中医康复综合疗法在中风后遗症患者中的应用效果及对生活质量的影响  

Application effect of comprehensive rehabilitation therapy of traditional Chinese medicine for patients with stroke sequelae and its influence on their quality of life

作　　者：董纪坤 DONG Ji-kun(Jinxiang County People's Hospital,Jining 272200,China)

机构地区：[1]金乡县人民医院,272200

出　　处：《中国实用医药》2024年第16期11-15,共5页China Practical Medicine

摘　　要：目的分析中医康复综合疗法对中风后遗症患者的治疗效果,以及对生活质量的影响。方法选取140例中风后遗症患者为研究对象,根据治疗方案不同将患者分为对照组、观察组,各70例。对照组采用常规康复锻炼,观察组采用中医康复综合疗法。对比两组临床疗效,治疗前后脑血流动力学指标[收缩期峰值流速(Vs)、平均血流速度(Vm)、阻力指数(RI)]及Fugl-Meyer、改良Barthel指数(MBI)、美国国立卫生研究院卒中量表(NIHSS)评分,生活质量评分。结果观察组的总有效率为95.71%,高于对照组的82.86%,有统计学差异(P<0.05)。治疗后,两组Vs、Vm上升,RI下降,其中,观察组Vs(46.31±4.42)cm/s、Vm(36.58±3.47)cm/s均高于对照组的(41.38±3.94)、(32.52±3.06)cm/s,RI(7.01±0.65)低于对照组的(7.91±0.77),有统计学差异(P<0.05)。治疗后,两组Fugl-Meyer、MBI评分升高,NIHSS评分降低,其中,观察组的Fugl-Meyer评分(53.39±5.14)分、MBI评分(82.65±8.04)分均高于对照组的(45.72±4.36)、(75.37±7.33)分,NIHSS评分(8.49±0.82)分低于对照组的(12.47±1.02)分,有统计学差异(P<0.05)。观察组的躯体功能、生理职能、社会功能、情感职能评分分别为(77.35±7.51)、(81.48±7.92)、(83.51±8.14)、(82.62±8.04)分,均高于对照组的(69.64±6.75)、(72.26±7.03)、(74.29±7.22)、(73.75±7.16)分,有统计学差异(P<0.05)。结论中风后遗症患者接受中医康复综合疗法治疗后,脑血流动力学指标明显改善,肢体运动功能、日常生活能力均提升,且神经缺损情况得到明显改善,生活质量较高。Objective To analyze the therapeutic effect of comprehensive rehabilitation therapy of traditional Chinese medicine for patients with stroke sequelae and its influence on their quality of life.Methods A total of 140 patients with stroke sequelae were selected and divided into a control group and an observation group according to different treatment regimens,with 70 cases in each group.The control group was treated with routine rehabilitation exercise,and the observation group was treated with comprehensive therapy of traditional Chinese medicine.Both groups were compared in terms of clinical efficacy,cerebral vascular hemodynamic indexes[peak systolic flow velocity(Vs),mean blood flow velocity(Vm),resistance index(RI)],Fugl-Meyer score,modified Barthel index(MBI)score,National Institutes of Health Stroke Scale(NIHSS)score,and quality of life score before and after treatment.Results The total effective rate of the observation group was 95.71%,which was higher than 82.86%of the control group,and there was statistical difference(P<0.05).After treatment,Vs and Vm increased and RI decreased in the two groups;the observation group had Vs of(46.31±4.42)cm/s and Vm of(36.58±3.47)cm/s,which were higher than(41.38±3.94)and(32.52±3.06)cm/s in the control group;RI of(7.01±0.65)in the observation group was lower than(7.91±0.77)in the control group;there was statistical difference(P<0.05).After treatment,the Fugl-Meyer score and MBI score increased,while the NIHSS score decreased in the two groups;the Fugl-Meyer score in the observation group was(53.39±5.14)points and MBI score was(82.65±8.04)points,which were higher than(45.72±4.36)and(75.37±7.33)points in the control group;NIHSS score of(8.49±0.82)points in the observation group was lower than(12.47±1.02)points in the control group;there was statistical difference(P<0.05).The scores of physical function,physiological function,social function and emotional function in the observation group were(77.35±7.51),(81.48±7.92),(83.51±8.14)and(82.62±8.04)points,which w

关 键 词：中风 后遗症 中医康复综合疗法 生活质量 

分 类 号：R277.7[医药卫生—中医学]