中医综合疗法治疗缺血性脑卒中后肢体功能障碍临床研究

目的:评价中医综合疗法治疗缺血性脑卒中后肢体功能障碍的临床疗效。方法:将符合入选标准的2017年6月-2019年1月多中心联盟医院收治的160例缺血性脑卒中后肢体功能障碍患者采用随机数字表法分为2组，每组80例。对照组采用西医基础治疗与康复训练，观察组在对照组基础上联合中医综合疗法(中药内服＋中药熏洗＋耳穴贴压)治疗。...

Clinical study of comprehensive Traditional Chinese Medicine treatment for limb dysfunction after ischemic stroke

Objective To evaluate the clinical effect of Limb dysfunction after the comprehensive treatment of ischemic stroke by Traditional Chinese Medicine(TCM).Methods A total of 160 patients with limb dysfunction after ischemic stroke.Who in line with the inclusion criteria,were randomly divided into 2 groups by random number table,80 cases each.These patients were treated in Multicenter Union Hospital from June 2017 to Janunry 2019.The patients in the control group were given basic Western medicine treatment and rehabilitation training,while the patients in the observation group were given a comprehensive treatment combined with traditional Chinese medicine based on the control group(Chinese herbs,herbal fumigation and ear point press).Both groups were treated for 4 weeks and follow-up for 2 months.The Fugl-Meyerscale were used to evaluate the degree of limb dysfunction and balance dysfunction,the National Institutes of Health Stroke Scale were used for assessing the damage extent of nerve function,the Barthel index for evaluating the mobility of daily life.The clinical efficacy was evaluated according to the method of Brunnstrom assessment.Results After treatment,the Limb strong spasm(1.57±0.36 vs.1.98±0.53,t=5.724),Hemianesthesia(1.37±0.31 vs.1.80±0.36,t=8.096),Inhibited bending and stretching(1.31±0.25 vs.1.84±0.46,t=9.055)in the observation group were significantly lower than those in the control group(P<0.01).The Fugl-Meyer activity and balance rating in the observation group were significantly higher than those in the control group(t values were 2.739,4.705,respectively,P<0.05 or P<0.01).The total effective rate of observation group was 93.3%(78/80),the control group was 73.3%(71/80),and there exist statistical significance(χ²=4.783,P=0.028)in the two group’s comparative difference.Conclusion The comprehensive TCM treatment can improve the hemiplegia syndrome of ischemic stroke patients and their limb activity and balance function,promote their neural functional recovery,enhance the activity of their daily life and clinical efficacy.