世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
9期
1155-1157,1161
,共4页
中西医结合%脑卒中后疲劳康复%理中益气活血化瘀%固本培元%效果观察
中西醫結閤%腦卒中後疲勞康複%理中益氣活血化瘀%固本培元%效果觀察
중서의결합%뇌졸중후피로강복%리중익기활혈화어%고본배원%효과관찰
Integrative Medicine%Fatigue recovery after stroke%Soothing qi and activating blood%Consolidating the root and nourish the yuan qi%Observation on effects
目的：观察中西医结合疗法在脑卒中后疲劳康复中的治疗效果。方法：选取2010年6月至2013年7月于我院就诊的91例脑卒中后疲劳患者为研究对象，随机分为对照组45例和治疗组46例。对照组给予进氧支持、控制血糖、血压、抗凝、合理饮食、纠正机体水电解质平衡、抗感染、防并发症等西医常规基础性治疗，并指导患者进行科学的康复锻炼；治疗组患者在对照组治疗的基础上给予“艾灸、电脑中频穴位电按摩”治疗，15 d 为1个疗程。治疗2个疗程后，比较2组患者的临床症状改善情况及证候积分变化情况，用疲劳严重程度量表（FSS）和脑卒中专用生活质量量表（SS -QOL）对脑卒中后疲劳患者进行评估。比较2组的有效率。结果：对照组有效率为73.3％，治疗组有效率为91.3％，对照组有效率高于治疗组，2组有效率比较，差异有统计学意义（P ＜0.05）。2组患者倦怠乏力、关节痛、筋肉酸痛、多汗、纳差、眠差、头痛、情志不舒等临床症状及证候积分较治疗前均有所改善，治疗组临床症状的改善更为明显，差异有统计学意义（P ＜0.05）。2组患者治疗前疲劳严重程度量表（FSS）和脑卒中专用生活质量量表（SS -QOL）的积分比较，差异无统计学意义（P ＞0.05），治疗后患者的疲劳严重程度量表（FSS）积分较治疗前有所降低，脑卒中专用生活质量量表（SS -QOL）的积分治疗前有所增加，治疗组患者的评分变化程度更为明显，差异有统计学意义（P ＜0.05）。结论：运用艾灸和电脑中频穴位电按摩联合西医常规基础治疗脑卒中后疲劳是临床上以中西医结合治疗为方向治疗神经科疾病的一种有效可行的治疗方案，作者临床经验是，运用艾灸和电脑中频穴位电按摩能达到培元固本、理中益气，活血舒筋的效果，临床应用能有效缓解患者以疲劳乏力为主的临床症状，改善患者的生活质量，达到标本兼治的效果，且不良反应少，具有良好的临床疗效，值得进行临床推广。
目的：觀察中西醫結閤療法在腦卒中後疲勞康複中的治療效果。方法：選取2010年6月至2013年7月于我院就診的91例腦卒中後疲勞患者為研究對象，隨機分為對照組45例和治療組46例。對照組給予進氧支持、控製血糖、血壓、抗凝、閤理飲食、糾正機體水電解質平衡、抗感染、防併髮癥等西醫常規基礎性治療，併指導患者進行科學的康複鍛煉；治療組患者在對照組治療的基礎上給予“艾灸、電腦中頻穴位電按摩”治療，15 d 為1箇療程。治療2箇療程後，比較2組患者的臨床癥狀改善情況及證候積分變化情況，用疲勞嚴重程度量錶（FSS）和腦卒中專用生活質量量錶（SS -QOL）對腦卒中後疲勞患者進行評估。比較2組的有效率。結果：對照組有效率為73.3％，治療組有效率為91.3％，對照組有效率高于治療組，2組有效率比較，差異有統計學意義（P ＜0.05）。2組患者倦怠乏力、關節痛、觔肉痠痛、多汗、納差、眠差、頭痛、情誌不舒等臨床癥狀及證候積分較治療前均有所改善，治療組臨床癥狀的改善更為明顯，差異有統計學意義（P ＜0.05）。2組患者治療前疲勞嚴重程度量錶（FSS）和腦卒中專用生活質量量錶（SS -QOL）的積分比較，差異無統計學意義（P ＞0.05），治療後患者的疲勞嚴重程度量錶（FSS）積分較治療前有所降低，腦卒中專用生活質量量錶（SS -QOL）的積分治療前有所增加，治療組患者的評分變化程度更為明顯，差異有統計學意義（P ＜0.05）。結論：運用艾灸和電腦中頻穴位電按摩聯閤西醫常規基礎治療腦卒中後疲勞是臨床上以中西醫結閤治療為方嚮治療神經科疾病的一種有效可行的治療方案，作者臨床經驗是，運用艾灸和電腦中頻穴位電按摩能達到培元固本、理中益氣，活血舒觔的效果，臨床應用能有效緩解患者以疲勞乏力為主的臨床癥狀，改善患者的生活質量，達到標本兼治的效果，且不良反應少，具有良好的臨床療效，值得進行臨床推廣。
목적：관찰중서의결합요법재뇌졸중후피로강복중적치료효과。방법：선취2010년6월지2013년7월우아원취진적91례뇌졸중후피로환자위연구대상，수궤분위대조조45례화치료조46례。대조조급여진양지지、공제혈당、혈압、항응、합리음식、규정궤체수전해질평형、항감염、방병발증등서의상규기출성치료，병지도환자진행과학적강복단련；치료조환자재대조조치료적기출상급여“애구、전뇌중빈혈위전안마”치료，15 d 위1개료정。치료2개료정후，비교2조환자적림상증상개선정황급증후적분변화정황，용피로엄중정도량표（FSS）화뇌졸중전용생활질량량표（SS -QOL）대뇌졸중후피로환자진행평고。비교2조적유효솔。결과：대조조유효솔위73.3％，치료조유효솔위91.3％，대조조유효솔고우치료조，2조유효솔비교，차이유통계학의의（P ＜0.05）。2조환자권태핍력、관절통、근육산통、다한、납차、면차、두통、정지불서등림상증상급증후적분교치료전균유소개선，치료조림상증상적개선경위명현，차이유통계학의의（P ＜0.05）。2조환자치료전피로엄중정도량표（FSS）화뇌졸중전용생활질량량표（SS -QOL）적적분비교，차이무통계학의의（P ＞0.05），치료후환자적피로엄중정도량표（FSS）적분교치료전유소강저，뇌졸중전용생활질량량표（SS -QOL）적적분치료전유소증가，치료조환자적평분변화정도경위명현，차이유통계학의의（P ＜0.05）。결론：운용애구화전뇌중빈혈위전안마연합서의상규기출치료뇌졸중후피로시림상상이중서의결합치료위방향치료신경과질병적일충유효가행적치료방안，작자림상경험시，운용애구화전뇌중빈혈위전안마능체도배원고본、리중익기，활혈서근적효과，림상응용능유효완해환자이피로핍력위주적림상증상，개선환자적생활질량，체도표본겸치적효과，차불량반응소，구유량호적림상료효，치득진행림상추엄。
