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目的观察中西医结合方法治疗脑血管病偏瘫的疗效。方法将177例脑血管病偏瘫病人随机分为2组,其中治疗组119例,应用中药、针灸、推拿、熏洗加康复训练进行治疗;对照组单纯应用康复训练进行治疗。以痉挛的Ashworth评定、简式Fugl-Meyer评价和Barthel氏ADL指数为评价标准进行疗效评估。结果治疗组缓解上肢痉挛的总有效率为49.6%,与对照组比较差异有显著性(P<0.05),下肢痉挛、运动功能、日常生活能力的好转,差异无显著性(P>0.05)。结论中西医结合方法可有效缓解脑血管病后的偏瘫痉挛,对促进运动功能恢复有较好效果。
Objective To observe the curative effect of integrated traditional Chinese and western medicine on hemiplegia of cerebrovascular disease. Methods A total of 177 patients with hemiplegia with cerebrovascular disease were randomly divided into two groups, of which 119 patients in the treatment group were treated with traditional Chinese medicine, acupuncture and moxibustion, massage, fumigation and rehabilitation training, and the control group were treated with rehabilitation training alone. Ashworth assessment of spasticity, simple Fugl-Meyer evaluation and Barthel’s ADL index as the evaluation criteria for the efficacy evaluation. Results The total effective rate of relieving upper extremity spasm in the treatment group was 49.6%, which was significantly different from that in the control group (P <0.05). No significant difference was found in the spasticity, motor function and daily living ability of the lower limbs. Conclusion The combination of traditional Chinese and western medicine can effectively relieve hemiplegia after cerebral vascular disease spasm, to promote the recovery of motor function better.