圣愈汤联合早期康复运动对缺血性脑卒中患者恢复期肢体及语言功能影响的研究

发布时间：2018-04-29 16:00

本文选题：圣愈汤 + 早期康复运动　；参考：《辽宁中医杂志》2017年10期

【摘要】：目的:探讨圣愈汤联合早期康复运动对缺血性脑卒中患者恢复期肢体及语言功能的影响。方法:选取我院缺血性脑卒中恢复期病例,均为2013年3月—2015年7月收治的住院96例入选者,按随机数字表法分为对照组(n=48例)和研究组(n=48例),对照组采用早期康复训练;研究组在上述基础上采用圣愈汤治疗,持续治疗3月。于治疗前、治疗1个月、3个月时对肢体和语言功能评定,记录生活质量量表(SF-36),同时对比两组间临床疗效,并评价安全性。结果:两组在不同时间点FMA(上肢、下肢)、FAC、听理解、复述、说、朗读、阅读上存在统计学差异(P0.05)。与治疗前比,两组治疗1月、治疗3月FMA(上肢、下肢)、FAC升高,听理解、复述、说、朗读、阅读升高(P0.05);与对照组比,研究组治疗1月、治疗3月FMA(上肢、下肢)、FAC较高,听理解、复述、说、朗读、阅读较高(P0.05);对照组在神经功能、心理职能、社会功能及生活功能上,低于研究组(P0.05);对照组有效率75.00%低于研究组有效率91.67%(P0.05)。结论:圣愈汤联合早期康复运动对缺血性脑卒中患者恢复期的疗效较好,有助于提高肢体及语言功能,改善生活质量,是一种有效的治疗方案。
[Abstract]:Objective: to investigate the effects of Shengyu decoction combined with early rehabilitation exercise on limb and language function in patients with ischemic stroke. Methods: 96 inpatients with ischemic stroke in our hospital from March 2013 to July 2015 were randomly divided into control group (n = 48) and control group (n = 48). The study group was treated with Shengyu decoction for 3 months. Before treatment, 1 month and 3 months after treatment, the limb and language function were assessed, and the quality of life scale (QOL) was recorded. The clinical efficacy and safety of the two groups were compared and evaluated. Results: there were significant differences in FMA between the two groups at different time points (upper limb, lower extremity fac, listening comprehension, retelling, speaking, reading and reading) (P 0.05). Compared with before treatment, the two groups were treated for 1 month, and 3 months after treatment, FMA-FAC (upper limb, lower extremity) FAC increased, listening, understanding, retelling, reading, reading increased P0.05; compared with the control group, the study group was treated for one month, and the study group was treated for 3 months with higher FMAC (upper limb, lower extremity, FMAC). Retelling, saying, reading aloud was higher (P0.05), the control group was lower than the study group in neurofunction, psychological function, social function and life function, and the effective rate in the control group was 75.00% lower than that in the study group (91.67%). Conclusion: Shengyu decoction combined with early rehabilitation exercise is an effective treatment for patients with ischemic stroke in convalescence. It is helpful to improve limb and language function and improve quality of life.
【作者单位】：聊城市中医医院康复医学科;北京中医医院顺义医院针灸科;
【基金】：山东省医药卫生科技发展计划项目(2014WSB35005)
【分类号】：R277.7

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