键 词：脑梗死 偏瘫 血府逐瘀汤 综合康复措施 疗效 肢体功能 神经功能 

分 类 号：R74[医药卫生—神经病学与精神病学]