中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
100-102
,共3页
自拟芪枝汤%缺血性中风%肢体麻木
自擬芪枝湯%缺血性中風%肢體痳木
자의기지탕%결혈성중풍%지체마목
Self-Made Qi Branch Decoction%Ischemic stroke%Limb numbness
目的：观察自拟芪枝汤治疗缺血性中风肢体麻木的临床效果。方法：选取2013年5月-2014年10月本院收治的缺血性中风肢体麻木患者102例作为研究对象，采用随机数字表法分为观察组和对照组，对照组给予常规治疗，观察组在常规治疗基础上加用自拟芪枝汤治疗，比较两组治疗效果。结果：观察组治疗总有效率明显高于对照组，比较差异有统计学意义（P<0.05）；两组治疗后穿衣、洗澡、吃饭、活动、上楼梯、挪动椅子、用厕、修饰、大便的评分均明显高于治疗前，且观察组治疗后洗澡、活动、挪动椅子、用厕及修饰的评分明显高于对照组，比较差异有统计学意义（P<0.05）；治疗后两组生活满意度评分及生活质量指数评分均明显高于治疗前，且观察组高于对照组，比较差异均有统计学意义（P<0.05）。两组不良反应发生情况比较差异无统计学意义（P>0.05）。结论：自拟芪枝汤辅助治疗缺血性中风肢体麻木可促进患者部分日常生活功能的恢复，提高患者生活满意度，临床效果显著，未发现安全性问题，发展前景广阔。
目的：觀察自擬芪枝湯治療缺血性中風肢體痳木的臨床效果。方法：選取2013年5月-2014年10月本院收治的缺血性中風肢體痳木患者102例作為研究對象，採用隨機數字錶法分為觀察組和對照組，對照組給予常規治療，觀察組在常規治療基礎上加用自擬芪枝湯治療，比較兩組治療效果。結果：觀察組治療總有效率明顯高于對照組，比較差異有統計學意義（P<0.05）；兩組治療後穿衣、洗澡、喫飯、活動、上樓梯、挪動椅子、用廁、脩飾、大便的評分均明顯高于治療前，且觀察組治療後洗澡、活動、挪動椅子、用廁及脩飾的評分明顯高于對照組，比較差異有統計學意義（P<0.05）；治療後兩組生活滿意度評分及生活質量指數評分均明顯高于治療前，且觀察組高于對照組，比較差異均有統計學意義（P<0.05）。兩組不良反應髮生情況比較差異無統計學意義（P>0.05）。結論：自擬芪枝湯輔助治療缺血性中風肢體痳木可促進患者部分日常生活功能的恢複，提高患者生活滿意度，臨床效果顯著，未髮現安全性問題，髮展前景廣闊。
목적：관찰자의기지탕치료결혈성중풍지체마목적림상효과。방법：선취2013년5월-2014년10월본원수치적결혈성중풍지체마목환자102례작위연구대상，채용수궤수자표법분위관찰조화대조조，대조조급여상규치료，관찰조재상규치료기출상가용자의기지탕치료，비교량조치료효과。결과：관찰조치료총유효솔명현고우대조조，비교차이유통계학의의（P<0.05）；량조치료후천의、세조、흘반、활동、상루제、나동의자、용측、수식、대편적평분균명현고우치료전，차관찰조치료후세조、활동、나동의자、용측급수식적평분명현고우대조조，비교차이유통계학의의（P<0.05）；치료후량조생활만의도평분급생활질량지수평분균명현고우치료전，차관찰조고우대조조，비교차이균유통계학의의（P<0.05）。량조불량반응발생정황비교차이무통계학의의（P>0.05）。결론：자의기지탕보조치료결혈성중풍지체마목가촉진환자부분일상생활공능적회복，제고환자생활만의도，림상효과현저，미발현안전성문제，발전전경엄활。
Objective:To observe the clinical effect of Self-Made Qi Branch Decoction in the treatment of limb numbness caused by ischemic stroke.Method:102 patients with limb numbness caused by ischemic stroke in our hospital from May 2013 to October 2014 were selected and randomly divided into the observation group and the control group.The control group was given conventional treatment,the observation group was treated with Self-Made Qi Branch Decoction on the basis of conventional treatment.The therapeutic effect was compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the grades of dressing,taking a bath,having a meal,having activities,climbing upstairs,moving chairs,using loos,modifying and defecating were significantly higher than those before treatment,the grades of taking a bath,having activities,moving chairs, using loos and modifying in the observation group were significantly higher than those in the control group,the differences above were statistically significant(P<0.05).After treatment,the scores of LSIA and QLI in the two groups were higher than before treatment and the scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The differences in the occurrence situation of adverse reaction between the two groups were not statistically significant(P>0.05).Conclusion:In the treatment of limb numbness caused by ischemic stroke,Self-Made Qi Branch Decoction can improve the activities of some daily living and the satisfaction of daily life,it has significant clinical effects.There is no security problems in using this method and it has a broad prospects of development.
