中药熏蒸联合握力训练治疗脑卒中后偏瘫肢体肿胀43例临床观察  

Clinical observation on 43 cases of post stoke hemiplegic limb swelling treated with traditional Chinese medicine fumigation combined with grip strength training

作　　者：衡旭丹 HENG Xudan(Department of General Internal Medicine,Ruzhou People's Hospital,Ruzhou,Henan,467599,China)

机构地区：[1]汝州市人民医院综合内科,河南汝州467599

出　　处：《甘肃中医药大学学报》2023年第2期41-45,共5页Journal of Gansu University of Chinese Medicine

摘　　要：目的 观察中药熏蒸联合握力训练治疗脑卒中后偏瘫肢体肿胀的临床疗效。方法 将86例脑卒中后偏瘫肢体肿胀患者采用随机数字表法分为对照组和治疗组,各43例。对照组通过握力训练治疗,治疗组在对照组治疗方法的基础上联合中药熏蒸治疗。连续治疗2周后比较2组的临床疗效及治疗前后肢体肿胀体积、肿胀值、Fugl-Meyer运动功能量表上肢部分(FMA-UE)评分、掌指关节活动度、血浆黏度(PV)、红细胞聚集指数(AI)、红细胞变形指数(RCD)。结果 对照组总有效率为81.40%(35/43),治疗组为95.34%(41/43),2组比较差异有统计学意义(P<0.05);治疗后2组肢体肿胀体积、肿胀值、PV、AI、RCD均明显降低,FMA-UE评分、掌指关节活动度均明显升高,与同组治疗前比较差异有统计学意义(P<0.05或P<0.01),且治疗组改善更明显,与对照组治疗后比较差异均有统计学意义(P<0.05)。结论 中药熏蒸联合握力训练治疗脑卒中后偏瘫肢体肿胀临床疗效显著,可有效改善患者的临床症状、肢体功能及血液流变学指标,值得临床推广应用。Objective To observe the clinical efficacy of traditional Chinese medicine fumigation combined with grip strength training in the treatment of post stroke hemiplegic limb swelling.Methods 86 patients with post stroke hemiplegic limb swelling were randomly divided into a control group and a treatment group with 43 patients each. The control group was treated with grip training, while the treatment group was treated with traditional Chinese medicine fumigation on the basis of the treatment method in the control group. After 2 weeks of continuous treatment, the clinical efficacy, limb swelling volume, swelling value, upper limb part(FMA-UE) score in Fugl-Meyer, metacarpophalangeal joint activity, plasma viscosity(PV),erythrocyte aggregation index(AI),and erythrocyte deformability(RCD) of the two groups were compared before and after treatment.Results The total effective rate was 81.40%(35/43) in the control group and 95.34%(41/43) in the treatment group, with a statistically significant difference between the two groups(P<0.05). After treatment, the swelling volume, swelling value, PV, AI, and RCD of the limbs in the two groups were significantly reduced, while the FMA-UE score and metacarpophalangeal joint activity were significantly increased, with a statistically significant difference compared to the same group before treatment(P<0.05 or P<0.01),and the change in the treatment group was more significant, with a statistically significant difference compared to the control group after treatment(P<0.05).Conclusion The clinical efficacy of traditional Chinese medicine fumigation combined with grip strength training in the treatment of hemiplegic limb swelling after stroke is significant, which can effectively improve the limb function and hemorheology indicators of patients, and is worthy of clinical promotion and application.

关 键 词：脑卒中 偏瘫 肢体肿胀 中药熏蒸 握力训练 血液流变学 临床疗效 

分 类 号：R247.9[医药卫生—中医临床基础]