通心络胶囊联合重复经颅磁刺激对脑卒中偏瘫患者躯体功能及日常生活能力的治疗效果  

Therapeutic Effects of Tongxinluo Capsule Combined with Repetitive Transcranial Magnetic Stimulation on Somatic Function and Daily Living Abilities in Stroke Patients with Hemiplegia

作　　者：郑春欢 张鹤飞 寇绍杰 ZHENG Chun-huan;ZHANG He-fei;KOU Shao-jie(Kaifeng Traditional Chinese Medicine Hospital,Kaifeng,Henan 475000,China;The First Affiliated Hospital of Henan University,Kaifeng,Henan 475000,China)

机构地区：[1]开封市中医院,河南开封475000 [2]河南大学第一附属医院,河南开封475000

出　　处：《黔南民族医专学报》2025年第1期35-38,共4页Journal of Qiannan Medical College for Nationalities

基　　金：2022年度河南省中医药科学研究专项课题(2022ZY1187)。

摘　　要：目的:探讨通心络胶囊联合重复经颅磁刺激对脑卒中偏瘫患者躯体功能及日常生活能力的治疗效果。方法:采用简单随机法将82例脑卒中偏瘫患者分为对照组(n=41)和观察组(n=41);对照组患者予以重复经颅磁刺激治疗,观察组患者以通心络胶囊联合重复经颅磁刺激治疗;对两组患者的临床疗效、中医症候积分、FMA和ADL评分进行统计分析。结果:临床总有效率观察组高于对照组(P<0.05);治疗前两组中医症候积分、FMA和ADL评分无显著差异(P>0.05),治疗后观察组中医症候积分低于对照组(P<0.05),FMA和ADL评分均高于对照组(P<0.05)。结论:通心络胶囊联合重复经颅磁刺激对脑卒中偏瘫患者的治疗效果显著,能够显著改善患者的躯体功能和日常生活能力,该联合治疗方案具有积极的临床应用前景。Objective:To investigate the therapeutic effects of Tongxinluo Capsule combined with Repetitive Transcranial Magnetic Stimulation(rTMS)on somatic function and daily living abilities in stroke patients with hemiplegia.Methods:A total of 82 stroke patients with hemiplegia were randomly divided into a control group(n=41)and an observation group(n=41)using a simple randomization method.Patients in the control group received rTMS treatment,while those in the observation group received Tongxinluo Capsule in combination with rTMS.Clinical efficacy,Traditional Chinese Medicine(TCM)syndrome scores,Fugl-Meyer Assessment(FMA)scores,and Activities of Daily Living(ADL)scores were statistically analyzed for both groups.Results:The clinical total effective rate was higher in the observation group compared to the control group(P<0.05).There were no significant differences in TCM syndrome scores,FMA scores,and ADL scores between the two groups before treatment(P>0.05).After treatment,the TCM syndrome scores in the observation group were lower than those in the control group(P<0.05),while the FMA and ADL scores were higher in the observation group compared to the control group(P<0.05).Conclusion:Tongxinluo Capsule combined with rTMS exhibits significant therapeutic effects in stroke patients with hemiplegia,markedly improving patients'somatic function and daily living abilities.This combined treatment regimen has positive clinical application prospects.

关 键 词：脑卒中 偏瘫 通心络胶囊 经颅磁 躯体功能 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]