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纸质出版日期:2014
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张风林. 通络牵正方联合针刺治疗中风恢复期神经功能的缺损[J]. 中国实验方剂学杂志, 2014,20(18):212-215.
ZHANG Feng-lin. Tongluo Qianzheng Decoction Combined with Effects of Acupuncture Medicine Neurologic Deficits During Stroke Rehabilitation[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(18): 212-215.
张风林. 通络牵正方联合针刺治疗中风恢复期神经功能的缺损[J]. 中国实验方剂学杂志, 2014,20(18):212-215. DOI: 10.13422/j.cnki.syfjx.2014180212.
ZHANG Feng-lin. Tongluo Qianzheng Decoction Combined with Effects of Acupuncture Medicine Neurologic Deficits During Stroke Rehabilitation[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(18): 212-215. DOI: 10.13422/j.cnki.syfjx.2014180212.
目的: 评价通络牵正方联合的康复疗法对中风恢复期神经功能缺损改善效果及生活质量的影响。方法: 将124例中风恢复期患者随机按数字表法分为对照组和观察组各62例。对照组采用Bobath方法、强制性运动疗法、减重步行训练、运动再学习方案等。观察组在对照组治疗的基础上采用针灸和自拟通络牵正方内服。两组疗程均为8周。进行治疗前后美国国立卫生院神经功能缺损(NIHSS)评分,采用Barthel指数评价日常生活能力(ADL)、Ashworth法评价痉挛程度,采用Fugl-Meyer运动功能评价量表评估肢体综合运动,功能综合评定量表(FCA)评价生活质量,并进行治疗前后中医证候评分。结果: 观察组疾病疗效总有效率为93.5%,优于对照组的77.4%(P<0.05);治疗后观察组NIHSS,Ashworth,Fugl-Meyer(上肢和下肢)评分低于对照组,Barthel指数评分高于对照组(P<0.01);治疗后两组FCA评分上升,观察高于对照组(P<0.01);治疗后两组中医证候积分下降,观察组低于对照组(P<0.01);观察组肢体运动功能残损和Ashworth肌张力分级的改善程度均优于对照组(P<0.05)。结论: 针药结合的中医康复手段改善了患者痉挛状态及神经功能的缺损程度,减轻了临床症状,改善了患者运动和日常生活能力,其在中西医结合的现代康复治疗中起着一定的作用。
Objective: To evaluate Tongluo Qianzheng decoction improvement effects of acupuncture combined with medicine on nerve function defect and the quality of life in stroke patients during rehabilitation. Method: One hundred and twenty-four stroke patients during rehabilitation were randomly divided into control group and observation group (62 cases
respectively) by random number table. Patients in control group received Bobath method
mandatory exercise therapy
body weight support task-specific training
motor relearning program
etc.. Based on the treatment of control group patients
patients in observation group added acupuncture treatment and oral Tongluo Qianzheng decoction. The patients in both groups received 8-weeks periods of treatment. Score the US national institutes of health stroke scale (NIHSS) was graded before and after treatment. Activities of daily living (ADL) was evaluated through Barthel index. Spasm degree was estimated using Ashworth method. Body comprehensive movement function was assessed by Adopt Fugl-Meyer motor function assessment scale and quality of life was evaluated by functional comprehensive assessment (FCA) scale. Besides
Chinese medical syndrome was graded before and after treatment. Result: The total curative rate in observation group was 93.5%
which is superior to that in control group 77.4%(P<0.05). The scores of NIHSS
Ashworth
Fugl-Meyer (Upper limb and lower limb) in observation group were lower than in control group
while the Barthel index in observation group was higher than that in control group (P<0.01) after treatment. FCA scores in both groups increased
which was higher in observation group than in control group (P<0.01) after treatment. Score of Chinese medical syndrome in two groups decreased
which was lower in observation group than in control group (P< 0.01). Amelioration degree of motor function damage of limbs and classification of Ashworth muscular tension in observation group was superior to that in control group (P<0.05). Conclusion: Rehabilitation therapy of acupuncture combined with medicine can ameliorate spasticity and nervous functional defects
and it can also relieve clinical symptoms and signs
and furthermore it can improve ADL and quality of live in stroke patients. Therefore
acupuncture combined with medicine therapy could play an important role in the system of modern rehabilitation treatment by integrated Chinese and western medicine.
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