CAJ | 학술논문

目的：探讨丹红注射液联合早期康复治疗老年急脑梗死偏瘫患者的临床疗效，分析其对患者运动能力及日常生活能力的影响。方法选取本院2013年1月至2014年7月收治的急性脑梗死老年偏瘫患者90例作为研究对象，将研究对象按照随机平均的方法分为两组，即试验组和对照组，每组45人。其中试验组患者给予丹红注射液静脉滴注给药治疗的基础上进行规范的早期康复训练，对照组患者给予丹红注射液静脉滴注给药治疗的基础上使患者进行未经指导的锻炼。患者治疗前及接受治疗30天后分别进行相关的功能测评，对比分析两组患者的临床疗效。结果接受治疗前两组患者的一般资料、运动能力及日常生活能力的经测评无显著性差异( p>0.05)，经过30天分别治疗后，两组患者的运动能力、日常生活能力均得到改善，试验组的改善程度要明显优于对照组( p<0.05)。结论丹红注射液结合早期康复治疗有助于改善急性脑梗死偏瘫患者的能力运动及日常生活能力，可在临床上广泛推广。
목적：탐토단홍주사액연합조기강복치료노년급뇌경사편탄환자적림상료효，분석기대환자운동능력급일상생활능력적영향。방법선취본원2013년1월지2014년7월수치적급성뇌경사노년편탄환자90례작위연구대상，장연구대상안조수궤평균적방법분위량조，즉시험조화대조조，매조45인。기중시험조환자급여단홍주사액정맥적주급약치료적기출상진행규범적조기강복훈련，대조조환자급여단홍주사액정맥적주급약치료적기출상사환자진행미경지도적단련。환자치료전급접수치료30천후분별진행상관적공능측평，대비분석량조환자적림상료효。결과접수치료전량조환자적일반자료、운동능력급일상생활능력적경측평무현저성차이( p>0.05)，경과30천분별치료후，량조환자적운동능력、일상생활능력균득도개선，시험조적개선정도요명현우우대조조( p<0.05)。결론단홍주사액결합조기강복치료유조우개선급성뇌경사편탄환자적능력운동급일상생활능력，가재림상상엄범추엄。
Objective to observe the clinical effect of danhong injections combined with early rehabilitation on aged acute cerebral infarction patients, and analyze its influence on the motor ability and ADL of patients. Methods 90 cases of patients with acute cerebral infarction with hemiplegic paralysis admitted in our hospital from January 2013 to July 2014 were selected as study subjects. they were randomly divided into experimental group or control group, 45 cases in each group. the experimental group patients were treated by dripping danhong injections intravenously and at the same time with early rehabilitation, while the control group patients were given danhong injections intravenously without the instructed self-exercise. the function and results at both the beginning and thirty days later in the two groups were evaluated respectively and the clinical efficacy were compared. Results There were no significant differences in general data,the evaluation of the ability of motor function and the adl before the treatment between the two groups( P>0.05). However, there was improvement of motor function and adl after 30 days treatment in both groups. and the extent to which the indexes in experimental group improved was greater than that in control group (P<0.05). Conclusion early rehabilitation treatment with danhong injection can help to improve the motor function and adl in patients with acute cerebral infarction with hemiplegic paralysis. it is worthy of promotion in the clinical work.