[1] GAO Juntai YAN Chunlu YU XiaoyingDAI Hairong ZHANG Guoqiang ZHANG Lijun,.Clinical Efficacy of Integrated Chinese and Western MedicineRehabilitation Treatment on Functional Rehabilitationof Patients with Ischemic Stroke [J]. Journal of Shaanxi University of Traditional Chinese Medicine, 2023, (03): 81-86. [doi: 10.13424/j.cnki.jsctcm.2023.03.016]
Clinical Efficacy of Integrated Chinese and Western Medicine
Rehabilitation Treatment on Functional Rehabilitation
of Patients with Ischemic Stroke
- Article number:
- 2096-1340(2023)03-0081-06
- Keywords:
- Key words： Integrated Traditional Chinese and Western Medicine Rehabilitation Therapy; Ischemic stroke; Neurological function; Rehabilitation effect; Clinical research
- ZTFLH:
- R255.2
- Code:
- A
- Abstract:
- Abstract： Objective To explore the impact of integrated traditional Chinese and Western medicine rehabilitation treatment mode on the recovery of neurological function,motor function,and daily living ability in patients with ischemic stroke.Methods 80 patients with ischemic stroke who met the research criteria and were diagnosed and treated in our hospital from February 2020 to February 2021 were selected.They were randomly divided into a control group of 40 cases and an treatment group of 40 cases using a random number table method.The control group received routine rehabilitation treatment with Western medicine,while the treatment group received systematic rehabilitation treatment with traditional Chinese medicine on the basis of the control group,both receiving continuous treatment for 3 months.The National Institutes of Health Stroke Scale (NIHSS),Fugl Meyer Motor Assessment Scale (FMA),revised Barthel Index method,Traditional Chinese Medicine Symptom Score,Self Rating Anxiety Scale (SAS) score,and Self Rating Depression Scale (SDS) were used to compare the recovery effects of neurological function,motor function,and daily living ability of two groups of patients after 1 and 3 months of treatment,and to compare the clinical efficacy of the two groups.Results There were 5 cases of shedding in the control group.There was no statistically significant difference in NIHSS score,FMA score,Barthel index,Traditional Chinese Medicine symptom score,SAS score,and SDS score between the two groups of patients before treatment (P>0.05).Compared with before treatment in this group,after 1 and 3 months of treatment,the NIHSS score,traditional Chinese medicine symptom score,SAS score,and SDS score were significantly reduced (P<0.05),while the FMA score and Barthel index were significantly increased (P<0.05);After treatment,the improvement of the above indicators in the treatment group was significantly better than that in the control group (P<0.05).The total clinical effective rate of the observation group was 97.50% (39/40),while the total effective rate of the control group was 82.86% (29/35).The observation group was significantly better than the control group (P<0.05).Conclusion Combining Western medicine rehabilitation therapy with systematic traditional Chinese medicine rehabilitation therapy can better improve the recovery effect of neurological function,motor function,and daily living ability in patients with ischemic stroke,help their daily living ability recovery,and reduce their anxiety and depression. Abstract： Objective To explore the impact of integrated traditional Chinese and Western medicine rehabilitation treatment mode on the recovery of neurological function,motor function,and daily living ability in patients with ischemic stroke.Methods 80 patients with ischemic stroke who met the research criteria and were diagnosed and treated in our hospital from February 2020 to February 2021 were selected.They were randomly divided into a control group of 40 cases and an treatment group of 40 cases using a random number table method.The control group received routine rehabilitation treatment with Western medicine,while the treatment group received systematic rehabilitation treatment with traditional Chinese medicine on the basis of the control group,both receiving continuous treatment for 3 months.The National Institutes of Health Stroke Scale (NIHSS),Fugl Meyer Motor Assessment Scale (FMA),revised Barthel Index method,Traditional Chinese Medicine Symptom Score,Self Rating Anxiety Scale (SAS) score,and Self Rating Depression Scale (SDS) were used to compare the recovery effects of neurological function,motor function,and daily living ability of two groups of patients after 1 and 3 months of treatment,and to compare the clinical efficacy of the two groups.Results There were 5 cases of shedding in the control group.There was no statistically significant difference in NIHSS score,FMA score,Barthel index,Traditional Chinese Medicine symptom score,SAS score,and SDS score between the two groups of patients before treatment (P>0.05).Compared with before treatment in this group,after 1 and 3 months of treatment,the NIHSS score,traditional Chinese medicine symptom score,SAS score,and SDS score were significantly reduced (P<0.05),while the FMA score and Barthel index were significantly increased (P<0.05);After treatment,the improvement of the above indicators in the treatment group was significantly better than that in the control group (P<0.05).The total clinical effective rate of the observation group was 97.50% (39/40),while the total effective rate of the control group was 82.86% (29/35).The observation group was significantly better than the control group (P<0.05).Conclusion Combining Western medicine rehabilitation therapy with systematic traditional Chinese medicine rehabilitation therapy can better improve the recovery effect of neurological function,motor function,and daily living ability in patients with ischemic stroke,help their daily living ability recovery,and reduce their anxiety and depression.
