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《化痰祛瘀湯聯(lián)合康復(fù)治療對(duì)老年腦梗死患者神經(jīng)功能恢復(fù)的影響.doc》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、融j影響2018-03-2910:29:58中國(guó)現(xiàn)代醫(yī)生2018年6期康瑾婕傅麗瓊［摘要］H的探討在康復(fù)治療基礎(chǔ)上給予老年腦梗死患者化痰袪瘀湯治療后其神經(jīng)功能缺損恢復(fù)情況。方法選取2013年12月?2017年1月期間在制定本研究病理篩選標(biāo)準(zhǔn)下收集60例老年腦楝死患者，隨機(jī)數(shù)字表法分為對(duì)照組(30例，常規(guī)治療)和觀察組(30例，在常規(guī)治療的基礎(chǔ)上采用化痰祛瘀湯聯(lián)合康復(fù)治療)。使用腦卒中神經(jīng)缺損評(píng)分量表(NIHSS)、運(yùn)動(dòng)功能評(píng)定量表(Fugl-Meyer)及日常生活沾動(dòng)能力量表(Barthel)評(píng)估治療前后患者神經(jīng)功能恢復(fù)程度、運(yùn)動(dòng)能力及自理能力，使用世界衛(wèi)生組織生活質(zhì)量測(cè)定簡(jiǎn)表(WHO
2、QOL?BREF)評(píng)估治療對(duì)患者生活質(zhì)量的影響。比較兩組治療總有效率。結(jié)果觀察組總有效率(93.33%)較對(duì)照組(63.33%)高(P<0.05)；治療后觀察組NIHSS分值降低且低于對(duì)照組(P<0.05),Fugl-Meyer.Barthel提高且高于對(duì)照組；治療后觀察組WHOQOL-BREFS表各項(xiàng)分值均高于對(duì)照組(P<0.05)。結(jié)論在常規(guī)治療、康復(fù)治療基礎(chǔ)匕給予老年腦梗死患者化痰祛瘀湯能促進(jìn)老年腦梗死患者神經(jīng)缺損修復(fù)，使患者運(yùn)動(dòng)功能、自理能力提高，改善英生活質(zhì)量，值得臨床應(yīng)用。［關(guān)鍵詞］康復(fù)治療；化痰祛瘀湯；中藥；腦梗死；神經(jīng)缺損；老年患者［中圖分類號(hào)］R743［文獻(xiàn)標(biāo)識(shí)碼］B
3、［文章編1673-9701(2018)06-0138-04［Abstract］ObjectiveToanalyzetherecoveryofneurologicaldeficitsafterthetreatmentofResolvingPhlegmandRemovingStasisDecoctioninelderlypatientswithcerebralinfarctiononthebasisofrehabilitation.MethodsSixtyelderlypatientswithcerebralinfarctionwerecollectedfromDecember2013to
4、January2017accordingtopathologicalscreeningcriteria?Accordingtotherandomnumbertable,thepatientsweredividedintocontrolgroup(30cases,routinetreatment)andobservationgroup(30cases,treatmentofphlegmandbloodstasiscombinedwithrehabilitationtherapy).Theneurologicaldeficits,motorabilityandself-careabilit
5、ybeforeandaftertreatmentwereevaluatedusingNationalInstituteofHealthStrokeScale(NIHSS),Fugl-Meyerassessmentscale(Fugl-Meyer)andBarthelassessmentscale(Barthel),WorldHealthOrganizationQualityofLifeMeasurements(WHOQOL-BREF)wasusedtoassesstheimpactoftreatmentonqualityoflifeinpatients?Thetotaleffectiv
6、eratewascomparedbetweenthetwogroups?ResultsThetotaleffectiverate(93.33%)intheobservationgroupwashigherthanthatinthecontrolgroup(63.33%)(P<0.05)?Aftertreatment,NIHSSscoresintheobservationgroupdecreasedandwerelowerthanthoseinthecontrolgroup?Fugl-MeyerandBarthelincreasedandwerehigherthanthoseinthec
7、ontrolgroup(P<0.05)?WHOQOL-BREFscalescoreswerehigherthanthecontrolgroup(P<0.05)?ConclusionThetreatmentofResolvingPhlegmandRemovingStasisDecoctioninelderlypatientswithcerebralinfarctioncanpromotetherepairofnervedefectsinelder
