世界中医药Issue(9)：1155-1157,1161,4.DOI:10.3969/j.issn.1673-7202.2014.09.012
中西医结合治疗在脑卒中后疲劳康复中的效果观察
Observation on Integrated Traditional Chinese and Western Medicine in Post-Stroke Fatigue Rehabilitation
摘要
Abstract
Objective:To observe the effect of TCM therapy in fatigue rehabilitation after stroke.Methods:Ninety one patients with stroke fatigue treated in our hospital from June 2010 to July 2013 was selected and randomly divided into control group (n =45)and treatment group (n =46).Patients in the control group received conventional western medicine treatment including oxygen support,blood glucose control,blood pressure,anticoagulation,proper diet,correct body water and electrolyte balance,anti-infective,anti-complications as well as scientific rehabilitation guidance to patients.Patients in the treatment group received extra “moxibustion,intermediate frequen-cy electric acupoint massage”therapy treatment apart from the same therapies as the control group applied.Fifteen days was one treat-ment course.After 2 courses of treatment,the patients clinical symptoms were compared,and the syndrome score improvement and chan-ges with fatigue severity scale (FSS)and the Quality of Life Scale dedicated stroke (SS-QOL)of patients with post-stroke fatigue were evaluated.The therapeutic effects of the two groups were compared.Results:The response rate of the control group was 73.3%,and that of the treatment group was 91.3%,and the difference between the groups was statistically significant (P <0.05).Clinical symptoms of patients in both groups were improved after treatment,including fatigue,joint pain,muscle aches,sweating,anorexia,poor sleep,head-aches,and other emotional discomfort and symptom scores,and the treatment group improved more obviously (P <0.05).Before treat-ment,Fatigue Severity Scale (FSS)and stroke special quality of life scale (SS-QOL)points showed no significant difference between the two groups (P >0.05);after treatment,fatigue severity scale (FSS)of patients of the both groups were decreased,and quality of life scale before special stroke (SS-QOL)increased,and patients in treatment group got better outcomes (P <0.05).Conclusion:The appli-cation of moxibustion and intermediate frequency electrical acupoint massage combined with western medicine treating post stroke fatigue is a feasible and effective treatment option.It can nourish the yuan qi and consolidate the root,sooth and benefit qi,activate blood so as to effectively relieve clinical symptoms mainly manifested with fatigue,improve quality of life and hence treat both the tip and root of the disease.The therapy shall good therapeutic effect with few side effects,which is worthy of generalization.关键词
中西医结合/脑卒中后疲劳康复/理中益气活血化瘀/固本培元/效果观察Key words
Integrative Medicine/Fatigue recovery after stroke/Soothing qi and activating blood/Consolidating the root and nourish the yuan qi/Observation on effects分类
医药卫生引用本文复制引用
李兰华,郑健..中西医结合治疗在脑卒中后疲劳康复中的效果观察[J].世界中医药,2014,(9):1155-1157,1161,4.基金项目
海南省卫生厅资助基金“基于表面肌电分析的脑梗塞作业治疗模式研究” （）
