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灯盏细辛联合“中枢整合”技术对急性缺血性脑卒中患者下肢运动功能障碍的临床疗效▲
Clinical efficacy of Erigeron breviscapus combined with the ″central integration″ technique on lower limb dyskinesia in patients with acute ischemic stroke

内科 202318卷03期 页码:223-227

作者机构:广西贵港市人民医院康复医学科,贵港市537100

基金信息:▲基金项目:广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20180121),广西贵港市科技开发计划项目课题(贵科攻2200021)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2023.03.05

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目的研究灯盏细辛联合“中枢整合”技术对急性缺血性脑卒中患者下肢运动功能障碍的临床疗效。方法将120例急性缺血性脑卒中患者随机分为3组,每组40例。研究过程中治疗1组脱落3例,治疗2组脱落1例,对照组脱落3例。对照组行常规对症治疗和常规康复训练,在对照组的基础上,治疗1组予灯盏细辛注射液治疗,治疗2组予灯盏细辛注射液联合“中枢整合”治疗。比较三组患者治疗第1天、第14天、第28天的Berg平衡量表(BBS)评分、功能性步行分级(FAC)评分和起立-行走计时测试(TUGT)时间。结果三组患者的BBS评分差异无统计学意义(P>0.05),三组患者在不同时间点的BBS评分差异有统计学意义(P<0.05),时间与组别存在交互效应(P<0.05)。三组患者FAC评分差异有统计学意义(P<0.05),三组患者在不同时间点的FAC评分差异有统计学意义(P<0.05),时间与组别存在交互效应(P<0.05)。三组患者的TUGT时间差异无统计学意义(P>0.05),三组患者在不同时间点的TUGT时间差异有统计学意义(P<0.05),时间与组别存在交互效应(P<0.05)。结论灯盏细辛联合“中枢整合”技术干预可改善急性缺血性脑卒中患者下肢运动功能障碍,提高患者平衡、功能性步行能力。
ObjectiveTo study the clinical efficacy of Erigeron breviscapus combined with the ″central integration″ technique on lower limb dyskinesia in patients with acute ischemic stroke. MethodA total of 120 patients with acute ischemic stroke were randomly divided into 3 groups, with 40 patients in each group. During the research, 3 cases fell off in the treatment group 1, 1 case fell off in the treatment group 2, and 3 cases fell off in the control group. The control group was treated with routine symptomatic treatment and conventional rehabilitation training, based on which the treatment group 1 was treated with Erigeron breviscapus injection, and the treatment group 2 was treated with Erigeron breviscapus injection combined with ″central integration″. The Berg Balance Scale (BBS) score, Functional Ambulation Category (FAC) score, and Timed ″Up and Go″ test (TUGT) time on the 1st, 14th, and 28th days of treatment were compared between the three groups. ResultsThere was no statistically significant difference in the BBS score between the three groups (P>0.05), but there was a statistically significant difference in the BBS score of the three groups at different time points (P<0.05), and there existed a time*group interaction effect (P<0.05). There were statistically significant differences in the FAC score between the three groups and in the FAC score of the three groups at different time points (all P<0.05), and there existed a time*group interaction effect (P<0.05). There was no statistically significant difference in TUGT time between the three groups (P>0.05), but there was a statistically significant difference in TUGT time of the three groups at different time points (P<0.05), and there existed a time*group interaction effect (P<0.05). ConclusionThe intervention of Erigeron breviscapus combined with the ″central integration″ technique can improve the lower limb dyskinesia, as well as the balance and functional walking abilities in patients with acute ischemic stroke.

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