【摘要】 目的:探讨圣愈汤联合早期康复运动对缺血性脑卒中患者恢复期肢体及语言功能的影响。方法:选取我院缺血性脑卒中恢复期病例,均为2013年3月—2015年7月收治的住院96例入选者,按随机数字表法分为对照组(n=48例)和研究组(n=48例),对照组采用早期康复训练;研究组在上述基础上采用圣愈汤治疗,持续治疗3月。于治疗前、治疗1个月、3个月时对肢体和语言功能评定,记录生活质量量表(SF-36),同时对比两组间临床疗效,并评价安全性。结果:两组在不同时间点FMA(上肢、下肢)、FAC、听理解、复述、说、朗读、阅读上存在统计学差异(P<0.05)。与治疗前比,两组治疗1月、治疗3月FMA(上肢、下肢)、FAC升高,听理解、复述、说、朗读、阅读升高(P<0.05);与对照组比,研究组治疗1月、治疗3月FMA(上肢、下肢)、FAC较高,听理解、复述、说、朗读、阅读较高(P<0.05);对照组在神经功能、心理职能、社会功能及生活功能上,低于研究组(P<0.05);对照组有效率75.00%低于研究组有效率91.67%(P<0.05)。结论:圣愈汤联合早期康复运动对缺血性脑卒中患者恢复期的疗效较好,有助于提高肢体及语言功能,改善生活质量,是一种有效的治疗方案。更多还原

【Abstract】 Objective:To investigate the effect of Shengyu Decoction combined with early rehabilitation exercise on limbs and language function in patients with ischemic stroke at convalescence stage.Methods:A total of 96 cases of ischemic stroke recovery in our hospital were selected from March 2013 to July 2015 and randomly divided into control group(n=48) and study group(n=48).The control group received early rehabilitation training and the study group additionally received Shengyu Decoction,and 2groups were treated for 3 months.The quality of life and language were assessed before and 1 and 3 months after treatment,and the quality of life scale(SF-36) was recorded.The clinical efficacy of the two groups was compared,and the safety was evaluated.Results:Scores of FMA(upper limb,lower limb),FAC,listening comprehension,repetition,speaking,reading and reading were statistically different between the two groups at different time points(P<0.05).Compared with before treatment,FMA(upper limb and lower limb) and FAC increased,listening comprehension,repetition,speaking,reading and reading increased in 2groups after 1 and 3 months of treatment(P<0.05).Compared with the control group,FAC and the FMA(upper limb and lower limb) were higher in the study group,and the hearing comprehension,repetition,speaking,reading and reading were higher(P<0.05).The neurological function,psychological function,social function and life function of the control group were lower than those of the study group(P<0.05).The effective rate of the control group(75%) was lower than the study group’s 91.67%(P<0.05).Conclusion:The combination of Shengyu Decoction and early rehabilitation exercise has better curative effect on convalescence of ischemic stroke patients,and it is helpful for improving limb and language function and improving the quality of life.It is an effective treatment plan.更多还原