摘要
目的:观察补阳还五汤配合镜像疗法对气虚血瘀证脑卒中患者上肢运动功能恢复的疗效。方法:将60例气虚血瘀证脑卒中合并上肢偏瘫患者随机分为治疗一组、治疗二组和对照组,每组各20例。所有患者均给予常规西医治疗,同时辅以肢体功能康复训练;在此基础上,治疗一组给予口服补阳还五汤加味结合镜像治疗,治疗二组给予镜像治疗,对照组仅常规处理。三组疗程均为60 d。采用简化FuglMeyer评测法(FMA)评定患者的上肢运动功能,采用改良Barthel指数(MBI)评定患者的日常生活自理能力,同时比较三组患者治疗前后中医证候评分的变化。结果:治疗后,三组患者的上肢FMA评分、MBI评分较治疗前均有提升(P<0.05),且治疗一组患者的上肢FMA评分、MBI评分均高于对照组及治疗二组(P<0.05)。治疗后,三组患者的中医证候评分均显著降低(P<0.05),且治疗一组患者的评分低于对照组和治疗二组(P<0.05)。结论:补阳还五汤配合镜像疗法能更好地改善气虚血瘀证脑卒中患者的上肢运动功能,促进患侧肢体运动功能的恢复,提高患者的日常生活能力。
Objective： To observe the efficacy of ＂Buyang Huanwu Decoction＂ combined with mirror therapy on the recovery of upper limb motor function in stroke patients with syndrome of qi deficiency and blood stasis. Methods： Sixty stroke patients of qi deficiency and blood stasis syndrome with upper limb hemiplegia were randomly divided into the No. 1 treatment group, the No. 2 treatment group and the control group, 20 cases in each group. All the patients were treated with routine therapy of western medicine and rehabilitation training. On the basis of above, the patients in the No. 1 treatment group were treated with ＂Buyang Huanwu Decoction＂ combined with mirror therapy and the patients in the No. 2 treatment group were treated with mirror therapy. The treatment course was 60 days. The simplified Fugl-Meyer assessment （FMA） was adopted to evaluate the upper limb motor function, and the modified Barthel index （MBI） was applied to assess the activity of daily living, meanwhile the scores of Chinese medical syndrome were compared before and after treatment. Results： After treatment, the FMA scores of upper limb and the MBI scores in the three groups were increased compared with before treatment （ P 〈 0.05 ）, and the FMA score of upper limb and the MBI score in the No. 1 treatment group were higher than those in the control group and the No. 2 treatment group （ P 〈 0.05 ）. After treatment, the scores of Chinese medical syndrome in the three groups were significantly decreased （ P 〈 0.05 ）, and the score of the No. 1 treatment group was lower than that of the control group and the No. 2 treatment group （ P 〈 0.05 ）. Conclusion ： ＂Buyang Huanwu Decoction＂ combined with mirror therapy can improve the upper limb motor function of stroke patients with syndrome of qi deficiency and blood stasis, promote the recovery of motor function of affected limb and enhance the activity of daily living.
出处
《上海中医药大学学报》
CAS
2017年第3期30-32,39,共4页
Academic Journal of Shanghai University of Traditional Chinese Medicine
基金
江苏省常州市武进区科技项目(WS201502)
关键词
补阳还五汤
镜像疗法
脑卒中
气虚血瘀证
上肢运动功能
＂Buyang Huanwu Decoction＂
mirror therapy
stroke
syndrome of qi deficiency and blood stasis
upper limb motor function
