中西医结合治疗脑卒中偏瘫40例临床观察

目的探讨中西医结合治疗脑卒中偏瘫的临床疗效。方法选取我院2016年1月~2017年1月收治的80例脑卒中偏瘫患者作为研究对象,根据治疗方法不同随机分为观察组与对照组,每组各40例,两组均进行系统的康复训练、均接受神经内科常规药物治疗,观察组同时加用偏瘫复原汤,两组均连续治疗4周。治疗后,对两组的临床疗效及两组患者治疗前后的日常生活活动能力、下肢运动功能及生活质量改善情况进行评价。结果治疗后观察组的临床总有效率为90.0%,显著高于对照组,差异具有统计学意义(P0.05)。治疗后两组患者BI、FMA评分均较治疗前显著提高,且观察组的BI、FMA评分显著高于对照组,组间比较,差异具有统计学意义(P0.05)。治疗后两组患者SS-QOL评分均较治疗前显著提高,且观察组的SS-QOL评分显著高于对照组,组间比较,差异具有统计学意义(P0.01)。结论中西医结合治疗脑卒中偏瘫可以显著提高临床疗效,促进运动功能恢复,提高患者的生活自理能力,从而显著改善患者的生活质量。

Clinical observation on treating 40 cases of stroke hemiplegia with integrated traditional Chinese and western medicine

Objective To investigate the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of stroke hemiplegia. Methods 80 stroke patients with hemiplegia from January 2016 to January 2017 admitted in our hospital were selected as the study objects. According to the different treatment methods, they were randomly divided into observation group and control group, with 40 cases in each group. Both groups underwent systematic rehabilitation training and routine medical treatment of neurology. The observation group was also given Piantan Fuyuan decoction. The two groups were treated for 4 weeks. After treatment, the clinical efficacy of both groups and daily living activities, lower extremity motor function and the improvement of quality of life between two groups were evaluated.Results The total effective rate of the observation group after treatment was 90.0%, which was significantly higher than that of the control group, there was significant difference between the two groups(P<0.05). The scores of BI and FMA in both groups after treatment were significantly higher than those before treatment, and the scores of BI and FMA in the observation group were significantly higher than those in the control group, the differences between the two groups were statistically significant (P<0.05). The SS-QOL scores of both groups after treatment were significantly higher than those before treatment,and the SS-QOL score of the observation group was significantly higher than that of the control group,there was significant difference between the two groups (P<0.01). Conclusion The traditional Chinese and western medicine in the treatment of stroke hemiplegia can significantly improve the clinical curative effect, promote the recovery of motor function, improve the self-care ability of patients, thus significantly improving the quality of life of patients.