血栓通配合康复训练对缺血性脑卒中恢复期患者肢体康复的疗效

目的:探究血栓通配合康复训练对缺血性脑卒中(cerebral arterial thrombosis,CAT)恢复期患者肢体康复的疗效情况。方法:选取2011年3月-2013年3月我院收治的84例CAT患者按数字表法随机分为观察组和对照组,各42例。对照组单纯采用康复训练治疗,观察组在对照组康复训练的基础上服用血栓通配合治疗,分别观察治疗前、治疗后1个月、3个月、6个月的各项基本指标并对比研究。结果:两组患者治疗前和治疗1月后Barthel评分无明显差异(P0.05);观察组治疗后3、6个月Barthel评分显著高于对照组,差异有统计学意义(P0.05),两组患者治疗前和治疗1月后肢体Fugl-Meyer评分无明显差异(P0.05);观察组治疗后3、6个月肢体Fugl-Meyer评分显著高于对照组,差异有统计学意义(P0.05),且对照组出院时上肢依然未完全恢复。通过对对照组和观察组患者的生活质量评分比较,观察组生活质量的各项评分均明显高于对照组,两组比较差异有统计学意义(P0.05)。结论:对缺血性脑卒中恢复期患者采用血栓通药物配合适当的康复训练疗效较好,术后肢体恢复理想,值得作为治疗CAT的首选方法在临床上推广应用。

Efficacy of Xueshuantong Combined with Limb Rehabilitation in the Treatment of Patients with Cerebral Arterial Thrombosis

Objective:To investigate the efficacy of Xueshuantong combined with limb rehabilitation in the treatment of patients with cerebral arterial thrombosis (CAT).Methods:84 cases of patients with CAT from March 2011 to March 201 3 in our hospital were randomly divided into the observation group and control group according to the number table method with 42 cases in each group. The control group was treated with simple rehabilitation training method, while the observation group was given Xueshuantong combined with rehabilitation training for the treatment, basic indicators before the treatment and at one month, three months and six months after the treatment were compared.Results:There was no difference in Barthel scores in two groups before treatment and after 1 month of treatment (P>0.05); 3, 6 months after treatment, Barthel score in observation group was significantly higher than in the control group, and the difference was statistically significant (P<0.05). Limb Fugl-Meyer scores showed no significant difference before treatment and after 1 month (P>0.05); 3, 6 months after treatment, limb Fugl-Meyer score in observation group was significantly higher than in control group and the difference was statistically significant (P<0.05), and the the upper limb of patients in control group were still not fully recovered. The result of life quality score comparison showed that the patients in group, the scores of quality of life for the observation group was significantly higher than that of the control group, there was a significant difference between the two groups (P<0.05).Conclusion:Xueshuantong drugs combined with appropriate rehabilitation presents good therapeutic effects with ideal limb recovery in patients with CAT, the preferred method of treatment is worth popularization and application in clinical practice.