CAJ | 학술논문

目的：探讨中西医结合治疗中风后偏瘫的临床疗效。方法选取2010年3月～2013年2月来我院就诊的中风后偏瘫患者85例，随机分为治疗组（中西医结合治疗）43例和对照组（西医治疗）42例。对两组患者的临床疗效及上肢运动功能、日常生活活动（ADL）能力进行比较。结果治疗组总有效率为95.34%，对照组总有效率为83.33%，两组比较，差异有统计学意义（P＜0.05）。两组患者的FMA及MBI与治疗前比较，差异均有统计学意义（P＜0.05）。但对照组改变幅度较小。治疗后FMA及MBI与对照组比较，差异有统计学意义（P＜0.05）。结论中西医结合治疗中风后偏瘫疗效满意，值得在临床推广应用。
목적：탐토중서의결합치료중풍후편탄적림상료효。방법선취2010년3월～2013년2월래아원취진적중풍후편탄환자85례，수궤분위치료조（중서의결합치료）43례화대조조（서의치료）42례。대량조환자적림상료효급상지운동공능、일상생활활동（ADL）능력진행비교。결과치료조총유효솔위95.34%，대조조총유효솔위83.33%，량조비교，차이유통계학의의（P＜0.05）。량조환자적FMA급MBI여치료전비교，차이균유통계학의의（P＜0.05）。단대조조개변폭도교소。치료후FMA급MBI여대조조비교，차이유통계학의의（P＜0.05）。결론중서의결합치료중풍후편탄료효만의，치득재림상추엄응용。
Objective To explore the curative effect of hemiplegia after stroke with combination of TCM and western medicine. Methods 85 patients with hemiplegia after stroke in our hospital from March 2010 to February 2013 were randomly divided into treatment group in 43 cases treated with the therapy of combination of Chinese traditional and western medicine and control group in 42 cases treated with western medicine treatment.The clinical curative effect, motor function of upper limbs and daily life(ADL) of patients in two groups were compared. Results The total effective rate of treatment group was 95.34%, while the total efficiency of control group was 83.33%, the difference between two group was statistically significant(P < 0.05). There were significant differences in the FMA and MBI of two groups between before and after the treatment(P < 0.05), but the control group changed less. There were significant differences in the FMA and MBI after the treatment between two groups(P<0.05). Conclusion Combine traditional Chinese and western medicine in the treatment of hemiplegia after stroke is satisfied, and which is worth in clinical application.