地黄饮子对脑卒中恢复期临床疗效的影响

2016-08-18林辽宁省残疾人康复中心辽宁沈阳110015

中国现代医生 2016年15期

关键词：疗效

唐　林辽宁省残疾人康复中心，辽宁沈阳　110015

地黄饮子对脑卒中恢复期临床疗效的影响

唐林
辽宁省残疾人康复中心，辽宁沈阳110015

目的探讨地黄饮子对脑卒中恢复期（喑痱）临床疗效的影响。方法选取2015年1～12月我院脑卒中恢复期患者50例，随机分为治疗组和对照组各25例。对照组给予常规内科治疗及康复，治疗组在此基础上内服地黄饮子，3个月后判定疗效，分别以简化FMA评定表、改良的Frenchay构音障碍评定法评价运动及言语功能。结果治疗组的有效率92%，显著优于对照组的76%。两组的FMA及Frenchay评定分值较治疗前明显提高，治疗组与对照组比较，差异有统计学意义（P＜0.05）。结论地黄饮子在恢复神经功能缺损方面应用前景广阔，对改善脑卒中患者运动及言语功能疗效确切。

地黄饮子；喑痱；脑卒中；偏瘫

［Abstract］Objective To explore the effects of Dihuang Yinzi on clinical curative effects of cerebral apoplexy convalescence（Yinfei，sequela of apoplexy）.M ethods 50 patients with cerebral apoplexy convalescence in our hospital from January 2015 to December 2015 were selected.They were randomly assigned to the treatment group and the control group，with 25 patients in each group.The control group was given regularmedical treatment and rehabilitation，and the treatment group was given Dihuang Yinzi on the basis of the regularmedical treatment.Curative effectswere determined after 3months，and and simplified FMA evaluation form，and modified Frenchay dysarthria evaluation form were used to evaluate themotor function and speech function.Results The effective rate was 92%in the treatment group，significantly better than 76%in the control group.FMA and Frenchay evaluation scores in both groupswere significantly improved compared with those before the treatment，and there was significant difference between the treatment group and the control group（P＜0.05）.Conclusion Dihuang Yinzi has a broad application prospect in recovering neurologic impairment，and has a exact curative effect on improving motor and speech function in the patients with cerebral apoplexy.

［Key words］Dihuang Yinzi；Yinfei（sequela of apoplexy）；Cerebral apoplexy；Hemiplegia

地黄饮子是出自《黄帝素问宣明论方》治疗喑痱的经典方。喑痱的主要表现是舌强不能言语，足废不能行走，与现代医学脑卒中发病后的临床表现相一致。脑卒中是目前高致残率的难治性疾病，对患者的健康和生存质量造成极大影响［1，2］。本病发生后的偏瘫等症状是可以改善的，残存的脑组织具有可塑性［3，4］，有效的治疗手段对预后影响较大。我们应用地黄饮子对脑卒中恢复期患者进行干预，疗效满意，现报道如下。