消栓通络颗粒内服联合“靳三针”治疗脑卒中后痉挛性瘫痪的临床研究
发布时间：2019-05-08 05:06
【摘要】：目的探讨消栓通络颗粒内服联合"靳三针"的针药结合康复疗法治疗痉挛性瘫痪的临床疗效。方法将128例脑卒中后痉挛性瘫痪患者分为对照组和观察组。在运动康复的基础上,对照组采用"靳三针",观察组在对照组的基础加用消栓通络颗粒,每次12g,3次/天,开水冲服。疗程均为4周。采用改良Ashworth评分量表(MAS)评价肌力情况,采用临床痉挛指数(CSI)评价痉挛程度,采用功能独立性评定量表(FIM)评定日常生活能力,采用四肢简化Fugl-Meyer功能量表(FMA)评价肢体的功能活动;进行神经功能缺损评分(NDS)和脑卒中痉挛性瘫痪患者报告的临床结局(PRO)评价。结果观察组临床疗效总有效率为84.75%,高于对照组(67.24%),差异有统计学意义(χ~2=4.923,P0.05);治疗后观察组患者MAS和CSI评分低于对照组(P0.01);治疗后观察组患者FIM和Fugl-Meyer(上、下肢)评分均高于对照组(P0.01);治疗后观察组NDS和PRO各维度评分均低于对照组(P0.01)。结论消栓通络颗粒内服联合"靳三针"治疗痉挛性偏瘫能进一步减轻患者的痉挛程度,改善神经缺损功能,提高运动活动能力和日常生活能力,提高患者自身感受和临床疗效。
[Abstract]:Objective to explore the clinical effect of Xiaoshuan Tongluo granule combined with Jin San Needle combined with rehabilitation therapy in the treatment of spastic paralysis. Methods 128 patients with spastic paralysis after stroke were divided into two groups: control group and observation group. On the basis of exercise rehabilitation, Jin three Needles were used in the control group. In the control group, Xiaoshuantongluo granules were added to the control group, each time for 12 g, 3 times a day, and the patients in the observation group were washed with boiling water. The course of treatment was 4 weeks. The muscle strength was evaluated by modified Ashworth scale (MAS), the degree of spasm was evaluated by clinical spasm index (CSI), and the ability of daily living (ADL) was assessed by functional independence scale (FIM). The functional activities of limbs were evaluated by using simplified Fugl-Meyer functional scale (FMA). Neurologic deficit score (NDS) and clinical outcome of stroke spasmodic paralysis reported by (PRO) were evaluated. Results the total effective rate of the observation group was 84.75%, which was significantly higher than that of the control group (67.24%) (蠂 ~ 2, 4.923, P0.05), and the scores of MAS and CSI in the observation group after treatment were lower than those in the control group (P0.01). After treatment, the scores of FIM and Fugl-Meyer (upper and lower limbs) in the observation group were higher than those in the control group (P0.01), and the scores of NDS and PRO in the observation group after treatment were lower than those in the control group (P0.01). Conclusion the treatment of spastic hemiplegia with Xiaoshuantongluo granule combined with Jin San Needle can further relieve the spasm degree of the patients, improve the nerve defect function, improve the ability of motor activity and daily living, and improve the patient's own feeling and clinical curative effect.
【作者单位】： 河北省中医院党校分院内科;
【分类号】：R277.7
[Abstract]:Objective to explore the clinical effect of Xiaoshuan Tongluo granule combined with Jin San Needle combined with rehabilitation therapy in the treatment of spastic paralysis. Methods 128 patients with spastic paralysis after stroke were divided into two groups: control group and observation group. On the basis of exercise rehabilitation, Jin three Needles were used in the control group. In the control group, Xiaoshuantongluo granules were added to the control group, each time for 12 g, 3 times a day, and the patients in the observation group were washed with boiling water. The course of treatment was 4 weeks. The muscle strength was evaluated by modified Ashworth scale (MAS), the degree of spasm was evaluated by clinical spasm index (CSI), and the ability of daily living (ADL) was assessed by functional independence scale (FIM). The functional activities of limbs were evaluated by using simplified Fugl-Meyer functional scale (FMA). Neurologic deficit score (NDS) and clinical outcome of stroke spasmodic paralysis reported by (PRO) were evaluated. Results the total effective rate of the observation group was 84.75%, which was significantly higher than that of the control group (67.24%) (蠂 ~ 2, 4.923, P0.05), and the scores of MAS and CSI in the observation group after treatment were lower than those in the control group (P0.01). After treatment, the scores of FIM and Fugl-Meyer (upper and lower limbs) in the observation group were higher than those in the control group (P0.01), and the scores of NDS and PRO in the observation group after treatment were lower than those in the control group (P0.01). Conclusion the treatment of spastic hemiplegia with Xiaoshuantongluo granule combined with Jin San Needle can further relieve the spasm degree of the patients, improve the nerve defect function, improve the ability of motor activity and daily living, and improve the patient's own feeling and clinical curative effect.
【作者单位】： 河北省中医院党校分院内科;
【分类号】：R277.7
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1 飞翔;;神奇的“靳三针”[J];医疗保健器具;2006年12期
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