CAJ | 학술논문

　　目的探讨脑卒中后三级中医综合康复方案的可行性和有效性。方法选择100例急性脑卒中患者，随机分为实验组(n=50)和对照组(n=50)。实验组应用中医综合康复方案治疗；对照组采用西医常规治疗加2周西医康复治疗。采用美国国立卫生院脑卒中量表(NIHSS)和Fugl-Meyer评分法(FMA)进行评价。结果两组入组时及第4周NIHSS评分和FMA评分均无显著性差异(P>0.05)。实验组在第12周NIHSS评分明显低于对照组(P<0.01)，FMA评分高于对照组(P<0.05)。结论规范三级中医综合康复可促进急性脑卒中患者运动功能和神经功能的恢复。
　　목적탐토뇌졸중후삼급중의종합강복방안적가행성화유효성。방법선택100례급성뇌졸중환자，수궤분위실험조(n=50)화대조조(n=50)。실험조응용중의종합강복방안치료；대조조채용서의상규치료가2주서의강복치료。채용미국국립위생원뇌졸중량표(NIHSS)화Fugl-Meyer평분법(FMA)진행평개。결과량조입조시급제4주NIHSS평분화FMA평분균무현저성차이(P>0.05)。실험조재제12주NIHSS평분명현저우대조조(P<0.01)，FMA평분고우대조조(P<0.05)。결론규범삼급중의종합강복가촉진급성뇌졸중환자운동공능화신경공능적회복。
Objective To explore the effect of three-stage Traditional Chinese Medicine (TCM) rehabilitation on neurological function and motor function in patients with cerebral ischemic stroke. Methods 100 patients with acute cerebral ischemic stroke were randomly divid-ed into experimental group (n=50) and control group (n=50). The three-stage TCM synthesis rehabilitation was used in the experimental group;the 2-week western medicine rehabilitation was used in the control group. The scores of National Institutes of Health Stroke Scale (NIHSS) and Fugl-Meyer assessment (FMA) were evaluated. Results There was no significance in the scores of NIHSS and FMA between both groups before and 4 weeks after treatment (P>0.05). The score of NIHSS was lower (P<0.01), and the score of FMA was higher (P<0.05) in the experimental group than in the control group in the 12th week. Conclusion Three-stage TCM synthesis rehabilitation can facili-tate the recovery of neurological and motor function of patients with acute cerebral ischemic stroke.