摘要
目的探讨芍药甘草汤联合肌电生物反馈疗法在脑卒中康复期病人中的应用效果。方法将94例脑卒中康复期病人随机分为对照组与观察组,各47例。对照组采用肌电生物反馈疗法,每次20min,每周5次;观察组在对照组治疗基础上给予芍药甘草汤;两组均连续治疗2个月。比较两组的临床疗效、汉语标准失语症检查(CRRCAE)评分、简式Fugl-Meyer运动功能评分(FMA)、临床痉挛指数(CSI)及不良反应发生情况。结果对照组治疗总有效率为80.85%,低于观察组的95.74%,差异有统计学意义(P <0.05)。治疗后两组听、复述、说、出声读、阅读评分较治疗前均升高,且观察组高于对照组,差异均有统计学意义(P <0.05)。治疗后两组上肢、下肢FMA评分较治疗前升高,CSI评分较治疗前降低,且治疗后观察组上肢、下肢FMA评分高于对照组,CSI评分低于对照组,差异均有统计学意义(P <0.05)。两组病人治疗期间均未出现明显的不良反应。结论芍药甘草汤联合肌电生物反馈疗法治疗脑卒中康复期病人效果显著,能够控制肢体痉挛,改善语言和肢体功能。
Objective The aim of this study was to investigate the effect of Shaoyao Gancao decoction(SGD)and electromyographic biofeedback therapy on the limb spasticity and language function of stroke patients during rehabilitation treatment.Methods Ninety four patients with stroke were randomly divided into two groups:control group(n=47)treated with electromyography biofeedback stimulation for20min,5times per week,and treatment group(n=47)treated with SGD in the basis of electromyography biofeedback stimulation for2months continuously.The clinical efficacy,China Rehabilitation Research Center Aphasia Examination(CRRCAE)scores,Fugl Meyer Assessment(FMA)scores,the clinical spasm index(CSI),and adverse reactions were observed.Results The effective rate of the control group was lower than that in the study group(80.85%vs95.74%,P<0.05).After treatment,the scores of listening,retelling,speaking,sound reading,reading in both groups were higher than that before pretreatment and the scores in study group were higher than that in control group(P<0.05).After treatment,upper limb FMA scores and lower limb FMA scores in the two groups were higher than that before pretreatment and CSI scores were lower than that before pretreatment scores(P<0.05).Upper limb FMA scores and lower limb FMA scores in the study group were higher than those in the control group,while CSI scores in the study group were lower than those in the control group(P<0.05).There were no obvious adverse reactions in the two groups during the treatment.Conclusion SGD and electromyographic biofeedback therapy was effective for stroke rehabilitation,which helped to control spasticity and improved language and limb function.
作者
李姣
常永霞
马崇
王殷
王腾
Li Jiao;Chang Yongxia;Ma Chong;Wang Yin;Wang Teng(First Affiliated Hospital of Hebei Northen University,Zhangjiakou 075000,Hebei,China)
出处
《中西医结合心脑血管病杂志》
2018年第22期3252-3255,共4页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
张家口市科技局与地震局2014年度科学技术研究与发展计划项目(No.1421130D)
关键词
脑卒中
康复期
芍药甘草汤
肌电生物反馈疗法
痉挛
肢体功能
语言功能
stroke
rehabilitation
Shaoyao Gancao decoction
electromyographic biofeedback therapy
spasticity
limb function
language function
