早期介入中医理疗治疗急性缺血性中风临床的研究.docVIP

早期介入中医理疗治疗急性缺血性中风临床的研究 　　摘 要：目的：观察早期中医理疗治疗急性缺血性中风患者神经功能和日常生活能力恢复的影响。方法：将1777例急性缺血性中风患者分为理疗组和对照组，理疗组在内科常规药物治疗的基础上，早期（24h内）加用中医手法；心理护理；日常生活能力训练；针刺治疗；对照组给予内科常规药物治疗。于治疗前后，采用Fugl-Meyer评分评定患者的运动功能； Barthel指数评定日常生活活动能力；NIHSS评定神经功能缺损程度。结果：理疗组患者的Fugl-Meyer评分及Barthel指数明显提高，与对照组比较有显著性意义（P＜0.05）；NIHSS评分，早期中医理疗组明显低于对照组（P＜0.05）。结论：早期中医理疗对急性缺血性中风患者的神经功能和日常生活能力有明显的提高。 　　关键词：中风；中医理疗；早期 　　中图分类号：R743.3文献标识码：B 文章编号：1673-7717（2011）04-0868-02 　　Early Stage Intervention of TCM Therapy in Clinical Research and 　　Treatment of Patients with Acute Ischemic Stroke 　　FANG Zhi-yong，ZHU Yan 　　（XiangFang hospital of TCM hubei province，Xiangfang 441000，Hubei，China） 　　Abstract:Objective：to observe the acute stroke patients recovery of neural function and influence of daily life ability which take the treatment of with TCM therapy in early stage.Methods：all the 1777 cases of acute ischemic stroke patients being divided into physical therapy group and control group, the group in medical therapy using TCM technique ,Psychological nursing, Daily living skills training, Acupuncture treatment in early stage （within 24h）,on the basis of conventional drugs.The control group take conventional treatments. Before and after treatment, using the Fugl-Meyer Assessment Assess patients movement function, the Modified Barthel Index evaluation function of daily life activities, NIHSS assess neurologic deficits.Results：the Fugl-Meyer Assessment and the Modified Barthel Index of the physical therapy group obviously improved, it was significantly compared with the control group （P0.05）. NIHSS score, early Chinese physical therapy group was significantly lower than the control group （P0.05）.Conclusions：The neural function and daily life ability of patientswith acute ischemic stroke which using early TCM therapy has improved greatly. 　　Key words:strokes；TCM therapy；early stage 　　收稿日期：2010-11-19 　　基金项目：襄樊市科技局重点项目［（2006）7-178］ 　　作者简介：方之勇（1966-），男，湖北南漳人，教授、主任医师，硕士研究生导师，硕士，研究方向：中风的预防、急救、康复。 　　急性缺血性中风是中老年人的常见病，多发