四川中医2023，Vol.41Issue(10)：151-154,4.
自拟丹芪偏瘫汤结合核心肌群训练在脑梗死合并下肢偏瘫患者中的应用及对下肢肌力、表面肌电图的影响
摘要
Abstract
Objective:To explore the application of combination of self-made Danqi Piantan decoction and core muscle group training in treating patients with cerebral infarction and lower extremity hemiplegia and its effects on lower extremity muscle strength and surface electromyography.Methods:94 patients with cerebral infarction complicated with lower extremity hemiplegia treated in the hospital were randomly divided into observation group(47 cases)and control group(47 cases).The patients in control group received routine core muscle group training while the patients in observation group took self-made Danqi Piantan de-coction orally at the same time as core muscle group training,and both groups were treated for 4 weeks.The efficacy,as well as differences in scores of TCM syndromes,trunk control ability,lower extremity muscle strength,lower extremity motor function,surface electromyography parameters and cerebral hemodynamics before and after treatment were compared between the two groups.Results:The total effective rate of observation group after 4 weeks of treatment was 93.62％,which was significantly higher than 78.72％of control group(P＜0.05).The scores of hemiparesthesia,sluggish speech,pale complexion and shortness of breath and fatigue after 4 weeks of treatment were significantly lower in observation group than those in control group(P＜0.05).After 4 weeks of treatment,the scores of Posture Assessment of Stroke Scale(PASS),Composite Spasticity Scale(CSS)and Fugl-Meyer Assessment lower extremity motor function(FMA)of observation group were significantly lower compared with those in control group(P＜0.05).The integral electromyographic value(IEMG)and root mean square value(RMS)of rectus femoris and biceps femoris of observation group were significantly higher compared to control group after 4 weeks of treatment(P＜0.05).The average blood flow velocity of observation group after 4 weeks of treatment was significantly faster than that of control group,and the pulsatility index and resistance index were significantly lower than those of control group(P＜0.05).Conclusion:Self-made Danqi Piantan decoction combined with core muscle group training has an exact efficacy on cerebral infarction with lower extremity hemiplegia,and can effectively relieve the symptoms of hemiplegia,enhance the lower extremity muscle strength,and improve the lower extremity motor function,surface electromyography parameters and cerebral hemodynamics.关键词
自拟丹芪偏瘫汤/核心肌群训练/脑梗死/下肢偏瘫/下肢肌力/表面肌电图Key words
Self-made Danqi Piantan decoction/Core muscle group training/Cerebral infarction/Lower extremity hemiple-gia/Lower extremity muscle strength,Surface electromyography分类
医药卫生引用本文复制引用
韩冰,徐萍,苏莉,周娃妮,于婷婷..自拟丹芪偏瘫汤结合核心肌群训练在脑梗死合并下肢偏瘫患者中的应用及对下肢肌力、表面肌电图的影响[J].四川中医,2023,41(10):151-154,4.基金项目
2020青岛市中医药科技项目(编号:2020-zyy010). （编号:2020-zyy010）
