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舒挛汤治疗中风后肌张力增高30例临床观察

Clinical Observation on 30 Cases of Shuluan Decoction in the Treatment of Muscle Tension Increase after Apoplexy

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【作者】 耿春梅宋洁刘朵沈智蓉李鉴周汝寿赵永祥

【Author】 GENG Chunmei;SONG Jie;LIU Duo;SHEN Zhirong;LI Jian;ZHOU Rutao;ZHAO Yongxiang;The TCM Hospital of Kunming;

【通讯作者】 李鉴;

【机构】 昆明市中医医院

【摘要】 目的:观察舒挛汤对中风后肌张力增高的影响。方法:将中风后肌张力增高的60例患者随机分为治疗组与对照组各30例。治疗组口服舒挛汤,对照组口服巴氯酚,共治疗4周。对比两组治疗前后的改良Ashworth痉挛分级、CSI痉挛评分和Fugl-Meyer运动功能分。结果:两组治疗后患肢改良Ashworth分级、CSI评分和Fugl-Meyer评分比较差异均有统计学意义(P<0.05)。结论:舒挛汤对治疗中风后肌张力增高、痉挛程度及肢体运动功能有效。

【Abstract】 Objective To observe the effects of Shuluan Tang and barprofol on the increase of muscle tension after stroke. Methods Sixty patients with increased muscle tone after stroke were randomly divided into treatment group(n=30) and control group(n=30). The treatment group took Shuluan Tang, the control group took baclofen, treat 4 weeks. The modified Ashworth Spasm Scale(MAS), Clinical Spasticity Index(CSI) and Fugl-Meyer Motor Function Score(FAS) were compared between the two groups before and after treatment. Results There were significant differences in the modified Ashworth grade, CSI score and Fugl-Meyer score between the two groups after treatment(P<0.05).Conclusion Shuluan Tang can improve the post-stroke muscle tone increased, spasticity and limb motor function.

【关键词】 舒挛汤中风后遗症肌张力偏瘫
【Key words】 ShuluanTangStroke SequelaeMuscle TensionHemiplegia
【基金】 赵永祥全国名老中医工作室(国中医人教发(2016)42号);第六批全国名老中医专家学术经验继承人(人教发(2017)29号);昆明市卫生科技人才培养项目暨“十百千工程”学科后备带头人(SW(后备)-97)
  • 【文献出处】 中国民族民间医药 ,Chinese Journal of Ethnomedicine and Ethnopharmacy , 编辑部邮箱 ,2019年09期
  • 【分类号】R255.2
  • 【被引频次】3
  • 【下载频次】159
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