| 摘要: |
| 目的：探讨补阳还五汤联合康复运动治疗中风后偏瘫临床疗效及对患者运动功能、生活质量的影响。方法：将缺血型脑中风（气虚血瘀证） 偏瘫患者78例随机分为对照组和试验组，每组39例；对照组采用脑活素等常规治疗，试验组在对照组的基础上加用补阳还五汤联合康复运动治疗；观察比较2 组患者肢体功能状况、生活质量水平、临床疗效、中医证候积分。结果：总有效率试验组为94.87％，对照组为79.49％，2组比较，差异有统计学意义（P＜0.05）。2组患者功能性步行量表（FAC）评分、Fugl-Meyer 运动功能评定量表评分均较治疗前升高（P＜0.05）；且试验组FAC、Fugl-Meyer 评分均明显高于对照组（P＜0.05）。2 组患者生活质量量表（SS-QOL） 评分、日常生活活动能力量表（ALD） 评分均较治疗前升高（P＜0.05）；且试验组SS-QOL、ALD评分均明显高于对照组（P＜0.05）。结论：补阳还五汤联合康复运动治疗缺血型脑中风（气虚血瘀证） 偏瘫患者疗效肯定，能显著改善患者肢体运动功能，提高生活质量。 |
| 关键词: 缺血型脑中风 偏瘫 补阳还五汤 康复运动 运动功能 生活质量 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Buyang Huanwu Tang Combined with Rehabilitation Exercise for Hemiparalysis after Apoplexy |
| GUO Xianjun |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To discuss the clinical effect of Buyang Huanwu tang combined with rehabilitation exercise for hemiparalysis after apoplexy and its effect on motor function and quality of life of patients. Methods：A total of 78 cases of patients with hemiplegia after ischemic cerebral apoplexy with syndrome of qi deficiency with blood stasis were randomly divided into the control group and the experiment group， 39 cases in each group. The control group was given routine treatment including brain active element， and the experiment group was additionally treated with Buyang Huanwu tang combined with rehabilitation exercise based on the treatment of the control group. The limb function，quality of life，clinical effect and Chinese medicine syndrome scores in the two groups were observed and compared. Results：The total effective rate was 94.87% in the experiment group and 79.49% in the control group， the difference being significant(P＜0.05). The scores of Functional Ambulation Categories(FAC) and Fugl- Meyer Assessment in the two groups were increased when compared with those before treatment(P＜0.05)； the above scores in the experiment group were significantly higher than those in the control group(P＜0.05). The scores of Stroke Specific Quality of Life Scale(SS-QOL) and Activities of daily living (ADL) in the two groups were increased when compared with those before treatment(P＜0.05)； the above scores in the experiment group were significantly higher than those in the control group(P＜0.05). Conclusion： The therapy of Buyang Huanwu tang combined with rehabilitation exercise has definite curative effect in treating patients with hemiplegia after ischemic cerebral apoplexy with syndrome of qi deficiency with blood stasis，which can significantly improve their limb motor function and quality of life. |
| Key words: Keywords：Ischemic cerebral apoplexy Hemiplegia Buyang Huanwu tang Rehabilitation exercise Motor function Quality of life |
