CAJ | 학술논문

目的：观察超声波治疗仪治疗脑卒中偏瘫患者运动障碍的临床疗效。方法收集脑卒中偏瘫患者100例为研究对象，按照患者就诊号进行编号，采用随机数字表法将其随机均分成超声组和对照组（n=50）。对照组采取中医康复治疗，即推拿、肢体活动训练配合良性肢体摆放；超声组则在此基础上，给予超声波治疗仪进行治疗。4周为1个疗程，统计分析2组的治疗效果，对比分析2组的简化Fugl-Mayer、Barthel指数评定。结果超声组50例患者中痊愈15例，改善32例，未愈3例，总有效率达94%；对照组50例患者中痊愈10例，改善25例，未愈15例，总有效率达70%，组间差异有统计学意义（P<0.05）。超声组患者简化Fugl-Mayer、Barthel指数评定得分均显著优于对照组，差异均有统计学意义（P<0.05）。结论超声波治疗脑卒中偏瘫患者运动障碍，可以减轻患者症状，有助于肢体活动功能的康复，操作简单，患者易接受，值得临床大力推广。
목적：관찰초성파치료의치료뇌졸중편탄환자운동장애적림상료효。방법수집뇌졸중편탄환자100례위연구대상，안조환자취진호진행편호，채용수궤수자표법장기수궤균분성초성조화대조조（n=50）。대조조채취중의강복치료，즉추나、지체활동훈련배합량성지체파방；초성조칙재차기출상，급여초성파치료의진행치료。4주위1개료정，통계분석2조적치료효과，대비분석2조적간화Fugl-Mayer、Barthel지수평정。결과초성조50례환자중전유15례，개선32례，미유3례，총유효솔체94%；대조조50례환자중전유10례，개선25례，미유15례，총유효솔체70%，조간차이유통계학의의（P<0.05）。초성조환자간화Fugl-Mayer、Barthel지수평정득분균현저우우대조조，차이균유통계학의의（P<0.05）。결론초성파치료뇌졸중편탄환자운동장애，가이감경환자증상，유조우지체활동공능적강복，조작간단，환자역접수，치득림상대력추엄。
Objective To explore the clinical curative effect of ultrasound treatment of extremity function in stroke patients.Methods Totally 100 patients with senile extremity function in stroke were randomly selected from Apr.2013 to Apr. 2014 in this department who were divided into 2 groups,the TCM rehabilitation group (n=50) and the control group (n=50).The patients in the TCM group were accepted TCM rehabilitation therapy, including TCM massage,and internal TCM including Liuweidihuang pills and angelica sini decoction,while those in the ultrasound treatment. Upon comparison and analysis,the clinic effects,Fugl-Mayer、Barthel,grading of the two groups were studied.Results The significant efficiency 94%, the total efficiency 70% of the TCM group were significantly higher than those of the western medicine group. The differences were statistically significant(P<0.05). Compared the Fugl-Mayer、Barthel scores before treatment.Conclusion Traditional Chinese medicine rehabilitation therapy in the treatment extremity function in stroke is safe, obviously effective, is an effective method forthe treatment of osteoarthritis, it is worth for clinical use.