| 引用本文:张慧1,2，李沛2，贾昊2，何佳2，白庆庆2，段琳薪2.中药中频导入治疗脑卒中后痉挛性瘫痪的效果[J].世界中医药,2016,(10):. |
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| 中药中频导入治疗脑卒中后痉挛性瘫痪的效果 |
| Effect of Chinese Medicine Iontophoresis on Treatment of Spastic Paralysis after Stroke |
| 投稿时间：2015-10-05 |
| DOI：10.3969/j.issn.1673-7202.2016.10.021 |
| 中文关键词: 卒中 痉挛性瘫痪 中药中频导入 |
| English Keywords:Stroke Spastic paralysis Chinese medicine iontophoresis |
| 基金项目:陕西省科技惠民计划项目（编号：2015HM-10）——基于乡、镇卫生信息网络的泾阳县脑卒中中西医防治管理示范；陕西中医药大学科研创新基金项目（编号：14XJZR10）——中药中频导入治疗中风后痉挛性瘫痪的前瞻性临床研究 |
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| 中文摘要: |
| 目的：观察中药中频导入改善因脑卒中所致痉挛性偏瘫的临床疗效。方法：将2014年6月至2015年5月在陕西中医药大学附属医院住院的卒中后出现痉挛性偏侧瘫痪患者60例随机分为治疗组和对照组，2组均给予脑卒中基础治疗，治疗组加用中药中频导入，并于治疗前及治疗28 d后进行患侧运动能力、痉挛程度及患者生活能力评定；结果：治疗组治疗前后肢体痉挛程度Ashworth分级比较,Hc=23.359，P<0.01，治疗后2组间比较，Hc=21.432，P<0.01，差异均有统计学意义。治疗组治疗后的Fugl-Meyer评分、BI指数升高，NIM下降，与治疗前比较，3种评分差异具有统计学意义（P<0.05）；对照组治疗后的Fugl-Meyer评分、BI指数及NIM与治疗前比较差异具有统计学意义（P<0.05）。治疗后，治疗组Fugl-Meyer评分、BI指数提高程度及NIM下降程度均优于对照组，且有统计学意义（P<0.05）；结论：中药中频导入能降低因脑卒中而引起的痉挛性瘫痪的痉挛程度，提高患者运动能力，减轻神经功能缺损程度，改善患者生存质量。 |
| English Summary: |
| To observe the clinical effect of Chinese medicine iontophoresis in the treatment of spastic hemiplegia after stroke. Methods:From June 2014 to May 2015, 60 patients with spastic cerebral palsy were randomly divided into treatment group and control group. Two groups were given fundamental treatment, and treatment group was additionally treated with Chinese medicine iontophoresis. Twenty-eight days after the treatment, degree of limb spasm, motor function, daily living ability and clinical neurological function impairment were evaluated. Results:Ashworth classifications for limb spasm degree were compared in the treatment group before and after the treatment (Hc=23.359, P<0.01) and the comparison was made between the two groups after treatment (Hc=21.432, P<0.01), whose differences were both statistically significant. Fugl-Meyer score, BI index of the treatment group after treatment increased and NIM decreased, compared with before treatment, which all showed statistically significant differences (P<0.05). Fugl-Meyer rating, BI and NIM index of the control group after treatment were compared with those before treatment, which also showed significant difference (P<0.05). After treatment, Fugl-Meyer score and BI index increased more remarkably in the treatment group and the decline of NIM was more apparent than that of the control group, with statistical difference (P<0.05). Conclusion:Chinese medicine iontophoresis may relieve the spasm degree of spastic paralysis caused by cerebral apoplexy, enhance patients′ movement, reduce neurological impairment, and improve patients′ quality of life. |
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