益气为主中药结合康复训练对缺血性中风后气虚疲劳患者生活质量的影响

目的观察益气为主中药结合康复训练对缺血性中风后气虚疲劳患者生活质量的影响。方法将90例缺血性中风后气虚疲劳患者随机分为3组,每组30例。中药治疗组给予益气为主中药汤剂加康复治疗,西药治疗组给予中药安慰剂加西药加康复治疗,对照组给予中药安慰剂加康复治疗,共治疗4周。治疗前及治疗4周后采用疲劳严重程度量表(FSS)及脑卒中专用生活质量量表(SS-QOL)进行评估。结果 3组治疗后两个量表的积分均较治疗前增加,尤以中药治疗组最明显,差异有统计学意义(P<0.05)。治疗后中药治疗组与西药治疗组及对照组比较,差异亦有统计学意义(P<0.05),西药治疗组与对照组比较,差异无统计学意义(P>0.05)。结论益气为主中药结合康复训练可以改善缺血性中风后气虚疲劳患者的生活质量。

Effects of Qi-supplementing Dominated Chinese Materia Medica Combined with Rehabilitation Training on the Quality of Life of Ischemic Post-stroke Fatigue Patients of Qi Deficiency Syndrome

Objective To observe the effects of qi-supplementing dominated Chinese materia medica(QSDCMM) combined with rehabilitation training on the quality of life(QOL) of ischemic post-stroke fatigue(PSF) patients of qi deficiency syndrome.Methods Ninety ischemic stroke patients of qi deficiency were randomly assigned to 3 groups,30 in each.Patients in the Chinese medicine treatment group were treated with oral administration of QSDCMM decoction and rehabilitation.Those in the Western medicine treatment group were treated with Chinese medicine placebo,Western medicine,and rehabilitation.Those in the control group were treated with Chinese medicine placebo and rehabilitation.The therapeutic course for all was 4 weeks.All patients were assessed using Stroke Specific Quality of Life Scale(SS-QOL) and Fatigue Severity Scale(FSS) before treatment and 4 weeks after treatment.Results After treatment the scores of SS-QOL and FSS increased in the 3 groups,especially in the CM treatment group,showing significant difference(P<0.05).After treatment significant difference existed between the CM treatment group and the Western medicine treatment group,between the CM treatment group and the control group,showing significant difference(P<0.05).There was no statistical difference between the Western medicine treatment group and the control group(P>0.05).Conclusion QSDCMM combined with rehabilitation training could improve the QOL of ischemic PSF patients of qi deficiency syndrome.