桃红四物汤结合认知功能锻炼对脑卒中患者功能障碍恢复的效果观察(1)

http://www.100md.com 2018年6月1日 《世界中医药》 201811

     摘要 目的：研究桃紅四物汤结合认知功能锻炼对脑卒中患者功能障碍恢复的临床效果。方法：选取2014年11月至2016年10月惠州市中心人民医院收治的脑卒中认知功能障碍患者98例，按照随机抽签法随机分为观察组( n =50)和对照组( n =48)。对照组仅给接受知功能康复锻炼，观察组在对照组治疗的基础上给予桃红四物汤治疗，比较2组患者治疗前后的HAMD评分、血液流变学、MMSE评分、Fugl-Meyer评分及Barthel指数。结果：治疗后，观察组患者的HAMD评分显著低于对照组;观察组的血浆黏度、红细胞压积、全血高切黏度及全血低切黏度显著低于对照组;观察组患者的MMSE评分、Fugl-Meyer评分及Barthel指数均显著高于对照组;对照组的总有效率是64.6%，观察组的总有效率是88.0%，观察组显著高于对照组，差异有统计学意义( P <0.05)。结论：对于伴有认知功能障碍的脑卒中患者而言，给予桃红四物汤结合认知功能锻炼治疗能有效改善临床症状。

    关键词 桃红四物汤;认知功能锻炼;脑卒中;HAMD评分;血液流变学;MMSE评分;Fugl-Meyer评分;Barthel指数;疗效
, http://www.100md.com
    Efficacy Observation on Taohong Siwu Decoction Combined with Cognitive Function Exercise on Recovery of Dysfunction in Stroke Patients

    Teng Xin，Gao Lijun，Zhou Bingfeng

    (Department of Rehabilitative Medicine，Huizhou Municipal Central Peopole′s Hospital，Huizhou 516001，China)

    Abstract Objective： To study the clinical effects of Taohong Siwu Decoction with cognitive function on recovery of dysfunction in stroke patients. Methods： A total of 98 patients with cognitive impairment treated in Department of Rehabilitative Medicine in Huizhou Muncicipal Central People′s Hospital from November 2014 to October 2016 were selected and divided into observation group (50 cases) and control group (48 cases) according to the random drawing method.The control group was treated with cognitive rehabilitation exercise.Based on the same treatment，the observation group was given Taohong Siwu Decoction.The data of HAMD score，MMSE score，Fugl-Meyer score and Barthel index in both groups before and after the treatment were compared. Results： After treatment，the HAMD score of the observation group was significantly lower than that of the control group.The plasma viscosity，erythrocyte backlog，whole blood high shear viscosity and low blood viscosity of the control group were significantly higher than the observation group.The MMSE score，Fugl-Meyer Score and Barthel index of the observation group were significantly higher than the control group.The total effective rate of the control group was 64.6%，while the total effective rate of the observation group was 88.0%.The effective rate of the observation group was significantly higher than the control group，and the difference between the two groups was statistically significant ( P <0.05). Conclusion： For patients who had stroke with cognitive impairment，Taohong Siwu Decoction with cognitive function exercise can effectively improve the clinical symptoms.

    Key Words Taohong Siwu Decoction; Cognitive function exercise; Stroke; HAMD score; Hemorheology; MMSE score; Fugl-Meyer score; Barthel index; Efficacy, http://www.100md.com(滕新 高丽君 周冰峰)

第 1 2 3 4 页 下一页

    百拇医药网 http://www.100md.com/html/paper/1673-7202/2018/11/34.htm