自拟中风疼痛汤治疗缺血性脑卒中后躯体疼痛的效果分析
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摘要
目的研究中风疼痛汤对缺血性脑卒中后躯体疼痛的治疗效果。方法选取2017年4～12月我院收治的缺血性脑卒中后躯体疼痛患者88例,随机分为两组,其中观察组44例,采取我院自拟中风疼痛汤治疗;对照组采取常规西药治疗。对两组患者的治疗效果、日常生活能力评分(ADL)及神经功能缺损评分(NIHSS)进行比较。结果观察组治疗有效率为95.5%,相比对照组79.5%明显提高(P <0.05);观察组患者治疗后ADL评分为(84.79±5.17)分,相比对照组的(61.93±6.02)分明显增加(P <0.05);观察组患者治疗后NHSS评分为(14.62±2.11)分,相比对照组的(19.58±2.71)分明显减少,差异具有统计学意义(P <0.05)。结论临床上对缺血性脑卒中后躯体疼痛患者采取中风疼痛汤治疗,可提高治疗效果,减轻神经损伤症状,改善患者生活质量,值得在临床推广。
Objective To study the curative effect of self-made zhongfeng tengtong decoction in treatment of physical pain after ischemic stroke. Methods Eighty-eight patients with physical pain after ischemic stroke who were admitted and treated in our hospital from April 2017 to December were selected and they were randomly divided into two groups.44 patients in the observation group were treated by self-made zhongfeng tengtong decoction of our hospital while the control group was treated by routine western medicine.Curative effects,activities of daily living(ADL) score and National Institutes of Health Stroke Scale(NIHSS) score of patients in two groups were compared. Results The effective rate of treatment in the observation group was 95.5%,which was significantly higher than 79.5% in the control group(P < 0.05).After treatment,the ADL score of the observation group was(84.79±5.17),which was significantly higher than(61.93±6.02) in the control group(P < 0.05).After treatment,the NHSS score of the observation group was(14.62±2.11),significantly lower than(19.58±2.71) in the control group.The differences were statistically significant(P < 0.05). Conclusion The self-made zhongfeng tengtong decoction in clinical treatment of patients with physical pain after ischemic stroke can improve the curative effect,relieve symptoms of nerve damage and improve the quality of life of patients,which is worthy of clinical promotion.
Objective To study the curative effect of self-made zhongfeng tengtong decoction in treatment of physical pain after ischemic stroke. Methods Eighty-eight patients with physical pain after ischemic stroke who were admitted and treated in our hospital from April 2017 to December were selected and they were randomly divided into two groups.44 patients in the observation group were treated by self-made zhongfeng tengtong decoction of our hospital while the control group was treated by routine western medicine.Curative effects,activities of daily living(ADL) score and National Institutes of Health Stroke Scale(NIHSS) score of patients in two groups were compared. Results The effective rate of treatment in the observation group was 95.5%,which was significantly higher than 79.5% in the control group(P < 0.05).After treatment,the ADL score of the observation group was(84.79±5.17),which was significantly higher than(61.93±6.02) in the control group(P < 0.05).After treatment,the NHSS score of the observation group was(14.62±2.11),significantly lower than(19.58±2.71) in the control group.The differences were statistically significant(P < 0.05). Conclusion The self-made zhongfeng tengtong decoction in clinical treatment of patients with physical pain after ischemic stroke can improve the curative effect,relieve symptoms of nerve damage and improve the quality of life of patients,which is worthy of clinical promotion.
引文
[1]刘红彬.中西医结合治疗中风后半身疼痛的疗效观察[J].中西医结合心血管病电子杂志,2015,22(23):57-58.
[2]中华医学会神经病学分会脑血管病学组,急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010;43(2):146-153.
[3]陈丽云.中西医结合治疗中风后半身疼痛的研究现状观察[J].哈尔滨医科大学学报,2011,25(4):364-365.
