摘要
目的 :探讨不同治疗方法对脑卒中患者康复结局的影响。方法 :2 47例患者随机分为药物组 (6 0例 ,A组 )、药物加中医康复组 (6 3例 ,B组 )、药物加西医康复组 (6 1例 ,C组 )和药物加中、西医综合康复组 (6 3例 ,D组 )。比较治疗前后各项功能恢复指标的改变。结果 :B、C、D各组治疗后实际恢复至BrunnstromⅣ以上和Barthel指数 6 0分以上的例数均明显高于A组 (P <0 .0 0 5 ) ;B组治疗后神经功能缺损程度、Barthel指数及Brunnstrom实际恢复到Ⅳ以上者与C组无差异 (P >0 .0 5 ) ;D组治疗后神经功能缺损程度、Barthel指数、Brunnstrom(Ⅳ级以上 )等各项指标的改变均明显高于B组和C组 (P <0 .0 5 )。结论 :中、西医康复治疗疗效相近 ,均优于单纯药物治疗 。
Objective:To study the curative effects of 4 kinds of recovery treatments in stroke patients.Method:247 cases were divided into 4 groups: 60 cases treated by medicine only (A group), 63 cases treated with medicine and the Chinese recovery treatments (B group), 61 cases treated with medicine and Western recovery trains (C group), 63 cases treated with medicine, Western and Chinese recovery treatments (D group). Some neurological functional deficit Index were observed. Result: ①In B、C、D group, the number of limbs recovery (up to 4 grades of Brunnstrom) and the Barthel Index (>60 mark) were obviously improved than A group ( P <0.005).②The nervous functional defect, Barthel Index and the recovery grades (>4 grades)of the Brunnstrom of the B group and C group were no difference( P >0.05).③The nerve function defect、the Barthel index and Brunnstrom (>4 grades) of the D group were significant different from the B group and C group ( P <0.05).Conclusion: The recovery effect of the Chinese recovery treatments are close to the Western recovery treatments, and combination of them are better than the medicine treatment alone.
出处
《中国康复医学杂志》
CAS
CSCD
2001年第3期158-160,共3页
Chinese Journal of Rehabilitation Medicine
关键词
脑卒中
康复
中西医结合治疗
stroke
rehabilitation
traditional Chinese medicine
