疏血通脉方对痰瘀阻络型脑卒中后肩手综合征的临床疗效观察

发布时间：2018-02-23 00:11

本文关键词： 疏血通脉方痰瘀同治脑卒中后肩手综合征　出处：《广西中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察疏血通脉方对痰瘀阻络型脑卒中后肩手综合征患者的临床疗效,为其治疗痰瘀阻络型脑卒中后肩手综合征提供依据。方法:将符合纳入标准的70例痰瘀阻络型脑卒中后肩手综合征患者随机分为对照组、治疗组,每组35例;对照组给予西医综合治疗,治疗组在西医综合治疗上给予疏血通脉方治疗,治疗4周,观察两组治疗后的有效率以及两组患者治疗前后软组织肿胀症状分级量化表-水肿评分、VAS疼痛指数、Fugl-Meyer评分和Barthel指数的变化。结果:(1)治疗组的治疗有效率为91.18%,对照组的治疗有效率75.76%,治疗组的治疗有效率高于对照组,差异具有统计学意义(P0.05);(2)治疗后,治疗组患肢的水肿评分为1.05±0.43分,对照组患肢的水肿评分为1.41±0.60分,治疗组患肢的水肿评分低于对照组,差异具有统计学意义(P0.05);(3)治疗后,治疗组患肢的VAS疼痛指数为2.11±0.74分,对照组患肢的VAS疼痛指数为2.98±1.02分,治疗组患肢的VAS疼痛指数低于对照组,差异具有统计学意义(P0.05);(4)治疗后,治疗组患肢的Fugl-Meyer评分为38.70±3.77分,对照组患肢的Fugl-Meyer评分为34.12±3.35分,治疗组患肢的Fugl-Meyer评分高于对照组,差异具有统计学意义(P0.01);(5)治疗后,治疗组患者的Barthel指数为65.44±5.31分,对照组患者的Barthel指数为59.89±4.50分,治疗组患者的Barthel指数高于对照组,差异具有统计学意义(P0.01)。结论:(1)疏血通脉方能够减轻脑卒中后肩手综合征的患肢水肿,缓解患肢疼痛;(2)疏血通脉方能够提高脑卒中后肩手综合征患肢上肢运动功能以及患者日常生活能力。
[Abstract]:Objective: to observe the clinical effect of Shuxuetongmai recipe on patients with shoulder hand syndrome after phlegm and blood stasis obstruction of collaterals. Methods: 70 patients with shoulder hand syndrome of phlegm and blood stasis type stroke were randomly divided into control group (n = 35) and treatment group (n = 35). The control group was treated with comprehensive western medicine, while the treatment group was treated with Shuxuetongmai recipe for 4 weeks. To observe the effective rate after treatment in both groups, and the changes of Fugl-Meyer score and Barthel index in patients with soft tissue swelling before and after treatment. Results the effective rate of treatment group was 91.18 and that of control group was 91.18. The effective rate of treatment in the treatment group was 75.76, and the effective rate in the treatment group was higher than that in the control group. After treatment, the edema score of the affected limb was 1.05 卤0.43 in the treatment group and 1.41 卤0.60 in the control group. The edema score in the treatment group was lower than that in the control group, and the difference was statistically significant after treatment. The VAS pain index was 2.11 卤0.74 in the treatment group and 2.98 卤1.02 in the control group. The VAS pain index in the treatment group was lower than that in the control group, and the difference was statistically significant (P 0.05). After the treatment, the Fugl-Meyer score of the affected limb in the treatment group was 38.70 卤3.77. The Fugl-Meyer score of the affected limb in the control group was 34.12 卤3.35, and the Fugl-Meyer score of the affected limb in the treatment group was higher than that in the control group. The difference was statistically significant (P 0.01). After treatment, the Barthel index of the patients in the treatment group was 65.44 卤5.31, and the Barthel index of the patients in the control group was 59.89 卤4.50. The Barthel index of the patients in the treatment group was higher than that in the control group, and the difference was statistically significant (P 0.01). Conclusion the Shuxuetongmai recipe can relieve the edema of the affected limbs in the patients with shoulder and hand syndrome after stroke. Relieving the pain of the affected extremities and improving the motor function of the upper limbs and the ability of daily living of the patients with shoulder hand syndrome after stroke can be improved by Shuxuetongmai prescription (Shuxuetongmai).
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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