《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (08): 752-754.

• 论文 • 上一篇    下一篇

三级中医综合康复对脑卒中神经和运动功能的疗效

臧运华,李淑景,唐明,王兆凯,张连运,安鑫   

  1. 1.青岛市海慈医疗集团,山东青岛市266033;2.胶南市中医医院,山东胶南市266400。
  • 收稿日期:2012-11-19 修回日期:2012-12-26 出版日期:2013-08-25 发布日期:2013-08-25

Effect of Three-stage Traditional Chinese Medicine Rehabilitation on Neurological and Motor Function in Patients with Cerebral Ischemic Stroke

ZANG Yun-hua, LI Shu-jing, TANG Ming, et al.   

  1. Hiser Medical Center of Qingdao, Qingdao 266033, Shandong, China
  • Received:2012-11-19 Revised:2012-12-26 Published:2013-08-25 Online:2013-08-25

摘要: 目的探讨脑卒中后三级中医综合康复方案的可行性和有效性。方法选择100 例急性脑卒中患者,随机分为实验组(n=50)和对照组(n=50)。实验组应用中医综合康复方案治疗;对照组采用西医常规治疗加2 周西医康复治疗。采用美国国立卫生院脑卒中量表(NIHSS)和Fugl-Meyer 评分法(FMA)进行评价。结果两组入组时及第4 周NIHSS评分和FMA评分均无显著性差异(P>0.05)。实验组在第12 周NIHSS评分明显低于对照组(P<0.01),FMA评分高于对照组(P<0.05)。结论规范三级中医综合康复可促进急性脑卒中患者运动功能和神经功能的恢复。

关键词: 缺血性脑卒中, 中医, 康复, 神经功能, 运动功能

Abstract: Objective To explore the effect of three-stage Traditional Chinese Medicine (TCM) rehabilitation on neurological function and motor function in patients with cerebral ischemic stroke. Methods 100 patients with acute cerebral ischemic stroke were randomly divided into experimental group (n=50) and control group (n=50). The three-stage TCM synthesis rehabilitation was used in the experimental group; the 2-week western medicine rehabilitation was used in the control group. The scores of National Institutes of Health Stroke Scale (NIHSS) and Fugl-Meyer assessment (FMA) were evaluated. Results There was no significance in the scores of NIHSS and FMA between both groups before and 4 weeks after treatment (P>0.05). The score of NIHSS was lower (P<0.01), and the score of FMA was higher (P<0.05) in the experimental group than in the control group in the 12th week. Conclusion Three-stage TCM synthesis rehabilitation can facilitate the recovery of neurological and motor function of patients with acute cerebral ischemic stroke.

Key words: cerebral ischemic stroke, Traditional Chinese Medicine, rehabilitation, neurological function, motor function