[4]陈云素.日常生活能力评分在乳腺癌患者中的应用[J].实用医学杂志,2013,29(1):138-139.
[5]孟文婷,李东翔,佟玲.缺血性脑卒中的治疗研究进展[J].中国新药杂志,2016,25(10):1114-1120.
[6]陈诗源.自拟中风疼痛汤治疗脑卒中后半身疼痛临床观察[J].深圳中西医结合杂志,2016,26(3):56-58.
[7]尹爱兵.加味平胃散治疗中风后胃肠功能障碍的临床观察[J].中西医结合心脑血管病杂志,2013,11(3):332-333.
[8]王学平,张占鹏,常晶晶,等.自拟中风疼痛汤治疗中风后半身疼痛的临床疗效及NHSS、ADL评分变化观察[J].世界中西医结合杂志,2017,12(2):238-240.
[9]葛金霞.中西医联合治疗中风后半身疼痛的疗效及安全性评价[J].中国医药导刊,2014,13(8):418-419.
[10]崔秀芳.针刺治疗中风偏瘫肢体疼痛的疗效观察[J].中国民间疗法,2014,22(11):16-17.
[11]方圆.中风疼痛汤治疗中风后半身疼痛15例病例报告[J].中国实用医药,2015,18(29):186-187.
[12]杨勋名.中风后半身疼痛的治疗效果及功能评分研究[J].中医临床研究,2012,30(12):261-264.
[13]韩建九.中风疼痛汤治疗中风后半身疼痛患者的临床效果分析[J].中国继续医学教育,2016,8(2):190-191.
[14]孙利宁.中西医结合治疗中风后肢体疼痛麻木45例[J].实用中医药杂志,2015,31(2):112-113.
[15]熊涛.中风疼痛汤治疗中风后半身疼痛的效果观察[J].光明中医,2016,31(20):2964-2965.
[2]中华医学会神经病学分会脑血管病学组,急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010;43(2):146-153.
[3]陈丽云.中西医结合治疗中风后半身疼痛的研究现状观察[J].哈尔滨医科大学学报,2011,25(4):364-365.
[4]陈云素.日常生活能力评分在乳腺癌患者中的应用[J].实用医学杂志,2013,29(1):138-139.
[5]孟文婷,李东翔,佟玲.缺血性脑卒中的治疗研究进展[J].中国新药杂志,2016,25(10):1114-1120.
[6]陈诗源.自拟中风疼痛汤治疗脑卒中后半身疼痛临床观察[J].深圳中西医结合杂志,2016,26(3):56-58.
[7]尹爱兵.加味平胃散治疗中风后胃肠功能障碍的临床观察[J].中西医结合心脑血管病杂志,2013,11(3):332-333.
[8]王学平,张占鹏,常晶晶,等.自拟中风疼痛汤治疗中风后半身疼痛的临床疗效及NHSS、ADL评分变化观察[J].世界中西医结合杂志,2017,12(2):238-240.
[9]葛金霞.中西医联合治疗中风后半身疼痛的疗效及安全性评价[J].中国医药导刊,2014,13(8):418-419.
[10]崔秀芳.针刺治疗中风偏瘫肢体疼痛的疗效观察[J].中国民间疗法,2014,22(11):16-17.
[11]方圆.中风疼痛汤治疗中风后半身疼痛15例病例报告[J].中国实用医药,2015,18(29):186-187.
[12]杨勋名.中风后半身疼痛的治疗效果及功能评分研究[J].中医临床研究,2012,30(12):261-264.
[13]韩建九.中风疼痛汤治疗中风后半身疼痛患者的临床效果分析[J].中国继续医学教育,2016,8(2):190-191.
[14]孙利宁.中西医结合治疗中风后肢体疼痛麻木45例[J].实用中医药杂志,2015,31(2):112-113.
[15]熊涛.中风疼痛汤治疗中风后半身疼痛的效果观察[J].光明中医,2016,31(20):2964-2965.