摘要
目的:观察芍药甘草汤联合小脑cTBS刺激调控治疗卒中后肌张力障碍疗效。方法:本次研究选择2021年6月至2022年6月就诊于我院康复科门诊的脑卒中患者共60例。于患者招募前按照随机数字表法分为观察组和对照组,每组30例。两组同时接受脑卒中常规药物治疗及健康宣教、危险因素控制(主要内容包括患者教育、日常活动指导、心理支持、饮食指导、体重控制、戒烟、血压、血糖控制等),同时给予常规的运动、作业、物理因子等康复治疗,每日1次,每次1小时。观察组除接受上述条件外,还要服用芍药甘草汤,2次/日,共计24日,同时接受小脑cTBS刺激治疗,共计24次。分别于入组时、治疗24天后评估以下指标:改良Ashworth量表、Fugl-Meyer量表、改良Barthel指数。结果:治疗后,两组患者上肢及下肢MAS较治疗前均有统计学差异,治疗组优于对照组(P<0.05);FMA评分方面,治疗后观察组评分(61.27±10.82),治疗组(46.34±11.56),较治疗前均有差异(P<0.05),观察组优于对照组(P<0.05)。MBI方面,治疗后观察组评分(61.27±10.82),治疗组(46.34±11.56),较治疗前均有差异(P<0.05),观察组优于对照组(P<0.05)。结论:芍药甘草汤联合小脑cTBS刺激可对卒中后患者肌张力及运动功能均有显著改善的作用。
Objective:To observe the therapeutic effect of Shaoyao Glycyrrhizae decoction combined with cerebellar cTBS stimulation and regulation on dystonia after stroke.Methods:From June 2021 to June 2022,a total of 60 stroke patients in the outpatient department of Rehabilitation Department of our hospital were selected in this study.Before recruitment,patients were randomly divided into observation group and control group,with 30 cases in each group.Two groups at the same time accept the routine drug treatment and health education,stroke risk factors control(mainly includes education,daily activity guidance,psychological support,diet guidance,weight control,smoking cessation,blood pressure,blood sugar control,etc.),at the same time give regular exercise,homework,physical factors,such as rehabilitation,1 times a day,every time 1 hour.In addition to the above conditions,the observation group also took Shaoyao Glycyrrhizae decoction,twice a day,for 24 days in total,and received cerebellar cTBS stimulation treatment,for 24 times in total.The following indexes were evaluated at enrollment and 24 days after treatment:modified Ashworth scale,,Fugl-Meyer scale and modified Barthel index.Results:There were statistically significant differences between the observation group and the treatment group after MAS treatment(P<0.05),In terms of FMA score,the scores of the observation group and the treatment group were(61.27±10.82)and(46.34±11.56)after treatment,which were different from those before treatment,and the observation group was better than the control group.In terms of MBI,the scores of the observation group and the treatment group were(61.27±10.82)and(46.34±11.56)after treatment,which were both different from those before treatment,and the observation group was better than the control group.Conclusion:Shaoyaogang decoction combined with cerebellar cTBS stimulation can significantly improve the muscle tension and motor function of patients after stroke.
作者
翁雅婧
丰金香
谢丽娜
程会兰
WENG Ya-jing;FENG Jin-xiang;XIE Li-na;CHENG Hui-lan(Kunshan Rehabilitation Hospital,Kunshan,Jiangsu 215300)
出处
《按摩与康复医学》
2023年第10期15-18,共4页
Chinese Manipulation and Rehabilitation Medicine
基金
上海市科学技术委员会项目(20412420200)
上海市临床重点专科项目(shslczdzk702)
昆山市科技局卫生专项(KSZ2133)。
