清热化瘀汤对中风恢复期患者神经功能及血液流变学的影响
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R255.2

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Effect of Qingre Huayu Tang on Never Function and Hemorheology in Patients During Convalescence of Stroke
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    摘要:

    目的:观察清热化瘀汤对中风恢复期患者神经功能及血液流变学的影响。方法:选取中风恢复期患者126 例,按随机数字表法分为对照组和观察组各63 例。对照组给予常规护理和西医治疗,观察组在对照组基础上加服清热化瘀汤。观察2 组患者临床疗效、症状积分、神经功能与血液流变学指标变化情况。结果:观察组总有效率为90.48%,高于对照组77.78%,差异有统计学意义(P<0.05)。治疗后,2 组口眼歪斜、吞咽困难、言语謇涩及半身不遂症状积分较治疗前降低,且观察组各项积分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组神经功能缺损评分(NIHSS) 较治疗前降低,Fugl-Meyer 运动功能评分(FMA)、Barthel 指数较治疗前升高;且观察组NIHSS 评分低于对照组,FMA 评分、Barthel 指数高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血浆黏度、红细胞压积(HCT)、全血黏度、红细胞电泳(EEP) 及血沉(ESR) 较治疗前降低,且观察组各项指标均低于对照组,差异均有统计学意义(P<0.05)。结论:清热化瘀汤对中风恢复期患者疗效明显,可改善其血液流变学指标,恢复神经功能,提升患者运动与日常活动能力。

    Abstract:

    Abstract: Objective: To observe the effect of Qingre Huayu tang on the nerve function and hemorheology in patients during convalescence of stroke. Methods:A total of 126 cases of patients during convalescence of stroke were selected and divided into the control group and the observation group according to the random number table method, 63 cases in each group. The control group was given routine nursing and western medicine, the observation group was additionally treated with Qingre Huayu tang based on the treatment of the control group. The clinical effect and the changes in symptom scores, the nerve function and hemorheological indexes were observed in the two groups. Results: The total effective rate was 90.48% in the observation group,higher than that of 77.78% in the control group,the difference being significant(P<0.05). After treatment,the symptom scores of deviated mouth and eye,dysphagia,sluggish tongue and hemiplegia in the two groups were decreased when compared with those before treatment,and the scores in the observation group were all lower than those in the control group, differences being significant(P<0.05). After treatment, the scores of National Institute of Health Stroke Scale(NIHSS) in the two groups were decreased when compared with those before treatment,and the scores of Fugl- Meyer Motor Function(FMA) and Barthel Index were increased; the score of NIHSS in the observation group was lower than that in the control group,and the scores of FMA and Barthel Index were higher,differences being significant(P< 0.05). After treatment, plasma viscosity, hematocrit(HCT), whole blood viscosity, erythrocyte electrophoresis(EEP) and erythrocyte sedimentation rate(ESR) in the two groups were decreased when compared with those before treatment, and each index in the observation group was lower than that in the control group, differences being significant(P<0.05). Conclusion:Qingre Huayu tang has significant curative effect on patients during convalescence of stroke,which can improve hemorheological indexes,recover the nerve function,and enhance the ability of exercise and daily activities.

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李亚楠,魏英杰,吕娟,李鹏燕,赵杰,王润青.清热化瘀汤对中风恢复期患者神经功能及血液流变学的影响[J].新中医,2020,52(13):63-66

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  • 在线发布日期: 2020-07-10
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