Objective:To observe the effect of TCM therapy in fatigue rehabilitation after stroke.Methods:Ninety one patients with stroke fatigue treated in our hospital from June 2010 to July 2013 was selected and randomly divided into control group (n =45)and treatment group (n =46).Patients in the control group received conventional western medicine treatment including oxygen support,blood glucose control,blood pressure,anticoagulation,proper diet,correct body water and electrolyte balance,anti-infective,anti-complications as well as scientific rehabilitation guidance to patients.Patients in the treatment group received extra “moxibustion,intermediate frequen-cy electric acupoint massage”therapy treatment apart from the same therapies as the control group applied.Fifteen days was one treat-ment course.After 2 courses of treatment,the patients clinical symptoms were compared,and the syndrome score improvement and chan-ges with fatigue severity scale (FSS)and the Quality of Life Scale dedicated stroke (SS-QOL)of patients with post-stroke fatigue were evaluated.The therapeutic effects of the two groups were compared.Results:The response rate of the control group was 73.3%,and that of the treatment group was 91.3%,and the difference between the groups was statistically significant (P <0.05).Clinical symptoms of patients in both groups were improved after treatment,including fatigue,joint pain,muscle aches,sweating,anorexia,poor sleep,head-aches,and other emotional discomfort and symptom scores,and the treatment group improved more obviously (P <0.05).Before treat-ment,Fatigue Severity Scale (FSS)and stroke special quality of life scale (SS-QOL)points showed no significant difference between the two groups (P >0.05);after treatment,fatigue severity scale (FSS)of patients of the both groups were decreased,and quality of life scale before special stroke (SS-QOL)increased,and patients in treatment group got better outcomes (P <0.05).Conclusion:The appli-cation of moxibustion and intermediate frequency electrical acupoint massage combined with western medicine treating post stroke fatigue is a feasible and effective treatment option.It can nourish the yuan qi and consolidate the root,sooth and benefit qi,activate blood so as to effectively relieve clinical symptoms mainly manifested with fatigue,improve quality of life and hence treat both the tip and root of the disease.The therapy shall good therapeutic effect with few side effects,which is worthy of generalization.
