黄芪通络汤联合八段锦治疗脑梗死临床效果
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(1.尤溪县中医医院,福建 尤溪 365100)

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陈金燕,女,主治医师,主要研究方向是中医内科学。

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R 743.3

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Effect of Huangqi Tongluo Decoction Combined with Baduanjin in Patients with Cerebral Infarction
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(1.Youxi Hospital of Traditional Chinese Medicine, Fujian Youxi 365100)

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    摘要:

    摘 要目的:探讨黄芪通络汤联合八段锦在脑梗死患者中的康复效果及对肢体活动度的影响。方法:选取 2022 年 3 月至 2022 年 7 月尤溪县中医医院收治的脑梗死患者 104 例,按随机数字表法分为两组,各 52 例。对照组 患者应用常规治疗,观察组患者在对照组基础上给予黄芪通络汤联合八段锦治疗,比较两组患者的临床疗效,治疗前 后血液流变学指标变化情况、肢体活动度、运动功能、日常生活能力、生活质量情况。结果:观察组患者的总有效率 为 94.2 %,高于对照组的 78.8 %,差异具有统计学意义(P < 0.05);与治疗前比较,两组患者治疗后的血浆黏度、 纤维蛋白原、血小板最大聚集率均有所下降,且观察组患者血浆黏度、纤维蛋白原、血小板最大聚集率均低于对照组, 差异具有统计学意义(P < 0.05)。与治疗前比较,两组患者治疗后的 Fugl–Meyer 运动功能评定法(FMA)评分、 6 min 步行距离试验(6MWD)距离、功能性步行量表(FAC)评分均增加,且观察组患者治疗后的 FMA 评分、FAC 评分均高于对照组,6MWD 距离长于对照组,差异具有统计学意义(P < 0.05)。与治疗前比较,两组患者治疗后 的改良 Barthel 指数(MBI)评分、生活质量评分均高于治疗前,且观察组患者治疗后的 MBI 评分、生活质量评分均 高于对照组,差异具有统计学意义(P < 0.05)。结论:黄芪通络汤联合八段锦在脑梗死患者中的康复效果更加显著, 可有效提高治疗有效率,改善肢体活动度、血液流变学指标,从而有效提升患者自身的日常生活能力、减轻神经功能 缺损,提高生活质量。

    Abstract:

    AbstractObjective To explore the rehabilitation effect of Huangqi Tongluo decoction combined with Baduanjin in patients with cerebral infarction and its effect on limb activity. Methods A total of 104 patients with cerebral infarction admitted to Youxi Hospital of Traditional Chinese Medicine from March 2022 to July 2022 were selected and divided into two groups according to the random number table method. The control group was treated with conventional treatment, and the observation group was treated with Huangqi Tongluo decoction combined with Baduanjin on the basis of the control group. The clinical efficacy of the two groups was compared. The changes of hemorheology indexes, limb activity, motor function, daily living ability and quality of life before and after treatment were observed. Results The total effective rate of the observation group was 94.2 %, higher than 78.8 % of the control group, and the difference was statistically significant (P < 0.05). Compared before treatment, the plasma viscosity, fibrinogen and maximum platelet aggregation rate of the two groups after treatment were decreased, and the plasma viscosity, fibrinogen and maximum platelet aggregation rate of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). Compared before treatment, the Fugl-Meyer assessment (FMA) score, 6 minutes walking distance test (6MWD) distance and functional ambulation scale (FAC) score of the two groups after treatment were increased, and the FMA score and FAC score of the observation group after treatment were higher than those of the control group, and the 6MWD distance was longer than that of the control group, the differences were statistically significant (P < 0.05). Compared with before treatment, the modified Barthel index (MBI) score and quality of life score of the two groups after treatment were higher than those before treatment, and the MBI score and quality of life score of the observation group after treatment were higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Huangqi Tongluo decoction combined with Baduanjin has a more significant rehabilitation effect in patients with cerebral infarction is more significant in rehabilitation effect, can effectively improve the treatment efficiency, improve limb activity and hemorheological indicators, so as to effectively improve the patients' ability of daily living, reduce neurological deficits and improve the quality of life.

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  • 收稿日期:2022-10-21
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  • 在线发布日期: 2023-06-05
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