扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期临床研究
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R277.7

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Clinical Study on Zhachong Shisanwei Pills Combined with Warming-Wax Therapy for Cerebral Infarction in Convalescent Stage
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    摘要:

    目的:观察扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期患者的临床疗效及对神经功能、活动能力的影响。方法:回顾性分析122 例脑梗死恢复期患者的临床资料,根据资料中的治疗方法将患者分为对照组与治疗组各61 例。对照组给予常规治疗,治疗组在对照组基础上运用扎冲十三味丸联合温热蜡疗治疗。比较2 组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力评定量表(ADL) 评分、Rivemead 运动指数(RMI) 评分、Berg 平衡量表(BBS) 评分、Fugl-Meyer 上肢运动功能量表(S-FMMFA 上肢) 及Fugl-Meyer 下肢运动功能量表(S-FMMFA 下肢) 评分变化,并比较2 组临床疗效及不良反应发生情况。结果:治疗组总有效率95.08%,高于对照组83.61% (P<0.05)。与同组治疗前比较,治疗后2 组NIHSS 评分降低(P<0.05),ADL、RMI、BBS、S-FMMFA 上肢、S-FMMFA 下肢评分均升高(P<0.05);与对照组治疗后比较,治疗组治疗后NIHSS 评分较低(P<0.05),ADL、RMI、BBS、S-FMMFA 上肢、S-FMMFA 下肢评分均较高(P<0.05)。2 组不良反应比较,差异无统计学意义(P>0.05)。结论:扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期患者疗效确切,可有效促进患者神经功能恢复,提高生活质量,改善肢体活动能力,且不良反应少。

    Abstract:

    Abstract:Objectives:To observe the clinical effect of Zhachong Shisanwei pills combined with warming- wax therapy for patients with cerebral infarction in convalescent stage and its effect on neurological function and activity ability. Methods: A total of 122 cases of patients with cerebral infarction in convalescent stage were given a retrospective analysis on their clinical data and were divided into the control group and the treatment group according to different treatment methods,with 61 cases in each group. The control group was given routine treatment,and the treatment group was additionally treated with Zhachong Shisanwei pills combined with warming-wax therapy based on the treatment of the control group. Before and after treatment,the changes of scores of National Institutes of Health Stroke Scale(NIHSS),Activity of Daily Living Scale(ADL), Rivermead Mobility Index(RMI),Berg Balance Scale(BBS),upper-extremity motor subscale of simplified Fugl-Meyer motor function assessment(S- FMMFA upper extremity) and lower- extremity motor subscale of simplified Fugl- Meyer motor function assessment(S- FMMFA lower extremity) in the two groups were compared, and the clinical effects and adverse reactions in the two groups were compared. Results: The total effective rate was 95.08% in the treatment group, higher than that of 83.61% in the control group(P<0.05). After treatment, the NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of ADL,RMI,BBS,S-FMMFA upper extremity and S- FMMFA lower extremity were increased(P<0.05); the NIHSS score in the treatment group was lower than that in the control group(P<0.05),and the scores of ADL,RMI,BBS,S- FMMFA upper extremity and S- FMMFA lower extremity were higher(P<0.05). There was no significant difference being found in the comparison of adverse reactions between the two groups(P>0.05). Conclusion: Zhachong Shisanwei pills combined with warming- wax therapy has a definite curative effect on patients with cerebral infarction in convalescent stage,which can effectively promote the recovery of neurological function,and improve their quality of life and limb activity ability,with few adverse reactions.

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贾健玮,周骏奥.扎冲十三味丸联合温热蜡疗治疗脑梗死恢复期临床研究[J].新中医,2021,53(21):100-103

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  • 在线发布日期: 2021-11-12
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