国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2014年
3期
217-219
,共3页
脑卒中%肢体疼痛%临床研究
腦卒中%肢體疼痛%臨床研究
뇌졸중%지체동통%림상연구
Stroke%Limb pain%Clinical study
目的 探讨自拟偏瘫处洗方治疗脑卒中后肢体疼痛的临床疗效.方法 收集2013年5月至2013年11月广东英德市中医院脑病科80例脑卒中后肢体疼痛患者,按随机数字表法将患者随机分为两组各40例.对照组均静滴依达拉奉注射液30 mg加入0.9％氯化钠或5％葡萄糖注射液100 ml中,30 min内滴完,2次/d;同时配合常规偏瘫肢体功能康复训练治疗.治疗组在对照组基础上加用自拟偏瘫外洗方局部熏洗患肢,两组均治疗14d后分别观察患者疼痛视觉模拟量表(VAS)、汉密顿抑郁量表(HAMD-24)、神经功能缺损程度评分量表(MESSS)、脑卒中康复运动功能评定表(STREAM)评分情况及临床疗效.结果 ①临床疗效比较:治疗组治疗后总有效率为90％ (36/40),对照组为70％ (28/40),两组总有效率比较,差异有统计学意义(t=3.58,P＜0.01).②两组VAS、HAMD、MESSS、STREAM评分变化比较:治疗后VAS、HAMD、MESSS、STREAM评分[治疗组分别为(2.28±0.54)分、(11.34±3.02)分、(13.49±4.27)分、(44.76±20.71)分;对照组分别为(2.90±0.75)分、(14.24±3.35)分、(17.55±4.91)分、(34.56±15.56)分]均较同组治疗前[治疗组分别为(6.21±1.27)分、(28.18±7.22)分、(26.68±7.22)分、(27.53±12.52)分;对照组分别为(6.15±1.41)分、(29.15±7.65)分、(26.56±7.65)分、(28.01±12.25)分]明显改善(P＜0.05),且治疗组疗效优于对照组(P＜0.05).结论 自拟偏瘫处洗方可改善脑卒中后患者的肢体疼痛.
目的 探討自擬偏癱處洗方治療腦卒中後肢體疼痛的臨床療效.方法 收集2013年5月至2013年11月廣東英德市中醫院腦病科80例腦卒中後肢體疼痛患者,按隨機數字錶法將患者隨機分為兩組各40例.對照組均靜滴依達拉奉註射液30 mg加入0.9％氯化鈉或5％葡萄糖註射液100 ml中,30 min內滴完,2次/d;同時配閤常規偏癱肢體功能康複訓練治療.治療組在對照組基礎上加用自擬偏癱外洗方跼部熏洗患肢,兩組均治療14d後分彆觀察患者疼痛視覺模擬量錶(VAS)、漢密頓抑鬱量錶(HAMD-24)、神經功能缺損程度評分量錶(MESSS)、腦卒中康複運動功能評定錶(STREAM)評分情況及臨床療效.結果 ①臨床療效比較:治療組治療後總有效率為90％ (36/40),對照組為70％ (28/40),兩組總有效率比較,差異有統計學意義(t=3.58,P＜0.01).②兩組VAS、HAMD、MESSS、STREAM評分變化比較:治療後VAS、HAMD、MESSS、STREAM評分[治療組分彆為(2.28±0.54)分、(11.34±3.02)分、(13.49±4.27)分、(44.76±20.71)分;對照組分彆為(2.90±0.75)分、(14.24±3.35)分、(17.55±4.91)分、(34.56±15.56)分]均較同組治療前[治療組分彆為(6.21±1.27)分、(28.18±7.22)分、(26.68±7.22)分、(27.53±12.52)分;對照組分彆為(6.15±1.41)分、(29.15±7.65)分、(26.56±7.65)分、(28.01±12.25)分]明顯改善(P＜0.05),且治療組療效優于對照組(P＜0.05).結論 自擬偏癱處洗方可改善腦卒中後患者的肢體疼痛.
목적 탐토자의편탄처세방치료뇌졸중후지체동통적림상료효.방법 수집2013년5월지2013년11월엄동영덕시중의원뇌병과80례뇌졸중후지체동통환자,안수궤수자표법장환자수궤분위량조각40례.대조조균정적의체랍봉주사액30 mg가입0.9％록화납혹5％포도당주사액100 ml중,30 min내적완,2차/d;동시배합상규편탄지체공능강복훈련치료.치료조재대조조기출상가용자의편탄외세방국부훈세환지,량조균치료14d후분별관찰환자동통시각모의량표(VAS)、한밀돈억욱량표(HAMD-24)、신경공능결손정도평분량표(MESSS)、뇌졸중강복운동공능평정표(STREAM)평분정황급림상료효.결과 ①림상료효비교:치료조치료후총유효솔위90％ (36/40),대조조위70％ (28/40),량조총유효솔비교,차이유통계학의의(t=3.58,P＜0.01).②량조VAS、HAMD、MESSS、STREAM평분변화비교:치료후VAS、HAMD、MESSS、STREAM평분[치료조분별위(2.28±0.54)분、(11.34±3.02)분、(13.49±4.27)분、(44.76±20.71)분;대조조분별위(2.90±0.75)분、(14.24±3.35)분、(17.55±4.91)분、(34.56±15.56)분]균교동조치료전[치료조분별위(6.21±1.27)분、(28.18±7.22)분、(26.68±7.22)분、(27.53±12.52)분;대조조분별위(6.15±1.41)분、(29.15±7.65)분、(26.56±7.65)분、(28.01±12.25)분]명현개선(P＜0.05),차치료조료효우우대조조(P＜0.05).결론 자의편탄처세방가개선뇌졸중후환자적지체동통.
Objective To study the effects of treating limbs pain of patients with depression after cerebral apoplexy with self-designed hemiparalysis-washing formula.Methods 80 patients with limbs pain after cerebral apoplexy in our hospital from May 2013 to November 2013 were recruited into a control group and a treatment group randomly,40 patients in each group.The control group was treated with 30mg edamvone and 100ml 0.9％ sodium chloride or 0.5％ glucose injection,Ⅳ in 30min,and twice daily.Meanwhile,regular functional rehabilitation training was adopted for the patients.The treatment group was additional treated with self-designed hemiparalysis-washing formula on the basis of the control group.VAS,HAMD-24,MESSS,STREAM and therapeutic effects were evaluated in both groups after one month treatment.Results ① clinical therapeutic effects comparison:the total effective rate was 90％ and 70％ in the treatment group and the control group respectively,with statistical difference between the two groups (t=3.58,P＜ 0.01).② VAS,HAMD-24,MESSS,STREAM comparison:VAS,HAMD-24,MESSS,STREAM score was (2.28 ± 0.54)、(11.34 ± 3.02)、(13.49±4.27)、(44.76±20.71)in the treatment group respectively,and(2.90 ± 0.75) 、(14.24 ± 3.35)、(17.55 ±4.91) 、(34.56 ±15.56) in the control group respectively.Both groups showed obviously improvement than the before treatment,and the effects were better in the treatment group than the control group (all P＜0.05).Conclusion Self-designed hemiparalysis-washing formula improve limbs pain in patients with cerebral apoplexy and relieve their depression.