References:
［1］陈竺.全国第三次死因回顾性抽样调查报告［M］.北京：中国协和医科大学出版社，2008：10-17.
［2］Prasad G,Herman P,Coyle D,et al.Applying a braincomputer interface to support motor imagery practice in people with stroke for upper limb recovery:a feasibility study［J］.Journal of NeuroEngineering and Rehabilitation,2010,7(1):60-66.
［3］Liu M,Wu B,Wang WZ,et al.Stroke in China:epidemiology,prevention,and management strategies ［J］.Lancet Neurol,2007,6(5):456-464.
［4］中华医学会神经病学分会神经康复学组.中国脑卒中康复治疗指南(2011完全版)［J］.中国医学前沿杂志:电子版，2012，4(6)：55-76.
［5］Duncan PW,Zorowitz R,Bates B,et al.Management of Adult Stroke Rehabilitation Care:a clinical practice guideline ［J］.Stroke,2006,36(9):100-143.
［6］Chang YJ,Ryu SJ,Chen JR,et al.Guidelines for the general management of patients with acute ischemic stroke ［J］.Acta Neurol Taiwan,2008,17(4):275-294.
［7］宁艳哲，刘宏伟，李宗衡，等.中医综合康复方案治疗不同分期缺血性中风痉挛性偏瘫的疗效研究［J］.中华中医药杂志，2017，32(4)：470-472.
［8］王秋月.白脉软膏联合藏药浴治疗脑卒中后肢体痉挛的临床研究［D］.广州：广州中医药大学，2017.
［9］徐惠兰，赵新慧.康复治疗联合中药熏蒸对脑卒中并发吞咽障碍患者吞咽功能恢复的临床观察［J］.时珍国医国药，2016，27(8)：1935-1936.
［10］中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010［J］.中国全科医学，2011，14(35)：4013-4017.
［11］中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国各类主要脑血管病诊断要点2019［J］.中华神经科杂志，2019，52(9)：710-715.
［12］Kwah LK,Diong J.National Institutes of Health Stroke Scale (NIHSS)［J］.Journal of Physiotherapy,2014,60(1):61-63.
［13］王平平，高颖，刘璐，等.NIHSS绝对值变化与NIHSS变化率对脑梗死患者残疾预测能力的比较研究［J］.中风与神经疾病杂志，2011，28(2)：156-158.
［14］饶明俐.《中国脑血管病防治指南》摘要［J］.中风与神经疾病，2005，23(5)：484-487.
［15］郭淑红，闫贵国，段晓华.早期康复治疗对脑卒中偏瘫患者功能康复的影响［J］.中国实用神经疾病杂志，2018，21(16)：1852-1856.
［16］宁艳哲，刘宏伟，李宗衡，等.中医综合康复方案治疗不同分期缺血性中风痉挛性偏瘫的疗效研究［J］.中华中医药杂志，2017，32(4)：1860-1862.
［17］李奎成，唐丹，刘晓艳，等.国内Barthel指数和改良Barthel指数应用的回顾性研究［J］.中国康复医学杂志，2009，24(8)：737-740.
［18］Zung WW.The differentiation of anxiety and depressive disorders：a biometric approach［J］.Psychosomatics,1971,12(6)：380-384.
［19］郑筱萸.中药新药临床研究指导原则(试行)［M］.北京：中国医药科技出版社,2002：349-353.
［20］王茂斌.偏瘫的现代评价与治疗［M］.北京：华夏出版社，1990：226-231.
［21］李秀霞，张文秋，邢小玲，等.脑梗死后复视患者康复训练中不同时间介入主动运动的效果比较［J］.中国医药，2013，8(11)：1573-1574.
［22］邢少娜，贾昊，冯卫星，等.运动想象疗法结合针刺治疗脑卒中后吞咽障碍的疗效观察［J］.陕西中医药大学学报，2017，40(5)：112-115.
［23］吴晖，郝娟.中药浴足联合耳穴压豆治疗失眠临床研究［J］.陕西中医药大学学报，2017，40(6)：95-97.
［24］熊东胜，魏若晔，夏莲翠.中药浴手法牵拉治疗痉挛性脑瘫合并踝关节挛缩临床分析［J］.现代中医药，2005，20(4)：55-56.
［25］杨志琴，李媛媛，赵芝婷，等.针刺联合康复训练治疗脑卒中后吞咽障碍的临床研究［J］.现代中医药，2016，36(6)：59-61.
Memo
基金项目：甘肃省自然科学基金项目（1508RJZA046）；甘肃省科技厅项目（1508RJZA046）；甘肃省教育厅项目（0606B-02）；平凉市中医药文化传承与发展创新研究（PLSKKT202034）