补阳还五汤联合功能性电刺激对急性脑卒中患者肢体功能的影响研究  

Effect of Buyang Huanwu Decoction(补阳还五汤)Combined with Functional Electrical Stimulation on Limb Function of Patients with Acute Stroke

作　　者：赵蕊 苗乐静 杨会玲 ZHAO Rui;MIAO Lejing;YANG Huiling(Xuchang Peoples Hospital,Xuchang 461000,Henan,China)

机构地区：[1]许昌市人民医院,河南许昌461000

出　　处：《实用中医内科杂志》2023年第10期93-96,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省中医药科学研究专项(18-19ZY0056)。

摘　　要：目的 研究补阳还五汤联合功能性电刺激对急性脑卒中患者肢体功能的影响。方法 选择2019年10月—2021年10月,研究对象为许昌市人民医院收治的84例急性脑卒中患者,按照数字表随机重组排序法将其分为两组各42例,即单独接受功能性电刺激治疗的对照组与联合补阳还五汤治疗的观察组,通过对两组患者的中医证候积分,汉密顿焦虑量表(HAMA)和抑郁量表(HAMD),平衡反应测试简表(Lindmark)、感觉运动恢复量表(Fugl-Meyer)、偏瘫步行能力评定量表(FAC)以及脑卒中专用生活质量量表(SS-QOL)和生活自理能力量表(ADL)的评分数据评价其治疗效果。结果:观察组主证和次证的中医证候积分均低于对照组(t=13.246、14.200,P<0.05);观察组的心理状态HAMA、HAMD评分均低于对照组(t=19.953、16.210,P<0.05);观察组的肢体功能Lindmark、Fugl-Meyer、FAC评分均高于对照组(t=26.219、11.076、7.779,P<0.05);观察组的生活质量SS-QOL、ADL评分均高于对照组(t=16.944、9.960,P<0.05)。结论 在针对急性脑卒中患者的临床康复治疗中,补阳还五汤与功能性电刺激联合治疗方案的疗效理想,对患者疾病症状的改善、负面消极情绪的调节、肢体功能恢复、自理能力以及生活质量的提高均有积极作用,建议加强推广和临床应用力度。Objective To study the effects of Buyang Huanwu Decoction(补阳还五汤)combined with functional electrical stimulation on limb function in patients with acute stroke.Methods The study period was from October 2019 to October 2021.The subjects were 84 patients with acute stroke admitted to Xuchang Peoples Hospital who were divided into two groups with 42 patients in each group according to the random recombination ranking method of the number table.The control group received functional electrical stimulation alone and the observation group added Buyang Huanwu Decoction.TCM syndrome scores,Hamil-ton Anxiety Scale(HAMA)and Depression Scale(HAMD)of the two groups were evaluated.Scores of summary table of equilib-rium reaction test(Lindmark),Fugl-Meyer assessment scale(Fugl-Meyer),functional ambulation category scale(FAC),Stroke Quality of Life Scale(SS-QOL)and Self-care Ability Scale(ADL)were used to evaluate the therapeutic effect.Results TCM syndrome scores of primary and secondary syndromes in the observation group were lower than those in the control group(t=13.246,14.200,P<0.05).The scroes of HAMA and HAMD of the observation group were lower than those of the control group(t=19.953,16.210,P<0.05).The scores of Lindmark,Fugl-Meyer and FAC of limb function in the observation group were higher than those in the control group(t=26.219,11.076,7.779,P<0.05).The scores of SS-Q0L and ADL of the observa-tion group were higher than those of the control group(t=16.944,9.960,P<0.05).Conclusions In clinical rehabilitation treat-ment for acute stroke patients,the combination of Buyang Huanwu Decoction and functional electrical stimulation has an ideal therapeutic effect.It has a positive effect on improving disease symptoms,regulating negative emotions,restoring limb function,improving self-care ability and improving the quality of life.It is recommended to strengthen the promotion and clinical applica-tion efforts.

关 键 词：急性脑卒中 补阳还五汤 功能性电刺激 中医证候积分 肢体功能 平衡能力 心理状态 生活质量 自理能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]