中西医结合康复干预在脑卒中后偏瘫患者功能恢复中作用.docVIP

中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的作用 　　[摘要] 目的 探?中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的作用。 方法 选择2015年7月～2017年4月脑卒中后偏瘫患者76例，随机分为中西医组和西医组。两组患者予控制血糖、血压和颅压、脑神经营养和增加脑血供等治疗。西医组予以西医康复干预治疗，中西医组在西医组基础上予以中医康复干预，两组均干预8周。观察两组干预前后神经、肢体运动及日常生活能力变化，并比较其生活质量。 结果 干预8周后，两组CSS评分较前明显下降、FMA评分和BI评分较前明显上升（P0.05或P0.01），且中西医组干预后变化幅度与西医组比较更显著（P0.05）；同时两组躯体、心理、社会和物质等各项评分较前上升（P0.05或P0.01），且中西医组干预后上升幅度与西医组比较更显著（P0.05）。 结论 中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的效果明显优于单纯的西医康复干预，能加快神经和肢体运动功能恢复，提高其日常生活自理能力，促进其早日康复，提高其生活质量。 　　[关键词] 脑卒中；偏瘫；中西医结合康复干预；生活质量 　　[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2018）06-0094-04 　　[Abstract] Objective To explore the effect of integrated traditional Chinese and western rehabilitation intervention on the functional recovery of post-stroke hemiplegia. Methods From July 2015 to April 2017， 76 patients with post-stroke hemiplegia were randomly divided into two groups： Chinese and western medicine group and western medicine group. Both groups were given control of blood sugar， blood pressure and intracranial pressure， brain neurotrophic nutrition and increase of cerebral blood supply and other treatments. Western medicine group was given western rehabilitation intervention. Chinese and western medicine group was given traditional Chinese medicine intervention on the basis of the western medicine group. Both groups were given intervention for 8 weeks. The changes in nerve， limb movement and daily living ability were observed in both groups before and after the intervention， and their quality of life was compared. Results After 8 weeks of intervention， the CSS scores of both groups were decreased significantly compared with those before intervention. The FMA scores and BI scores were increased significantly（P 　　[Key word] Cerebral stroke； Hemiplegia； Integrated traditional Chinese and western rehabilitation intervention； Quality of life 　　脑卒中是内科较常见的神经系统疾病，好发于中老年群体，其发病率、病死率和致残率均较高，是引起中老年患者致残和死亡的重要原因[1，2]。偏瘫是脑卒中最常见的后遗症，发病率高达70%～90%，主要表现为单侧上下肢、面肌和舌肌下部的运动功能障碍，而且对患者日常生活影响较明显[3，4]。近年来随着医学的发展，脑卒中的总体死亡率呈明显的下降趋势，但