| 陆丽娜,杨慧馨,班维固,许文婷,薛玉满,侯晓宇,冯 琳,唐 强.清热化瘀Ⅱ号方结合易筋经训练对脑卒中患者血流动力学及肢体功能恢复的影响[J].,2023,(5):859-863 |
| 清热化瘀Ⅱ号方结合易筋经训练对脑卒中患者血流动力学及肢体功能恢复的影响 |
| Effect of Qingre Huayu Ⅱ Prescription and Yijinjing Training on Hemodynamics and Limb Function Recovery in Patients with Stroke |
| 投稿时间：2022-04-29 修订日期：2022-05-25 |
| DOI：10.13241/j.cnki.pmb.2023.05.012 |
| 中文关键词: 脑卒中 清热化瘀Ⅱ号方 易筋经 |
| 英文关键词: Cerebral apoplexy Qingre Huayu Ⅱ Prescription Yijinjing Training |
| 基金项目:黑龙江省自然科学基金项目（LH2020H009）；黑龙江省自然科学基金项目（ZD2019H007） |
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| 中文摘要: |
| 摘要 目的：探究清热化瘀Ⅱ号方结合易筋经训练对脑卒中患者血流动力学以及肢体功能恢复的影响。方法：选取我院2020年3月至2021年2月收治的92例脑卒中患者作为研究对象，依照随机数字表法将患者分为观察组和对照组，每组46例。对照组给予西医综合治疗方案和易筋经训练，观察组给予清热化瘀Ⅱ号方结合易筋经训练，对比两组患者在治疗前后神经功能、血流动力学、上肢功能、平衡能力和生活质量的变化情况。结果：经治疗后，两组患者的改良Rankin量表积分明显降低，且观察组的神经功能指标改良Rankin量表积分明显低于对照组，达到统计学差异（P<0.05）；两组患者的血流动力学指标纤维蛋白原、血浆黏度和血小板聚集率明显降低，且观察组血流动力学指标明显低于对照组，差异具有统计学意义（P<0.05）；两组患者的上肢功能指标Fugl-Meyer运动评定量表（Fugl-Meyer motor function assessment, FMA）和简易上肢功能检查方法（Simple test for evaluating hand function, STEF）评分明显升高，且观察组的FMA和STEF评分明显高于对照组，差异达到统计学意义（P<0.05）；两组患者的平衡能力指标Berg平衡量表（Berg balance scale, BBS）评分明显升高，且观察组的BBS评分明显高于对照组，差异具有统计学意义（P<0.05）；两组患者的生活质量指标生活质量（Quality of life, QQL）量表积分明显升高，且观察组的QQL量表积分显著高于对照组，差异具有统计学意义（P<0.05）。结论：清热化瘀Ⅱ号方结合易筋经训练可有效改善脑卒中患者的血流动力学，促进肢体功能恢复，对脑卒中患者的治疗和预后具有重要参考价值。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of Qingre Huayu Ⅱ Prescription combined with Yijinjing training on hemodynamics and limb function recovery in stroke patients. Methods: Ninety-two stroke patients admitted to our hospital from March 2020 to February 2021 were selected as the research objects of this program, and the patients were randomly divided into observation group and control group according to the random number table method. Each group including 46 patients. The control group was given a comprehensive western medicine treatment plan and Yijinjing training, and the observation group was given Qingre Huayu Ⅱ prescription combined with Yijinjing training. The two groups were compared with nerve function, hemodynamics, upper limb function, balance ability and quality of life before and after treatment. Results: After treatment, the modified Rankin scale scores of the two groups of patients were significantly reduced, and the neurological function index modified Rankin scale scores of the observation group were significantly lower than those of the control group, reaching a statistical difference(P<0.05); The hemodynamic indexes of fibrinogen, plasma viscosity and platelet aggregation rate of the patients in both group were significantly reduced, and the hemodynamic indexes of the observation group were significantly lower than those of the control group. The difference was statistically significant(P<0.05); The Fugl-Meyer Exercise Assessment Scale (Fugl-Meyer motor function assessment, FMA) and Simple Upper Limb Function Examination (Simple test for evaluating hand function, STEF) scores of the two groups of patients increased significantly, and the FMA and STEF scores of the observation group were significantly higher than those of the control group, and the difference reached statistical significance (P<0.05); The Berg balance scale (Berg balance scale, BBS) score of the two groups of patients increased significantly, and the BBS score of the observation group was significantly higher than that of the control group. The difference was statistically significant (P<0.05); The scores of the quality of life (Quality of life, QQL) scale of the two groups of patients increased significantly, and the scores of the QQL scale of the observation group were significantly higher than those of the control group. The difference was statistically significant (P<0.05). Conclusion: The Qingre Huayu Ⅱprescription combined with Yijinjing training can effectively improve the hemodynamics of stroke patients and promote the recovery of limb function. It has important reference value for the treatment and prognosis of stroke patients. |
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