首页|自拟中药熏蒸方联合关节松动训练治疗中风偏瘫患者的疗效观察

自拟中药熏蒸方联合关节松动训练治疗中风偏瘫患者的疗效观察

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目的 探讨自拟中药熏蒸方联合关节松动训练治疗中风偏瘫患者的临床疗效。方法 50例中风偏瘫患者,随机分为对照组和治疗组,各 25 例。对照组患者给予抗炎、止痛、护胃等西医常规治疗,治疗组在对照组基础上给予自拟中药熏蒸方联合关节松动训练治疗。比较两组患者的肢体运动功能、脑血流动力学指标[双侧大脑中动脉的收缩期峰值血流速度(Vs)、平均血流速度(Vm)、搏动指数(PI)和阻力指数(RI)]及治疗效果。结果 治疗前,两组患者上肢和下肢的Fugl-Meyer运动功能评定量表评分差异不具备统计学意义(P>0。05)。治疗后,治疗组患者上肢和下肢的Fugl-Meyer运动功能评定量表评分分别为(31。25±2。24)、(22。35±2。03)分,均高于对照组的(27。32±2。06)、(18。41±1。36)分,差异有统计学意义(P<0。05)。治疗前,两组患者双侧大脑中动脉的Vs、Vm、PI、RI差异不具备统计学意义(P>0。05)。治疗后,治疗组患者Vs(48。54±3。65)cm/s、Vm(36。98±3。65)cm/s高于对照组的(44。31±2。85)、(30。14±2。74)cm/s,PI(0。68±0。08)、RI(0。58±0。02)低于对照组的(0。75±0。10)、(0。62±0。09),差异有统计学意义(P<0。05)。治疗组患者治疗总有效率为 96。00%,高于对照组的 76。00%,差异有统计学意义(P<0。05)。结论 在西医常规治疗基础上联合应用自拟中药熏蒸方和关节松动训练,能够有效改善中风偏瘫患者的肢体运动功能和脑血流动力学指标,提升最终治疗效果,帮助患者早日康复,值得推广应用。
Observation on the curative effect of self-made traditional Chinese medicine fumigation combined with joint mobilization training on patients with post-stroke hemiplegia
Objective To explore the clinical efficacy of self-made traditional Chinese medicine fumigation combined with joint mobilization training in the treatment of patients with post-stroke hemiplegia.Methods A total of 50 patients with post-stroke hemiplegia were randomly divided into a control group and a treatment group,with 25 cases in each group.Patients in the control group were treated with conventional Western medicine of anti-inflammatory,analgesic and stomach protection,and patients in the treatment group were treated with self-made traditional Chinese medicine fumigation and joint mobilization training on the basis of the control group.The limb motor function,cerebral hemodynamic index[systolic velocity(Vs),mean velocity(Vm),pulsation index(PI),and resistance index(RI)of bilateral middle cerebral arteries]and treatment effect of the two groups were compared.Results Before treatment,there was no significant difference in Fugl-Meyer motor scale score of upper and lower limbs between the two groups(P>0.05).After treatment,the Fugl-Meyer motor scale score of upper and lower limbs in the treatment group were(31.25±2.24)and(22.35±2.03)points,which were higher than(27.32±2.06)and(18.41±1.36)points in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Vs,Vm,PI and RI of bilateral middle cerebral arteries between the two groups(P>0.05).After treatment,the treatment group had Vs of(48.54±3.65)cm/s and Vm of(36.98±3.65)cm/s,which were higher than(44.31±2.85)and(30.14±2.74)cm/s in the control group;the treatment group had PI of(0.68±0.08)and RI of(0.58±0.02),which were lower than(0.75±0.10)and(0.62±0.09)in the control group;the difference was statistically significant(P<0.05).The total effective rate of the treatment group was 96.00%,which was higher than 76.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of conventional treatment,the combined application of self-made traditional Chinese medicine fumigation and joint mobilization training can effectively improve the limb motor function and cerebral hemodynamic indexes of patients with post-stroke hemiplegia,improve the final therapeutic effect,and help patients recover early,which is worthy of promotion and application.

StrokeHemiplegiaTraditional Chinese medicine fumigationJoint mobilizationSports training

王夕

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527200 罗定市中医院骨三科

中风 偏瘫 中药熏蒸方 关节松动 运动训练

云浮市医药卫生科研立项项目

2022B062

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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