CAJ | 학술논문

目的:研究中药解痉合剂结合运动疗法治疗脑卒中偏瘫后痉挛的临床疗效及作用机制.方法:将60例脑卒中偏瘫后肌痉挛患者随机分为对照组30例,进行运动治疗;治疗组30例,加用解痉合剂治疗;通过Ashworth、CSS、FMA和ADL等方法评价上下肢功能或日常生活能力恢复情况,采用表面肌电图测定上下肢的张力.结果:与对照组相比,治疗组上下肢肌张力显著降低(χ2=11.072或10.693,P<0.05),上下肢功能明显改善(χ2=7.052或6.916,P<0.05),日常生活能力提高(χ2=7.527,P<0.05);减少上下肢肌的IEMG(χ2=12.526,P<0.05)的同时显著降低RMS(χ2=19.452,P<0.01).结论:解痉合剂可以改善脑卒中偏瘫后肌痉挛,其机制与其降低肌张力有关.
목적:연구중약해경합제결합운동요법치료뇌졸중편탄후경련적림상료효급작용궤제.방법:장60례뇌졸중편탄후기경련환자수궤분위대조조30례,진행운동치료;치료조30례,가용해경합제치료;통과Ashworth、CSS、FMA화ADL등방법평개상하지공능혹일상생활능력회복정황,채용표면기전도측정상하지적장력.결과:여대조조상비,치료조상하지기장력현저강저(χ2=11.072혹10.693,P<0.05),상하지공능명현개선(χ2=7.052혹6.916,P<0.05),일상생활능력제고(χ2=7.527,P<0.05);감소상하지기적IEMG(χ2=12.526,P<0.05)적동시현저강저RMS(χ2=19.452,P<0.01).결론:해경합제가이개선뇌졸중편탄후기경련,기궤제여기강저기장력유관.
Objective: To investigate the effect of Jiejing Mixture combined with rehabilitation exercises on spas?ticity after apoplectic hemiparalysis. Methods: Patients with spasticity after apoplectic hemparalysis were random?ly assigned to conventional rehabilitation exercise group and Jiejing Mixture combined with rehabilitation exercise group (n=30 in each group). Ashworth, CSS, and FMA assessments were used to scale muscular tension and func?tion and ADL was used to assess daily life skills. Surface electromyography index,integrate electromyography (IEMG) and root mean square (RMS), were used to detect the tension of upper limbs and legs. Results: Jiejing Mixture significantly decreased muscular tension (χ2=11.072 or 10.693, P<0.05)and their function ( χ2=7.052 or 6.916,P<0.05)and improved patients’daily life skills(χ2=7.527,P<0.05).Both IEMG(χ2=12.526,P<0.05)and RMS (χ2=19.452,P<0.01)of patients treated by Jiejing Mixture also decreased. Conclusions: Jiejing Mixture decreased the muscular tension of patients with spasticity after apoplectic hemparalysis.