摘要
目的探究气虚血瘀型脑梗死患者采用补阳还五汤配合康复训练治疗的效果。方法选取广州市南沙区灵山医院2021年9月—2022年9月收治的72例气虚血瘀型脑梗死患者为研究对象,采用随机数字表法分为对照组及观察组,每组36例。对照组采用单纯西药治疗,观察组在此基础上采用补阳还五汤联合康复训练治疗。比较两组患者的运动功能、日常生活活动能力、治疗效果及生活质量。结果治疗后,观察组的Fugl-Meyer运动功能评定量表评分及Barthel指数评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组的治疗总有效率为94.40%,高于对照组的80.60%,差异有统计学意义(P<0.05)。治疗后,观察组的健康调查简表中各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论气虚血瘀型脑梗死患者采用补阳还五汤联合康复训练治疗的效果理想,可提高其运动功能及日常生活活动能力,改善其生活质量,值得临床推广使用。
Objective To explore the effects of Buyang Huanwu Decoction combined with rehabilitation training on cerebral infarction patients with Qi deficiency and blood stasis.Methods 72 cerebral infarction patients with Qi deficiency and blood stasis type admitted to Lingshan Hospital,Nansha District,Guangzhou City from September 2021 to September 2022 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 36 cases in each group.The control group was treated with western medicine alone,and the observation group was treated with Buyang Huanwu Decoction combined with rehabilitation training on this basis.The motor function,activity of daily living,therapeutic effect and quality of life of the two groups were compared.Results After treatment,the scores of Fugl-Meyer assessment and Barthel index in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate of the observation group was 94.40%,higher than 80.60%of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of all dimensions in the MOS item short from health survey of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The effect of Buyang Huanwu Decoction combined with rehabilitation training on cerebral infarction patients with Qi deficiency and blood stasis is ideal,which can improve their motor function and ability of daily living,improve their quality of life,and is worthy of clinical promotion.
作者
徐秀丽
何锦洪
刘粤丹
XU Xiuli;HE Jinhong;LIU Yuedan(Department of Traditional Chinese Medicine,Lingshan Hospital,Nansha District,Guangzhou City,Guangzhou Guangdong,511400,China;Department of Internal Medicine,Lingshan Hospital,Nansha District,Guangzhou City,Guangzhou Guangdong,511400,China)
出处
《反射疗法与康复医学》
2023年第17期36-38,共3页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
气虚血瘀型
补阳还五汤
康复训练
治疗效果
Cerebral infarction
Qi deficiency and blood stasis type
Buyang Huanwu Decoction
Rehabilitation training
Therapeutic effect
作者简介
徐秀丽(1983-),女,广东东莞人,本科,主治医师,研究方向:中医内科疾病诊治。
