中西医结合对脑卒中后运动功能的影响

目的探讨中西医结合对脑卒中患者下肢运动功能和平衡功能康复的有效性。方法选取2012年1月至2013年12月收治于神经内科病房的脑卒中偏瘫患者100例住院患者,采用随机分组对照的设计方案进行研究,分为实验组(n=50)和对照组(n=50),两组均采用常规神经内科药物治疗及"一对一"方式的康复训练,实验组在此基础上进行中医治疗。观察两组患者治疗前后日常生活能力(ADL)的评定采用Barthel指数;肢体运动功能评定采用Fugl-Meyer运动功能积分法。结果两组患者治疗前Barthel指数与Fugl-Meyer运动功能积分差异无显著性,P>0.05;治疗后对照组此两项指标均有一定程度的改善,但与康复组比较,差异有显著性,P<0.01。结论中西医结合治疗可以进一步改善脑卒中患者的下肢运动功能和平衡功能。

Effects on Motor Function after Stroke with Combination of Chinese Traditional and Western Medicine

Objective To investigate the binding effectiveness of rehabilitation on lower extremity motor function of stroke patients and balance function of traditional Chinese medicine and Western medicine. Methods From 2012January to2013 December were treated in the Department of rehabilitation medicine in stroke patients with hemiplegia in 100 patients, were studied by the design of randomized controlled, divided into the experimental group（n=50）and control group （n=50）, the two groups were treated with routine drug neural Department of internal medicine and“one to one”mode rehabilitation training, the experimental group based on the therapy of traditional Chinese medicine. Two groups were observed before and after treatment in patients with activities of daily living （ADL）evaluated by Barthel index;limb motor function was evaluated by Fugl-Meyer functional integral method. Results Before treatment, Barthel index and Fugl-Meyer motor function of patients in two groups had no significant difference between the integral, P〉0.05;the control group after treatment of this two indexes were improved to a certain extent, but compared with the rehabilitation group, there was significant difference, P〈0.01. Conclusion The treatment can further improve the stroke patients with lower extremity motor function and balance function of integrated traditional Chinese and Western medicine.