中西医结合康复治疗对缺血性脑卒中患者功能康复临床研究  

Clinical Efficacy of Integrated Chinese and Western Medicine Rehabilitation Treatment on Functional Rehabilitation of Patients with Ischemic Stroke

作　　者：高军太 颜春鲁[2] 俞晓英[2,3] 戴海蓉 张国强 张立军[2] GAO Juntai;YAN Chunlu;YU Xiaoying;DAI Hairong;ZHANG Guoqiang;ZHANG Lijun(Kongtong District Traditional Chinese Medicine Hospital of Pingliang City,Gansu Pingliang 744000,China;Gansu University of Chinese Medicine,Lanzhou 730000,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]平凉市崆峒区中医医院,甘肃平凉744000 [2]甘肃中医药大学,甘肃兰州730000 [3]甘肃省中医院,甘肃兰州730050

出　　处：《陕西中医药大学学报》2023年第3期81-86,共6页Journal of Shaanxi University of Chinese Medicine

基　　金：甘肃省自然科学基金项目(1508RJZA046);甘肃省科技厅项目(1508RJZA046);甘肃省教育厅项目(0606B-02);平凉市中医药文化传承与发展创新研究(PLSKKT202034)。

摘　　要：目的探讨中西医结合康复治疗模式对缺血性脑卒中患者神经功能、运动功能及日常生活能力恢复效果的影响。方法选取2020年2月—2021年2月我院诊治符合研究标准的80例缺血性脑卒中患者,采用随机数字表法分为对照组40例及治疗组40例。对照组予西医常规康复治疗,治疗组在对照组基础上予以系统中医康复治疗,均连续治疗3个月。采用国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能评分表(Fugl-Meyer Assessment Scale,FMA)、修订的Barthel指数法、中医症状积分、焦虑自评量表(SAS)评分以及抑郁自评量表(SDS)分别比较两组患者治疗1个月、3个月后的神经功能、运动功能及日常生活能力的恢复效果,比较两组临床疗效。结果对照组脱落5例。两组患者NIHSS评分、FMA评分、Barthel指数、中医症状积分、SAS评分以及SDS评分治疗前差异无统计学意义(P>0.05)。与本组治疗前比较,治疗1个月、3个月后NIHSS评分、中医症状积分、SAS评分及SDS评分均明显降低(P<0.05),FMA评分和Barthel指数均明显升高(P<0.05);两组治疗后比较,治疗组上述各指标改善情况均明显优于对照组(P<0.05)。治疗组临床总有效率97.50%(39/40),对照组总有效率82.86%(29/35),治疗组明显优于对照组(P<0.05)。结论在西医常规康复治疗基础上联合系统中医康复治疗可以更好改善缺血性脑卒中患者神经功能、运动功能及日常生活能力的恢复效果,有助于患者日常生活能力的恢复,减轻患者的焦虑与抑郁程度。Objective To explore the impact of integrated traditional Chinese and Western medicine rehabilitation treatment mode on the recovery of neurological function,motor function,and daily living ability in patients with ischemic stroke.Methods 80 patients with ischemic stroke who met the research criteria and were diagnosed and treated in our hospital from February 2020 to February 2021 were selected.They were randomly divided into a control group of 40 cases and an treatment group of 40 cases using a random number table method.The control group received routine rehabilitation treatment with Western medicine,while the treatment group received systematic rehabilitation treatment with traditional Chinese medicine on the basis of the control group,both receiving continuous treatment for 3 months.The National Institutes of Health Stroke Scale(NIHSS),Fugl Meyer Motor Assessment Scale(FMA),revised Barthel Index method,Traditional Chinese Medicine Symptom Score,Self Rating Anxiety Scale(SAS)score,and Self Rating Depression Scale(SDS)were used to compare the recovery effects of neurological function,motor function,and daily living ability of two groups of patients after 1 and 3 months of treatment,and to compare the clinical efficacy of the two groups.Results There were 5 cases of shedding in the control group.There was no statistically significant difference in NIHSS score,FMA score,Barthel index,Traditional Chinese Medicine symptom score,SAS score,and SDS score between the two groups of patients before treatment(P>0.05).Compared with before treatment in this group,after 1 and 3 months of treatment,the NIHSS score,traditional Chinese medicine symptom score,SAS score,and SDS score were significantly reduced(P<0.05),while the FMA score and Barthel index were significantly increased(P<0.05);After treatment,the improvement of the above indicators in the treatment group was significantly better than that in the control group(P<0.05).The total clinical effective rate of the observation group was 97.50%(39/40),while the total effec

关 键 词：中西医结合康复治疗 缺血性脑卒中 神经功能 康复效果 临床研究 

分 类 号：R255.2[医药卫生—中医内科学]