社区中医综合疗法治疗非急性缺血性脑卒中疗效评估

发布时间：2018-07-06 13:44

本文选题：缺血性脑卒中 + 社区　；参考：《辽宁中医药大学学报》2017年01期

【摘要】：目的:评估社区中医综合疗法治疗非急性缺血性脑卒中的可行性及疗效。方法:选择浦东新区惠南社区卫生服务中心针灸科门诊病人30例作为观察组,浦东新区光明中医医院针灸科门诊病人30例作为对照组。对照组采取针刺治疗,观察组在对照组基础上联合中药汤剂及棍棒操进行治疗,于治疗前及治疗1、2个疗程后应用简化Fugl-Meyer运动功能评分法、Barthel指数、改良Rankin量表及SS-QOL量表对两组患者疗效进行评定与比较。结果:两组治疗前的简化Fugl-Meyer评分、Barthel指数、改良Rankin量表评分、SS-QOL评分无显著差异(均P0.05);治疗1个及2个疗程后,两组Fugl-Meyer评分、Barthel指数、SS-QOL评分均升高,改良Rankin量表评分降低,前后差异有统计学意义(均P0.05),同时观察组治疗1个及2个疗程后的Fugl-Meyer评分、Barthel指数、SSQOL评分高于对照组(均P0.05),改良Rankin量表评分低于对照组(P0.05)。结论:社区中医综合疗法在非急性缺血性脑卒中患者中的应用可改善患者肢体障碍与日常生活能力,提高生活质量,且易于实现,可在患者出院提供持续治疗,可行性高,具有较大推广价值。
[Abstract]:Objective: to evaluate the feasibility and efficacy of community integrated therapy for non-acute ischemic stroke. Methods: thirty outpatients of acupuncture and moxibustion department in Huinan Community Health Service Center of Pudong New District were selected as observation group and 30 patients as control group in Department of Acupuncture and moxibustion Department of Guangming traditional Chinese Medicine Hospital in Pudong New District. The control group was treated with acupuncture, the observation group was treated with traditional Chinese medicine decoction and club exercises on the basis of the control group, and the Barthel index was evaluated by the simplified Fugl-Meyer motor function scoring method before treatment and after 1 and 2 courses of treatment. The modified Rankin scale and SS-QOL scale were used to evaluate and compare the efficacy of the two groups. Results: there was no significant difference in the simplified Fugl-Meyer score and the modified Rankin scale score and the SS-QOL score between the two groups before treatment (P0.05), but after one and two courses of treatment, the SS-QOL scores of the two groups increased and the modified Rankin scale decreased. At the same time, the Fugl-Meyer score and Barthel index (SSQOL) in the observation group were higher than those in the control group (P0.05), and the modified Rankin scale score was lower than that in the control group (P0.05). Conclusion: the application of community TCM comprehensive therapy in patients with non-acute ischemic stroke can improve the limb dysfunction and daily living ability, improve the quality of life, and be easy to realize. It is worth popularizing.
【作者单位】：上海市浦东新区惠南社区卫生服务中心;
【基金】：浦东新区社区中医优势专病项目(PDZYXK-5-2013005)
【分类号】：R277.7

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