摘要
目的分析脑卒中恢复期患者接受补阳还五汤联合针灸、康复训练的临床治疗效果。方法该次便利选择2016年9月—2018年12月该院收治脑卒中恢复期患者80例为研究对象,参照计算机抽选结果分为观察组与对照组,对照组患者接受针灸联合康复训练治疗,观察组患者在此基础上加服补阳还五汤,对比临床总有效率,统计并分析两组患者治疗前后FMA评分与MBI评分、NIHSS评分差异,对比各组患者治疗后肌力,肌张力、运动平衡能力。结果观察组总有效率87.50%明显高于对照组(χ^2=6.67,P<0.05);观察组治疗后的FMA评分(29.47±0.22)分、MBI(81.22±1.03)分、NIHSS(8.26±0.12)分显著优于对照组,比较差异有统计学意义(t=15.29、17.39、15.49,P<0.05);观察组肌力(2.14±0.22)分、肌张力(2.21±0.24)分、运动能力(64.15±4.22)分、平衡能力(59.14±1.22)分优于对照组,比较差异有统计学意义(t=6.15、6.28、7.22、8.21,P<0.05)。结论脑卒中恢复期患者在针灸、康复训练基础上联合补阳还五汤效果更佳,能够改善患者肢体运动平衡功能,值得临床推广。
Objective To analyze the clinical therapeutic effect of Fuyang Huanwu Decoction combined with acupuncture and rehabilitation training in patients with convalescent stroke.Methods 80 patients with recovery from stroke in the hospital from September 2016 to December 2018 were convenient selected as subjects.The results of computer sampling were divided into observation group and control group.The control group received acupuncture combined with rehabilitation training.On the basis of this,patients in the observation group were treated with Buyang Huanwu Decoction.The total effective rate was compared.The FMA scores,MBI scores and NIHSS scores of the two groups were compared before and after treatment.The muscle strength and muscle tension exercise balance ability of each group were compared.Results The total effective rate of the observation group was 87.50%higher than that of the control group(χ^2=6.67,P<0.05).The FMA score(29.47±0.22)points,MBI(81.22±1.03)points,and NIHSS(8.26±0.12)points,after treatment,was significantly better than the control group,the difference was significant(t=15.29,17.39,15.49,P<0.05);the muscle strength of the observation group(2.14±0.22)points,muscle tension(2.21±0.24)points,exercise capacity(64.15±4.22)points;the balance ability(59.14±1.22)points was better than the control group,and the difference was significant(t=6.15,6.28,7.22,8.21,P<0.05).Conclusion Patients with recovery during stroke recovery combined with acupuncture and rehabilitation training have better effect on Buyang Huanwu Decoction,which can improve the limb exercise balance function of patients and is worthy of clinical promotion.
作者
张方娟
张经波
戴晶晶
ZHANG Fang-juan;ZHANG Jing-bo;DAI Jing-jing(Department of Rehabilitation,Jurong City Hospital of Jiangsu Province,Jurong,Jiangsu Province,212400 China)
出处
《中外医疗》
2019年第30期14-16,共3页
China & Foreign Medical Treatment
关键词
补阳还五汤
针灸
康复训练
脑卒中恢复期
疗效
Buyang Huanwu Decoction
Acupuncture
Rehabilitation Training
Stroke Recovery Period
Efficacy
