活血化瘀汤联合穴位埋线颅脑外伤术后的康复恢复的临床研究

目的:探讨活血化瘀汤联合穴位埋线对颅脑外伤术后康复恢复效果的影响。方法:纳入我院2013年1月至2014年11月颅脑外伤术后康复的患者100例,随机平均分为2组,其中观察组50例,于颅脑外伤术后行活血化瘀汤联合穴位埋线治疗,对照组50例,手术后未现代康复治疗。分别于治疗后3个月观察2组患者的肢体运动功能、日常生活活动能力以及认知功能的变化情况;并比较2组患者术后匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分、疼痛VAS评分、患者满意度。结果:观察组与对照治疗前肢体运动功能、日常生活活动能力以及认知功能差异均无统计学意义(P0.05);治疗后3个月观察组的肢体运动功能、日常生活活动能力以及认知功能均优于对照组,2组间相比具有统计学意义(P0.05);PSQI评分、SAS评分、SDS评分、疼痛VAS评分观察组均优于对照组,2组间相比具有统计学意义(P0.05);患者的满意度观察组优于对照组,2组间相比具有统计学意义(P0.05)。结论:活血化瘀汤联合穴位埋线可改善颅脑外伤术后康复患者的神经功能,改善患者术后的疼痛、焦虑、抑郁情绪和睡眠质量,有效提高患者的满意度,有助于颅脑外伤患者术后更好的康复。

Clinical Study on Rehabilitation Recovery of Huoxue Huayu Decoction Combined with Catgut Embedding in Treating Postoperative Brain Injury

To investigate the recovery effect of Huoxue huayu Decoction combined with catgut embedding in treating postoperative rehabilitation for traumatic brain injury.Methods:A hundred patients who received rehabilitation for traumatic brain injury in our hospital from January 2013 to November 2014 after were selected for the study and randomly divided into two groups, each with 50 patients. Patients in the observation group were treated with Huoxue huayu Decoction with catgut embedding therapy for postoperative brain injury, while patients in the control group received only modern rehabilitation after surgery. Changes of motor function, activities of daily living and cognitive function were observed three months after the treatment and Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) score, VAS pain scores, patient satisfaction of both the two groups were collected and compared.Results:Motor function, activities of daily living and cognitive function before and after the treatment showed no statistically significant differences of both the observation group and the control group (P>0.05); motor function, activities of daily living, and cognitive function of the observation group improved after 3-month treatment, compared with the control group, which showed a statistically significant difference (P<0.05); PSQI score, SAS score, SDS score, VAS pain scores in the observation group were better than those of the control group, with a statistically significant difference (PP<0.05); patient satisfaction in the observation group was better than that of the control group, which showed a statistically significant difference between the two groups (P<0.05).Conclusion:Huoxue Huayu Decoction with catgut embedding may improve the nerve function of patients who had surgery for traumatic brain injury, relieve postoperative pain, anxiety, depression, improve sleep quality, enhance patient satisfaction, and help patients achieve better recovery effects.