中医辨证分型治疗脑梗死恢复期临床疗效研究  

Study on the Clinical Efficacy of TCM Syndrome Differentiation in Treatment Convalescence of cerebral infarction

作　　者：郎福凯 刘凤荣 LANG Fukai;LIU Fengrong(Department of Neurology,Sunshine Union Hospital,Weifang,Shandong Province,261041 China)

机构地区：[1]阳光融和医院神经内科,山东潍坊261041

出　　处：《中外医疗》2023年第13期175-179,共5页China & Foreign Medical Treatment

摘　　要：目的探讨对脑梗死恢复期患者采用中医辨证分型治疗的临床效果。方法随机选择2019年6月—2020年12月阳光融和医院收治的脑梗死恢复期患者80例作为研究对象,随机分为采用常规西医治疗的对照组(n=40)与联合采用中医辨证分型治疗的观察组(n=40)。比较两组临床疗效,评价患者治疗前后神经功能缺损(NIHSS)评分、运动功能(FAM)评分以及改良Barthel指数(MBI),并统计两组并发症发生率。结果观察组总有效率为95.00%,高于对照组的77.50%,差异有统计学意义(χ^(2)=5.165,P<0.05)。治疗后观察组NIHSS评分为(17.65±3.17)分,低于对照组的(20.37±3.22)分,差异有统计学意义(P<0.05);治疗后观察组的FAM评分为(85.95±6.93)分、MBI评分(78.45±6.96)分,高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论对脑梗死恢复期患者采用中医辨证分型治疗能够有效提高临床疗效,改善神经功能、运动能力以及日常生活能力,有效降低患者并发症发生风险。Objective To investigate the clinical effect of TCM syndrome differentiation and classification on convalescent patients with cerebral infarction.Methods 80 patients with cerebral infarction during the recovery period admitted to Sunshine Harmony Hospital from June 2019 to December 2020 were randomly selected as the research subjects and randomly divided into a control group(n=40)treated with conventional Western medicine and an observation group(n=40)treated with traditional Chinese medicine syndrome differentiation and classification.Compare the clinical efficacy of two groups,evaluate the neurological deficit(NIHSS)score,motor function(FAM)score,and modified Barthel index(MBI)of patients before and after treatment,and calculate the incidence of complications in both groups.Results The total effective rate of the observation group was 95.00%,which was higher than the control group by 77.50%,and the difference was statistically significant(χ^(2)=5.165,P<0.05).After treatment,the NIHSS score of the observation group was(17.65±3.17)points,lower than the control group´s(20.37±3.22)points,the difference was statistically significant(P<0.05);after treatment,the FAM score and MBI score of the observation group were(85.95±6.93)points and(78.45±6.96)points,which were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 2.50%,lower than the 20.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The use of TCM syndrome differentiation and classification treatment for cerebral infarction convalescence patients can effectively improve clinical efficacy,improve the neurological function,exercise ability and daily living ability of patients,and effectively reduce the risk of complications of patients.

关 键 词：脑梗死恢复期 偏瘫 中医辨证分型 神经功能 运动功能 并发症 

分 类 号：R742[医药卫生—神经病学与精神病学]