The Effect Of The Prescription Of Strengthening Spleen,Nourishing Kidney And Activating Circulation Plus Kinesiotherapy On The Blood Circulation In Ischemic Area Of Patients With Cerebral Infarction

Objectives: Taking the patients with cerebral infarction at convalescence(the type of deficiency of spleen and kidney)as the research object,to compare the changes before and after the treatment about the TCM syndromes' score,the NIHSS scale,the ability of daily life(Activities of Daily living,ADL)-modified Barthel index(MBI),this essay further confirms the clinical curative effect of the treatment of cerebral infarction at convalescence(the type of deficiency of spleen and kidney)by the method of supporting the healthy energy.According to the differences of PWI and ROI of the patients before and after the treatment,this essay also explores the influence of the prescription of strengthening spleen,nourishing kidney and activating circulation plus kinesiotherapy on cerebral microcirculation and functional recovery.Methods: This study successively admitted patients with cerebral infarction at convalescence(the type of deficiency of spleen and kidney).75 cases of patients meeting the criteria were divided into 3 groups at random:control group A,treatment group B,and treatment group C,25 cases in each group.Control group A employed basic treatment,treatment group B employed basic treatment plus the prescription of strengthening spleen,nourishing kidney and activating circulation,and treatment group C employed the prescription of strengthening spleen,nourishing kidney and activating circulation plus kinesiotherapy.In the experiment,3cases fall off respectively in group A and B,and 4 cases fall off in group C,so actually 65 cases of patients were experimented for the total of continuous treatment for 14 days.All groups were evaluated with the TCM syndromes score,the NIHSS scale,and modified barthel index(MBI)at the beginning and the end of the treatment.Meanwhile,each member in these groups was examined by PWI,and the r CBF,r CBV and MTT in ROI were all measured.Results:1.14 days later,TCM syndrome scores were obviously improved after treatment in comparison with those before treatment(P>0.05)of patients of in the same group.Besides,Group B was descended more obviously than Group A,and the difference was statistically significant(P<0.05);Group C were descended more obviously than Group A,and the difference was statistically significant(P<0.05);there was no statistical significance(P>0.05)when group C was compared with group B.2.14 days later,the NIHSS scale scores after treatment were obviously descended in comparison with those before treatment(P>0.05)of patients in the same group,and the difference is statistically significant(P<0.05).Besides,Group B was descended more obviously than group A,and the difference was statistically significant(P<0.05);Group C was descended more obviously than group A,and the difference was statistically significant(P<0.01);Group C was descended more obviously than group B,and the difference was statistically significant(P<0.05).3.14 days later,the MBI scores after treatment were obviously boosted in comparison with those before treatment(P>0.05)of the patients in the same group,and the difference was statistically significant(P<0.05).Besides,Group C was boosted more obviously than Group A,and the difference was statistically significant(P<0.01);Group B was boosted more obviously than Group A,and the difference was statistically significant(P<0.05),Group C was boosted more obviously than Group B,and the difference was statistically significant(P<0.05).4.14 days later,the values of r CBF and r CBV after treatment were obviously ascended and the values of MTT descended in comparison with those before treatment(P>0.05)of the patients in the same group,and the difference was statistically significant(P<0.05).Besides,(1)the values of r CBF and r CBV in Group B were improved more obviously than those in Group A,and the difference was statistically significant(P<0.05);the values of r CBF and r CBV in Group C were improved more obviously than those in Group A,and the difference was statistically significant(P<0.01);the values of r CBF and r CBV in Group C were improved more obviously than those Group B,and the difference was statistically significant(P<0.05).(2)the value of MTT in Group B was improved more obviously than that in Group A,and the difference was statistically significant(P<0.05);the value of MTT in Group C was improved more obviously than that in Group A,and the difference was statistically significant(P<0.01);the value of MTT in Group C was improved more obviously than that in Group B,and the difference was statistically significant(P<0.05).Conclusion:1.The prescription of strengthening spleen,nourishing kidney and activating circulation can obviously improve the TCM syndromes,neurologic impairment and the activities of daily living of patients with cerebral infarction at convalescence(the type of deficiency of spleen and kidney),and after this prescription is combined with Kinesiotherapy,the effect is more obvious.2.The prescription of strengthening spleen,nourishing kidney and activating circulation can obviously improve the blood circulation in ischemic area of patients with cerebral infarction at convalescence(the type of deficiency of spleen and kidney),and after this prescription is combined with Kinesiotherapy,the effect is more obvious.