| Objective: Traditional medicine thinks, Stroke has the characteristics of high iincidence, high disability rate and high fatality rate, Since entering twenty-frst Century, with the improvement of the quality of modern life of human beings, Acceleration of daily life and work rhythm, All aspects of the psychological load to increase, Reduced exercise, The incidence of the disease is obviously higher, With the continuous development of modern medical treatment, the mortality of cerebral apoplexy has gradually declined, and the rate of disability after stroke is increasing year by year, To the patient’s physical and mental health has caused the harm, At the same time, the psychological shadow of the patients and families, to the family and social economic pressure. Safe, timely and effective treatment with manual rehabilitation training is the key to improve the degree of improvement in patients with motor dysfunction, reduce the sequelae, and the rapid decline of disability rate. Diagnosis and treatment of cerebral apoplexy in acute stage,Routine western medicine treatment includes, thrombolytic, elimination of brain edema, reducing intracranial pressure, anti platelet aggregation,expansion of blood volume two, reducing fibrinogen, resistance to coagulation,surgery and vascular intervention, neural stem cell transplantation and other surgical treatment, These treatments can effectively save the patient’s life in time, Promote stable disease, in order to high quality of cerebral vascular disease in the two prevention has played a positive role. But we can still see a lot of stroke sequelae in patients with serious physical movement disorders,this also caused some patients to live can not take care of themselves, can not return to work and social. In the medical profession, the way of rehabilitationhas been considered a good adjuvant therapy, can effectively improve the limb movements and activities of daily living in stroke patients with hemiplegia,generally carried out such treatment, so that various degrees of left over after stroke greatly reducing the number of people with disabilities. However, for patients with acute stroke, the majority still is in the elderly, They all belong to the deficiency of Qi and blood stasis type in the syndrome differentiation of TCM syndrome type, For patients with this type of syndrome, in the period of physical exertion, it is extremely easy to produce fatigue, This is because of the lack of basic exercise capacity, the lack of power of the disease, a serious impact on the improvement of the ability of the late. Adhering to this project combining Chinese and Western medicine treatment medicine essence, in order to further investigate the effect of combination therapy of acute stroke limb movement disorder. In the theory of traditional Chinese medicine, stroke is considered to be a stroke, which is caused by wind, fire, deficiency, phlegm,Qi, and the lesion is located in the brain, and is closely related to Qi deficiency and blood stasis. Qi deficiency and blood stasis is the core of the disease and damage, so the early selection of Qi and blood circulation method for this kind of disease has a strong targeted therapeutic advantage. To control the disease,shorten the course and improve the treatment effect. Supplementing qi and activating blood circulation treatment ideas can be an effective treatment of acute cerebral infarction Qi and Blood. Therefore the purpose of this study is to observe the selection of Yiqi Huoxue Tongluo Decoction Combined maneuvers of rehabilitation training for stroke patients in acute stage of qi deficiency and blood stasis type hemiplegic limb motor function and activities of daily living. In order to optimize treatment of stroke.Methods: In this study, all patients was observed Hospital of Hebei Province in January 2013- August 2014 revenue encephalopathy inpatient, In60 cases of patients with acute cerebral apoplexy(Qi deficiency and blood stasis syndrome) with the standard of the clinical observation, cases of hemiplegia limb motor dysfunction. Will be included in the study of 60 cases of stroke were randomly divided into treatment group(30 cases) and controlgroup(30 cases), The research method follows the principle of complete randomized control. Control group to be treated by the general drug treatment combined with manual rehabilitation training, Included cerebral vasodilators,aspirin enteric coated tablets inhibit platelet aggregation agent and protect brain cells, improve the cerebral metabolism of drugs. Manual rehabilitation training consists of a bed of good limb placed, improvement of the replacement position in the time and manner, how to keep each joint activity and muscle strength training, seats and stance balance exercises, dynamic gait structural adjustment, stairs and other coordination exercises and specific activities of daily living. Treatment group treatment is given neurology general drug treatment manipulation combined with rehabilitation training, and service Yiqi Huoxue Tongluo prescription. Specific drugs are as follows: Astragalus30 g, Chinese angelica 10 g, Cyathula 15 g, Sichuan off 15 g, Loranthaceae 15 g,red peony root 10 g, Chuan Xiong 10 g, safflower 10 g, peach kernel 10 g,earthworm 10 g, Gui 10 g, Codonopsis 20 g, Atractylodes fried 10 g, silkworm10 g, Scorpio 5g, mulberry 10 g,1 dose per day, 2 times / day each morning and evening meal. Treatment and control groups should be given treatment before use in the United States National Institutes of Health Stroke Scale, the NIHSS score, Fugl-Meyer motor function score, daily living index(BI) score,Measured once after each treatment group, as observed indicators in order to assess the efficacy of two cases. Qi deficiency disorders observed for clinical efficacy in patients with acute stroke and blood stasis of hemiplegic limb motor function, and to assess the patient’s movement and to improve life ability.Results: A total of 60 cases were observed, and no cases were removed.Clinical observation: The total effective rate of the treatment group was96.25%, and that of the control group was 78.29%, which was superior to the control group; Two groups of neurological function defect score is a difference,the treatment group in the comprehensive treatment of NIHSS after the treatment of scores were significantly lower than the control group, the difference between the two groups, and there was statistically significant(P<0.05); In the two groups for the improvement of Fugl-Meyer motor function score, the score of Fugl-Meyer in the treatment group was significantly higher than that in the control group after treatment with integrated Chinese and Western medicine, and it was significantly different(P<0.05), and it had statistical significance. In the Barthel index, the Barthel score in the treatment group was significantly higher than that in the control group after treatment with integrated traditional Chinese and Western medicine, with statistical significance(P<0.05). And it can be seen that the difference between the treatment group before and after the treatment group was significantly greater than that of the control group(P<0.05), with a clear difference. In the safety of the treatment, including the treatment group and the control group of two groups of patients, and then received comprehensive treatment are not adverse events.Conclusion: Yiqi Huoxue Tongluo prescription of traditional Chinese medicine combined with the technique of rehabilitation training can significantly improve the hemiplegic limb motor dysfunction of stroke patients in acute stage of qi deficiency and blood stasis type. After 2W treatment, the two groups of treatment programs can improve the Fugl- index and Meyer Bathel score of patients with Qi deficiency and blood stasis in the acute stage,but the treatment group in the recovery of the motor ability and the ability of daily life of the limb of the side of the body is significantly higher than that of the control group. Description in the improvement of the acute phase of qi deficiency and blood stasis type of brain stroke patients ability of activities of daily living, Yiqi Huoxue Tongluo decoction combined with manual rehabilitation treatment than single general western medicine rehabilitation therapy has more advantages in the treatment of. |
PDF Full Text Request