《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (06): 465-466.

• 临床研究 • 上一篇    下一篇

补阳还五汤对脑卒中康复的影响

冯玲; 孙新芳   

  1. 1.绍兴市人民医院康复中心 浙江绍兴市 312000;2.绍兴市人民医院神经科 浙江绍兴市 312000
  • 收稿日期:2005-04-04 出版日期:2005-06-25 发布日期:2005-06-25

Effect of Buyang Huanwu decoction on rehabilitation of stroke patients

FENG Ling, SUNXin-fang   

  1. The Department of Rehabilitaion, Shaoxing People's Hospital, Shaoxing 312000, Zhejiang, China
  • Received:2005-04-04 Published:2005-06-25 Online:2005-06-25

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摘要： 目的探讨补阳还五汤对急性脑卒中患者的运动功能及并发症的影响。方法86例急性脑卒中患者随机分为治疗组(46例)和对照组(40例)。两组均接受常规神经内科药物治疗、康复技术治疗(包括床上良肢位摆放、神经易化技术、ADL训练)及低频电刺激治疗,治疗组加用中药补阳还五汤。采用简式Fugl-Meyere运动评分(FMA)和改良巴氏指数(MBI)在治疗前后进行康复评价,并观察肩痛、关节活动受限、感觉障碍、肩-手综合征等并发症的情况。结果治疗后两组患者的运动功能均有明显改善(P<0.01),但治疗组患者的疗效明显优于对照组(P<0.01),且并发症发生率明显低于对照组(P<0.01)。结论补阳还五汤能有效改善脑卒中患者的运动功能和日常生活能力,减少并发症。

关键词: 补阳还五汤, 脑卒中, 运动功能, 并发症

Abstract: ObjectiveTo evaluate the clinical effect of Buyang Huanwu decoction on motion functions and complications of stroke patients.Methods86 acute stroke patients were randomly divided into the therapy group (n=46) and control group (n=40). Despite of routing neurological medicine, rehabilitation therapy including decubitus position, neurodevelopmental therapy and activities of daily living (ADL) and low frequency electronic stimulation on both two groups, Buyang Huanwu decoction was used on the therapy group. Patients of two groups were evaluated with Fugl-Meyere motion index and modified Barthel index before and after therapy, and complications of all cases were observed, including shoulder pain, joints motion limitation, sensation disorder and stembrocker syndrome.ResultsThe motion functions of patients in two groups were improved significantly after therapy (P<0.01). While effect of the therapy group was better than that of the control group (P<0.01), and the accidence of complications in the therapy group was lower than that in the control group (P<0.01).ConclusionBuyang Huanwu decoction can improve the motion function and ADL, and decrease the complications of acute stroke patients.

Key words: Buyang Huanwu decoction, stroke, motion function, complication