振痿方对脑卒中软瘫期肌张力及预后的影响 - 中国中医药信息杂志.pdf

2010年 6月第 17卷第 6期 中国中医药信息杂志 ·11· 振痿方对脑卒中软瘫期肌张力及预后的影响 连玲霞,殷春萍,王长垠 (邯郸市中医院脑血管科,河北 邯郸 056001) 摘要：目的 观察振痿方对脑卒中软瘫期肌张力及预后的影响。方法 将 180 例患者随机分为基础组、补阳还 五汤组、振痿方组,每组 60 例,基础组采用一般内科治疗并配合常规神经康复训练及针灸治疗,补阳还五汤组、振痿 方组在基础组治疗的基础上,服用相应中药,补阳还五汤组、振痿方组均以肌张力达到Ashworth量表Ⅱ级标准时停服 中药,继续基础治疗。3组均于治疗3周后、6 周后对神经功能缺损程度、日常生活活动能力进行评定,依据临床疗效 评定标准评价总预后。结果 振痿方组肌张力上升至 Ashworth 分级Ⅱ级所需时间明显短于补阳还五汤组及基础 组(P ＜0.01)。振痿方组治疗后神经功能缺损评分减少程度和临床疗效显著优于基础组(P ＜0.01),且振痿方组优于 补阳还五汤组,具有统计学意义。结论 振痿方治疗中风后软瘫期肢体肌张力消失或低下临床疗效显著,并可显著改 善远期预后,减少致残率。 关键词：振痿方；脑卒中软瘫期；肌张力；预后；致残率 DOI：10.3969/j.issn.1005-5304.2010.06.006 中图分类号：R277.733 文献标识码：A 文章编号：1005-5304(2010)06-0011-03 Influence of Zhenweifang on Muscle Tension in Flaccid Paralysis Period and Prognosis of Stroke LIAN Ling-xia, YIN Chun-ping, WANG Chang-yin (Handan Hospital of TCM, Handan 056001, China) Abstract ：Objective To observe the influence of Zhenweifang on the muscle tension in flaccid paralysis period and prognosis of stroke. Methods One hundred and eighty patients were randomly divided into basic group, Buyanghuanwutang group and Zhenweifang group. Basic group was treated with usual medical treatment with nerve rehabitilation and acupuncture. Buyanghuanwutang group and Zhenweifang group were given the corresponding traditional Chinese medicine. Patients in Buyanghuanwutang group and Zhenweifang group stop taking the traditional Chinese medicine when their muscle tension reach the level of Ashworth Grade Ⅱ, and continued their basic treatment. The defect of neurological and daily life ability were evaluated after three-week and six-week treatment, and the prognosis was evaluated according to clinical efficacy. Results The time