杨天玉 谢腾

[摘要] 目的 探讨中西醫结合治疗脑卒中偏瘫的临床疗效。 方法 选取我院2016年1月～2017年 1月收治的80例脑卒中偏瘫患者作为研究对象，根据治疗方法不同随机分为观察组与对照组，每组各40例，两组均进行系统的康复训练、均接受神经内科常规药物治疗，观察组同时加用偏瘫复原汤，两组均连续治疗4周。治疗后，对两组的临床疗效及两组患者治疗前后的日常生活活动能力、下肢运动功能及生活质量改善情况进行评价。 结果 治疗后观察组的临床总有效率为90.0%，显著高于对照组，差异具有统计学意义（P<0.05）。治疗后两组患者BI、FMA评分均较治疗前显著提高，且观察组的BI、FMA评分显著高于对照组，组间比较，差异具有统计学意义（P<0.05）。治疗后两组患者SS-QOL评分均较治疗前显著提高，且观察组的SS-QOL 评分显著高于对照组，组间比较，差异具有统计学意义（P<0.01）。 结论 中西医结合治疗脑卒中偏瘫可以显著提高临床疗效，促进运动功能恢复，提高患者的生活自理能力，从而显著改善患者的生活质量。

[关键词] 脑卒中偏瘫；中西医结合；偏瘫复原汤；日常生活活动能力；下肢运动功能

[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2018）15-0098-03

Clinical observation on treating 40 cases of stroke hemiplegia with integrated traditional Chinese and western medicine

YANG Tianyu XIE Teng

Integrative Chinese and Western Internal Medicine， Zhejiang Elderly Care Hospital， Hangzhou 310015， China

[Abstract] Objective To investigate the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of stroke hemiplegia. Methods 80 stroke patients with hemiplegia from January 2016 to January 2017 admitted in our hospital were selected as the study objects. According to the different treatment methods， they were randomly divided into observation group and control group， with 40 cases in each group. Both groups underwent systematic rehabilitation training and routine medical treatment of neurology. The observation group was also given Piantan Fuyuan decoction. The two groups were treated for 4 weeks. After treatment， the clinical efficacy of both groups and daily living activities， lower extremity motor function and the improvement of quality of life between two groups were evaluated. Results The total effective rate of the observation group after treatment was 90.0%， which was significantly higher than that of the control group， there was significant difference between the two groups（P<0.05）. The scores of BI and FMA in both groups after treatment were significantly higher than those before treatment， and the scores of BI and FMA in the observation group were significantly higher than those in the control group， the differences between the two groups were statistically significant（P<0.05）. The SS-QOL scores of both groups after treatment were significantly higher than those before treatment，and the SS-QOL score of the observation group was significantly higher than that of the control group， there was significant difference between the two groups（P<0.01）. Conclusion The traditional Chinese and western medicine in the treatment of stroke hemiplegia can significantly improve the clinical curative effect， promote the recovery of motor function， improve the self-care ability of patients， thus significantly improving the quality of life of patients.

[Key words] Stroke hemiplegia； Integrative Chinese and western medicine； Piantan Fuyuan decoction； Daily living ability； Lower extremity motor function

腦卒中（stroke）又称脑中风，是一种脑血液循环障碍性突发疾病，临床上表现为永久性或一过性的脑功能障碍[1]。脑卒中好发于中老年人，致残率及致死率较高，且多合并偏瘫，给患者带来极大的痛苦，严重影响患者的生活质量。目前对脑卒中偏瘫西药尚无明确有效的药物。近年来研究发现中药治疗脑卒中偏瘫有其独特的优势，有利于促进患者神经功能的康复以及促进患者肢体运动功能的恢复，从而提高患者的生活自理能力，改善患者的生存质量[2-4]。2016年1月～2017年 1月，我院应用中西医结合方法治疗脑卒中偏瘫患者40例，取得了较好的疗效，现报道如下。

1 资料与方法

1.1 临床资料

选取我院2016年1月～2017年 1月收治的80例脑卒中偏瘫患者作为研究对象，临床表现均为为一侧肢体乏力、偏瘫、活动不便。……