中医定向透药治疗在脑出血患者康复治疗中的临床应用被引量：5

Clinical application of traditional Chinese medicine directional permeation therapy in rehabilitation of patients with hematencephalon

在线阅读下载PDF

导出

摘要目的:分析中医定向透药治疗在脑出血患者康复治疗中的临床运用及疗效观察。方法:将2016年5月—2018年1月我院神经外科收治的78例脑出血后肢体瘫痪的患者为研究病例,采用随机数字表法将其分为两组。对照组给予常规康复治疗,观察组在常规康复治疗基础上加予实施中医定向透药治疗,观察并对比两组病例在肢体肌力康复程度、肢体萎缩程度、肩关节脱位发生率、深静脉血栓发生率及关节痉挛发生率等方面数据的差异。结果:观察组39例运用中医定向透药治疗的病例中,在肢体肌力康复程度方面明显优于对照组,差异有统计学意义(P<0.05)。在肢体萎缩程度方面,观察组肌肉萎缩程度明显低于对照组,差异有统计学意义(P<0.05)。在关节脱位发生率方面,观察组发生率为2.6%(1/39),对照组发生率为7.7%(3/39),在深静脉血栓发生率方面,观察组发生率为0.0%,对照组发生率为7.7%(3/39),在关节痉挛发生率方面,观察组发生率为10.3%(4/39),对照组发生率为23.1%(9/39),虽然这三方面数据无明显统计学意义(P>0.05),但在数据方面看,仍有减少发生率的优势。结论:对于脑出血后肢体瘫痪的患者早期实施中医定向透药治疗,能够显著提高瘫痪肢体肌力的康复程度,减轻肢体萎缩程度,减少并发症发生,值得临床推广和借鉴。 Objective:To analyze the clinical application and curative effect of traditional Chinese medicine(TCM)directional permeation therapy in the rehabilitation of patients with cerebral hemorrhage.Methods:From May 2016 to January 2018,78 patients with limb paralysis after intracerebral hemorrhage were divided into two groups by random digital table.The control group was given routine rehabilitation treatment,and the observation group was treated with traditional Chinese medicine(TCM)directional permeation therapy on the basis of routine rehabilitation therapy.The difference of the recovery degree of limb muscle strength,the degree of limb atrophy,the incidence of shoulder dislocation,the incidence of deep vein thrombosis and the incidence of joint spasm of two groups was observed and compared.Results:In the observation group,39 cases were treated with traditional Chinese medicine(TCM)and the recovery degree of limb muscle strength was significantly better than that of the control group(P<0.05).In terms of limb atrophy,the muscular atrophy in the observation group was significantly lower than that in the control group(P<0.05).In terms of the incidence of joint dislocation,the incidence of dislocation in the observation group was 2.6%(1/39)while that in the control group was 7.7%(3/39).The incidence of deep venous thrombosis was 0 in the observation group and 7.7%(3/39)in the control group.In terms of the incidence of joint spasms,the incidence of joint spasm in the observation group was 10.3%(4/39),and in the control group was 23.1%(9/39).Although there was no significant difference between the three groups of data(P>0.05),TCM still had the advantage of reducing the incidence rate.Conclusion:For patients with limb paralysis after intracerebral hemorrhage,the early implementation of TCM directional permeation therapy could significantly improve the rehabilitation degree of paralysis limb muscle strength,reduce the degree of limb atrophy,and reduce the incidence of complications,which was worthy of clinical popularization and reference.