| 刘斯尧.中药结合康复训练对脑卒中后肢体痉挛的影响[J].浙江中西医结合杂志,2014,24(9): |
| 中药结合康复训练对脑卒中后肢体痉挛的影响 |
| The influence of traditional Chinese medicine combined with rehabilitation training on limb spasticity in patients after stroke |
| 投稿时间：2014-03-26 修订日期：2014-03-26 |
| DOI： |
| 中文关键词: 脑卒中 痉挛 日常生活活动 中药 康复训练 |
| 英文关键词:stoke, spasticity, daily living activities, traditional Chinese medicine, rehabilitation training |
| 基金项目: |
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| 摘要点击次数: 618 |
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| 中文摘要: |
| 【】 目的：探讨中药结合康复训练对脑卒中后肢体痉挛的影响,为脑卒中患者提供更合理、有效的治疗方法。方法：将符合入组标准的68例患者随机分成治疗组(34例)和对照组(34例)两组。治疗组在进行常规康复治疗的同时接受中药治疗,对照组只接受常规康复治疗,2个月为一疗程,治疗前后进行采用改良Ashworth量表及改良Barthel指数对两组患者肢体痉挛和日常生活活动能力(ADL)进行评分。结果：经2个月治疗后,治疗组与对照组的上、下肢痉挛评分较治疗前有明显改善,差异均有统计学意义(P<0.05)。两组间比较,治疗组上、下肢痉挛评分均优于对照组,差异有统计学意义(P<0.05)。ADL评分也呈现类似趋势,两组间比较治疗组优于对照组(P<0.05),两组评分均较治疗前有提高(P<0.05)。结论：常规康复治疗与中药结合康复训练两种治疗方案均能改善脑卒中后肢体痉挛和日常生活能力,但中药结合康复训练效果更佳。 |
| 英文摘要: |
| 【】 Objective: To explore the influence of traditional Chinese medicine combined with rehabilitation training on limb spasticity after stroke, to provide more reasonable and effective method for stroke patients. Methods: 68 patients meeting the inclusion requirements were randomly divided into treatment group(34 cases) and control group(34 cases). The treatment group received traditional Chinese medicine besides conventional rehabilitation therapy, but the control group only accepted conventional rehabilitation therapy. Modified Ashworth scale and Modified Barthel Index assessment were carried out before and 2 months after the treatment. Results: Two months after the treatment, the Modified Ashworth scored of the upper and lower limb in both groups obviously improved compared with that before treatment,the difference was statistically significant(P<0.05).Comparison between the two groups, the improvement of limb spasticity in the treatment group were superior to that in control group, the difference was statistically significant(P<0.05). The score of ADL showed similar change. Statistical significance was found between groups as well as within a group after 2-month’s treatment(P<0.05). Conclusion: Rehabilitation treatment combined with traditional Chinese medicine and rehabilitation therapy alone both can improve limb spasticity in patients after stroke but the comprehensive treatment is better. |
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