补阳还五汤加减联合体针治疗缺血性脑卒中后遗症临床研

目的:观察补阳还五汤加减联合体针治疗缺血性脑卒中后遗症的临床疗效。方法:选取缺血性脑卒中后遗症患者80例,按随机数字表法分为对照组和观察组各40例。2组均给予基础治疗,对照组加用常规康复训练措施进行干预,观察组在对照组的基础上加用补阳还五汤加减内服联合体针治疗。2组均连续治疗12周,评估2组临床疗效;采用徒手肌力测试方法评估腕关节掌屈和背伸肌力,采用Fugl-Meyer运动量表(FMMS)评估患者肢体运动功能,采用美国国立卫生院神经功能缺损评分(NIHSS)评定患者神经功能恢复情况,采用Barthel指数评估患者日常生活活动能力。结果:观察组总有效率为95.0%,对照组为75.0%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组腕掌屈肌力、腕背伸肌力较治疗前增加(P<0.05),且观察组腕掌屈肌力、腕背伸肌力大于对照组(P<0.05)。治疗后,2组上、下肢FMMS评分均较治疗前增加(P<0.05),且观察组上、下肢FMMS评分均高于对照组(P<0.05)。治疗后,2组NIHSS评分较治疗前降低(P<0.05),改良Barthel指数评分较治...

Clinical Study on Modified Buyang Huanwu Tang Combined with Body Acupuncturefor Ischemia Stroke Sequela

Objective:To observe clinical effect of the therapy of modified Buyang Huanwu tang combined with body acupuncture on ischemia stroke sequela.Methods:A total of 80 patients with ischemia stroke sequela were selected and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.Both groups were given basic treatment.The control group was additionally given routine rehabilitation training for intervention,and the observation group was additionally given modified Buyang Huanwu tang combined with body acupuncture based on the treatment of the control group.Both groups were continuously treated for 12 weeks.The clinical effects in the two groups were evaluated.The muscle strength of palmar flexion and dorsal extension of wrist joint were evaluated by manual muscle test.The limb motor function of patients was evaluated by Fugl-Meyer Motor Scale(FMMS).The recovery of neurological function was evaluated by National Institutes of Health Stroke Scale(NIHSS).The activity ability of daily living of the patients was evaluated by Barthel Index.Results:The total effective rate was 95.0%in the observation group and was 75.0%in the control group,the difference being significant(P<0.05).After treatment,the muscle strength of palmar flexion and dorsal extension of wrist in the two groups were increased when compared with those before treatment(P<0.05),and the above two indexes in the observation group were higher than those in the control group(P<0.05).After treatment,the upper and lower limbs scores of FMMS in the two groups were increased when compared with those before treatment(P<0.05),and the above two scores in the observation group were higher than those in the control group(P<0.05).After treatment,the NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the Barthel Index scores were increased(P<0.05),and the improvement of NIHSS and Barthel Indexes in the observation group was more significant than that in the control group(P<0.01).Conclusion:Based on routine treatment,the therapy of modified Buyang Huanwu tang combined with body acupuncture has an obvious curative effect on ischemia stroke sequela,which can further promote the recovery of limb function,reduce the damage of neurological function and improve the activity ability of dailyliring of patients.