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陈旗,$2,王红星,单春雷,王翔,$2.脑心通胶囊和康复训练综合应用对偏瘫患者的作用分析[J].中国康复医学杂志,2006,21(7):621~623648
脑心通胶囊和康复训练综合应用对偏瘫患者的作用分析    点此下载全文
陈旗  $2  王红星  单春雷  王翔  $2
南京医科大学第一附属医院康复医学科,210029
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摘要:
      目的:观察脑心通胶囊和康复训练对缺血性脑血管病偏瘫患者运动功能、血脂和脑血液循环的影响。方法:选择符合西医脑梗死诊断标准的缺血性脑血管病偏瘫患者80例。随机分为3组:单纯脑心通胶囊组、脑心通胶囊加康复训练组、同类中成药胶囊组(对照组),连续4周服药和训练。治疗前后各组分别接受神经功能缺损评定、Fugl-Meyer运动功能评定、改良巴氏指数评定、血脂检查、颈动脉超声多普勒、头部红外热像。结果:3组患者治疗后神经功能缺损、Fugl-Meyer和Barthel指数均较治疗前有明显改善(P〈0.01).Barthel指数在脑心通加康复组较单纯脑心通组和对照组明显提高(P〈0.05),总胆固醇、甘油三酯在脑心通加康复组及单纯脑心通组治疗后明显改善(P〈0.05)。3组脑血流检测和红外热像检测均未能显示对脑血液循环改善的作用。结论:脑心通胶囊结合康复训练能明显改善患者日常活动能力和血脂水平,效果比单纯用药好。
关键词:脑梗死 脑心通 康复训练 功能 日常活动能力 血脂
Effects of Naoxintong capsule and rehabilitation training on patients with hemiplegia    Download Fulltext
CHEN Qi  WANG Tong  WANG Hongxing  et al
Dept. of Rehabilitation Medicine,First Affiliated Hospital of Nanjing Medical University,Nanjing, 210029
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Abstract:
      Objective:To observe the effects of Naoxintong(N) capsule and rehabilitation training on the brain circulation,blood lipid level and the motor function of the patients with hemiplegia.Method: Eighty patients with ischemic cerebrovascular disease were chosen according to the diagnosis standard of cerebral infarction or lacunar infarction. They were divided randomly into three groups:Naoxintong(N Capsule),Naoxintong/Rehabilitation training(N+R), similar capsule(control) groups. The assessment included grading criterion of nerve function defect(NFD),Fugl-Meyer Assessment (FMA) and the modified Barthel index(MBI). They were used to measure the motor function and extent of neurological deficit. Transcranial Doppler of carotid artery(TCD),infrared thermography of the head and blood lipid level were taken to assess the function of brain circulation before and after 4-week treatment.Result:NFD,FMA,and MBI in three groups of post-treatment improved significantly than those of pre-treatment(P<0.01). MBI in N+R group increased significangly than that in N-group and similar capsule group after treatment(P<0.05). The level of blood lipid reduced significantly in N-group and N+R group(P<0.05). But brain blood flow detected by TCD and the value of infrared thermography showed no significantly differences in three groups after treatment.Conclusion:N Capsule and N+R training have better effects in improving the activities of daily living and blood lipid level in patients with hemiplegia.
Keywords:cerebral infarction  Naoxintong capsule  rehabilitation exercise  function  activities of daily living  blood lipid level
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