通络洗剂烫洗治疗缺血性脑卒中患者肢体功能障碍的临床研究

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摘要目的探讨通络洗剂烫洗治疗缺血性脑卒中患者肢体功能障碍的临床效果。方法选取2018年1月～2019年1月本院收治的80 例缺血性脑卒中后肢体功能障碍患者，按照随机数字表法分为两组，各40 例。对照组通过康复治疗，主要以肢体良肢位摆放为主进行干预，观察组则联合应用通络洗剂进行干预，对所有入组者随访6 个月，比较两组干预后6 个月踝关节与肩关节活动能力；比较两组干预后6 个月上下肢肌力情况；比较两组干预后6个月关节相关并发症情况；比较干预后改良爱丁堡-斯堪的那维亚卒中量表（MESSS）评分与整体生活质量Barthel 指数变化情况。结果随访6 个月，观察组踝关节活动度高于对照组，肩关节内旋、外旋及上举角度均大于对照组（P＜0.05），观察组上下肢肌力在4 级和以上比例高于对照组（P＜0.05），观察组肩关节半脱位、髋关节半脱位、关节挛缩、关节僵硬的比例均低于对照组（P＜0.05），观察组MESSS 评分低于对照组（P＜0.05），Barthel 指数高于对照组（P＜0.05）。结论针对缺血性脑卒中偏瘫患者在康复治疗基础上应用通络洗剂烫洗，可有效改善患者功能，提高肢体肌力，减少关节相关并发症，促进神经功能恢复，提高患者生活质量。

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	王磊
	员静
	王白玲

关键词 ：通络洗剂烫洗, 缺血性脑卒中, 肢体功能障碍, 关节功能, 肢体肌力

Abstract：Objective To investigate the clinical effect of Tongluo Lotion bath treating limb dysfunction in patients with ischemic stroke. Methods A total of 80 cases with limb dysfunction after ischemic stroke admitted to our hospital from January 2018 to January 2019 were selected and divided into two groups with 40 cases in each group according to the random number table method.The control group received rehabilitation treatment and mainly intervened by placing good limbs, while the observation group received intervention combined with Tongluo Lotion.All the participants were followed up for 6 months, and the ankle joint and shoulder joint mobility after 6 months of intervention were compared between the two groups.The muscle strength of upper and lower limbs of the two groups were compared after 6 months of intervention.The joint-related complications 6 months after intervention were compared between the two groups.The changes of modified Edinburgh-Scandinavian stroke scale (MESSS) score and Barthel index of overall quality of life after intervention were compared. Results After 6 months of follow-up, the ankle joint activity in the observation group was higher than that in the control group, and the internal rotation, external rotation and lifting angles of the shoulder joint were all higher than those in the control group (P＜0.05).The proportion of upper and lower limb muscle strength in the observation group was higher than that in the control group (P＜0.05).The proportions of shoulder subluxation,hip subluxation, joint contracture and joint ankylosis in the observation group were all lower than those in the control group (P＜0.05).The MESSS score in observation group was lower than that in control group (P＜0.05), the Barthel index was higher than that in control group (P＜0.05). Conclusion Bath with Tongluo Lotion on the basis of rehabilitation therapy for hemiplegic patients with ischemic stroke can effectively improve the patient′s function, improve limb muscle strength, reduce joint-related complications, promote the recovery of neurological function and improve the quality of life of patients.

Key words： Tongluo Lotion bath Ischemic stroke Limb dysfunction Joint function, Limb muscle strength

引用本文:

王磊; 员静; 王白玲. 通络洗剂烫洗治疗缺血性脑卒中患者肢体功能障碍的临床研究[J]. 中国当代医药, 2020, 27(15): 179-182.
WANG Lei ; YUN Jing ; WANG Bai-ling. Clinical study of Tongluo Lotion bath treating limb dysfunction in patients with ischemic stroke. 中国当代医药, 2020, 27(15): 179-182.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I15/179

[1]	姚虹，江莹莹，陈春晓.中药熏蒸辅助康复治疗脑梗死痉挛性偏瘫临床研究[J].新中医，2019，51（11）：274-276.
[2]	唐艳，高加林，李佳，等.针刺疗法联合化痰通络解痉汤及中药熏蒸对卒中后痉挛性瘫痪康复的效果评估[J].河北中医，2019，41（7）：1067-1071.
[3]	唐凯.除痹通络汤熏蒸联合针灸治疗颈肩腰腿痛的临床疗效[J].临床合理用药杂志，2019，12（24）：161-162.
[4]	韩颖，朱彬，耿艳，等.补肾健脾通络汤联合中药熏蒸及针灸治疗骨质疏松症临床价值评估[J].四川中医，2019，37（3）：153-156.
[5]	王晓炯.疏筋通络疗法治疗腰椎间盘突出症临床观察[J].光明中医，2018，33（15）：2187-2188.
[6]	柯巧玲.中药熏蒸联合西药疗法治疗肾虚督寒型强直性脊柱炎的临床研究[D].武汉：湖北中医药大学，2018.
[7]	王雪莲，毛芝芳.活血通络中药熏蒸联合综合康复训练治疗脑梗死后肩手综合征疗效及对CGRP、NO、ET-1 水平的影响[J].中华中医药学刊，2018，36（4）：1004-1006.
[8]	张国永.除痹通络汤熏蒸联合针灸辨治100 例颈肩腰腿痛的临床效果观察[J].北方药学，2017，14（9）：27.
[9]	吕荪荪，周文军.自拟活血通络舒筋方熏蒸结合运动疗法治疗卒中后肩痛30 例[J].浙江中医杂志，2017，52（6）：425.
[10]	陈琛，王钢.健步通络熏蒸液治疗未分化脊柱关节病60 例体会[J].中医临床研究，2016，8（36）：107-108，112.
[11]	吴香香，薛鸾.中药熏蒸治疗产后身痛32 例疗效观察[J].实用妇科内分泌杂志（电子版），2016，3（21）：104-105.
[12]	郑修明.除痹通络经验方熏蒸联合针灸辨治颈肩腰腿痛疗效观察[J].现代诊断与治疗，2016，27（23）：4425-4426.
[13]	王利洪.除痹通络汤熏蒸联合针灸辨治颈肩腰腿痛51 例[J].河南中医，2016，36（7）：1272-1274.
[14]	郭宸豪，刘又文，张晓东，等.中药内服、熏蒸联合舒筋通络手法治疗髋痹30 例[J].西部中医药，2015，28（12）：111-112.
[15]	赵志强，阎晓霞.化瘀通络法熏蒸联合推拿治疗膝骨关节炎50 例[J].中医研究，2015，28（9）：14-15.
[16]	朱麟轶，宋亚飞.自拟温阳活血通络方中药熏蒸疗法结合普通针刺治疗动脉硬化性闭塞症17 例[J].临床合理用药杂志，2016，9（26）：169-170.
[17]	王红斌，彭小平，徐健，等.除痹通络汤熏蒸联合针灸辨治颈肩腰腿痛的临床观察[J].陕西中医，2015，36（3）：330-332.
[18]	余文宝，倪媚媚，熊雪梅，等.中医综合疗法治疗膝骨关节炎60 例临床观察[J].中国中医药科技，2014，21（5）：592.