《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (01): 31-32.

• 专题 • 上一篇    下一篇

益气养阴扶正法对脑卒中偏瘫患者康复的影响

朱丽芳; 刘惠宇; 杜碧青; 曾春英   

  1. 广东省韶关市粤北人民医院康复科 广东韶关市 512025
  • 收稿日期:2005-11-23 出版日期:2006-01-25 发布日期:2006-01-25

Effects of Chinese Traditional Medicine on hemiplegia after stroke

ZHU Li-fang, LIU Hui-yu, DU Bi-qing, et al   

  1. Department of Rehabilitation, Yuebei People's Hospital, Shaoguang 512025, Guangdong, China
  • Received:2005-11-23 Published:2006-01-25 Online:2006-01-25

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摘要： 目的观察中药益气养阴扶正法对脑卒中偏瘫患者康复的影响。方法将102例脑卒中偏瘫患者分成观察组(52例)和对照组(50例),两组均予常规的内科药物及早期康复治疗,观察组同时加以益气养阴扶正的中药注射液,偏气虚者予参芪扶正注射液静脉滴注,偏阴虚者予生脉注射液静脉滴注,每天1次,14d为1个疗程,共2个疗程,治疗前及治疗后3天内,采用简式Fug-Meyer量表评测上、下肢运动功能恢复的能力,用改良Barthel氏指数评测日常生活活动(ADL)能力的变化,分6级评定步行功能的恢复。结果治疗后两组患者的上下肢运动功能、ADL能力、步行功能等均有明显改善(P<0.001),但观察组除上肢的运动功能外,其余各项优于对照组(P<0.05)。结论益气养阴扶正法对脑卒中偏瘫患者的下肢运动功能、ADL能力、步行功能等恢复有良好的促进作用。

关键词: 脑卒中, 中药, 康复, 运动功能, 日常生活活动能力(ADL), 步行功能

Abstract: ObjectiveTo observe the effects of Chinese Traditional Medical therapy of supplementing Qi, nourishing Yin and strengthening genuine Qi on hemiplegia after stroke.Methods102 cases of hemiplegic patients were divided into 2 groups randomly, observational group (52 cases) and control group (50 cases), who were all treated with routine medicine and early rehabilitation. Observational group accepted Shenqi Fuzheng Injection or Shengmai Injection according to their syndrome for 28 days. Before and after treatment (within 3 days), simple Fug-Meyer Assessment Scale, modified Barthel index and gait analysis were used to evaluate the function of motor, activity of daily living (ADL) and walking.ResultsBoth groups improved their function of upper and lower limb's movement, ADL and walking significantly (P<0.001) after treatment. Compared with the control group, except for motor of upper limps, the patients in observational group improved their function more significantly (P<0.05).ConclusionChinese Traditional Medical therapy of supplementing Qi, nourishing Yin and strengthening genuine Qi may help the recovery of hemiplegia after stroke.

Key words: stroke, Chinese Traditional Medicine, rehabilitation, motor function, activity of daily living (ADL), walking