康复训练结合益气中药对气虚型缺血性脑卒中患者疲劳程度的影响

目的 观察康复训练结合益气中药对气虚型缺血性脑卒中患者疲劳程度的影响.方法 将气虚型缺血性脑卒中患者90例按照随机数字法分成中药治疗组、西药对照组和空白对照组3组,每组患者30例.3组患者均采用完全相同的基础对症治疗和康复训练,中药治疗组在以上治疗的基础上增加益气活血中药汤剂进行治疗,西药对照组在基础对症治疗和康复训练的基础上增加中药安慰剂加西药进行治疗,空白对照组则在基础对症治疗和康复训练的基础上采用中药安慰剂和西药安慰剂进行治疗.3组患者均于治疗前和治疗4周后采用脑卒中专用的生活质量量表(SS-QOL)中的精力部分评定其精力,同时采用疲劳严重程度量表(FSS)评定患者的疲劳程度.结果 治疗4周后,3组患者各项评分较组内治疗前均有显著改善,差异有统计学意义(P<0.01);而中药治疗组改善情况尤为显著,与西药对照组和空白对照组治疗4周后比较,差异均有统计学意义(P<0.01).西药对照组治疗4周后其精力积分与空白对照组治疗4周后比较,差异有统计学意义(P<0.01),而疲劳程度评分2组间差异无统计学意义(P>0.05).结论 康复训练结合益气中药可显著改善气虚型脑卒中患者的精力和疲劳程度.

Abstract：

Objective To study the clinical effect of qi supplementation combined with rehabilitation on the severity of fatigue after ischcmic stroke in patients with qi deficiency. Methods Ninety ischemic stroke patients with qi deficiency were randomly divided into 3 groups of 30. The treatment group was treated with an oral decoction of qi-supplementing Chinese medicine and also rehabilitation. The Western medicine control group was treated with a Chinese medicine placebo, Western medicine and rehabilitation. The blank control group was treated with the Chinese medicine placebo and rehabilitation. All groups were evaluated using a stroke-specific quality of life scale ( SSQOL) and a fatigue severity scale (FSS) before and 4 weeks after treatment. Results After treatment, the average SS-QOL and FSS scores had improved significantly compared with those before treatment, especially in the two treatment groups. There was a significant difference between the treatment group and the Western medicine control group,and between the treatment group and the blank control group on both scales. There was also a significant difference between the Western medicine control group and the blank control group in terms of SS-QOL scores, but not FSSscores. Conclusion All 3 treatments alleviated fatigue in ischemic stroke patients with a qi deficiency. Qi supplementation combined with rehabilitation was the most effective, followed by Western medicine combined with rehabilitation.

The effect of qi supplementation combined with rehabilitation on fatigue in qi deficient ischemic stroke patients