沈谏卿,沈谏婷,李晓妹,李雅青

• 1:广州中医药大学第二临床医学院广东省中医院
• 2:中山大学附属第三医院

摘要(Abstract)：

目的观察中药离子导入治疗急性脑梗死的疗效。方法患者86例根据治疗措施分为两组,对照组予常规治疗、康复和护理,治疗组患者加用中药离子导入。分析比较两组患者的临床疗效、神经功能缺损(NIHSS)评分、Fugl-Meyer运动功能(FMA)评分、Barthel指数和肌力Lovett评分。结果治疗组的总有效率为95.35%,明显高于对照组的79.07%(P <0.05);两组的NIHSS评分较治疗前降低(P <0.05),治疗组降低更为明显(P <0.05);两组的FMA、Barthel指数、肌力Lovett评分均较治疗前升高(P <0.05),但治疗组升高更为明显(P <0.05)。结论中药离子导入可以提高急性脑梗死的疗效,改善神经功能缺损,提高生活质量。

关键词(KeyWords)： 中药离子导入;急性脑梗死;疗效

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 沈谏卿,沈谏婷,李晓妹,李雅青

参考文献(References)：

• [1] Demaerschalk BM,Kleindorfer DO,Adeoye OM,et al. Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke:a statement for healthcare professionals from the american heart association/american stroke association[J]. Stroke,2016,47(2):581.
• [2] Cereda CW,Petrini L,Azzola A,et al. Sleep-disordered breathing in acute ischemic stroke and transient ischemic attack:effects on short-and long-term outcome and efficacy of treatment with continuous positive airways pressure-rationale and design of the SAS CARE study[J]. International Journal of Stroke Official Journal of the International Stroke Society,2012,7(7):597.
• [3]刘学红. CNP在脑卒中患者康复治疗中的应用[J].中国医药导报,2011,8(17):120-122.
• [4]孙俊英.阿司匹林与氯吡格雷联用对脑梗死急性期高危患者神经功能及生活质量的影响[J].山东医药,2014,11(42):60-62.
• [5]何雪冬,赵秋玲,于国伟.脑梗死血清学危险因素流行病学研究进展[J].西北民族大学学报:自然科学版,2016,37(4):58-61.
• [6]姚碧琦.早期康复护理对急性脑梗死患者功能恢复及生活质量的影响[J].齐齐哈尔医学院学报,2012,33(15):2136-2138.
• [7]陈海勇,雷振东.中医综合治疗方案对急性缺血性脑卒中偏瘫患者FMA评分的影响[J].辽宁中医杂志,2014,15(10):2179-2181.
• [8] Nag A,Rakov VA,Tsalikis D,et al. Characteristics of the initial rising portion of near and far lightning return stroke electricfield waveforms[J]. Atmospheric Research,2012,117(11):71-77.
• [9]倪浩斌,张萃艺,王华政.化痰通络法联合针灸醒脑开窍法治疗急性期脑梗死的临床观察[J].中国中医急症,2016,25(4):707-708.
• [10]任平,孔繁荣,黄爱华.直流电中药离子导入法的临床应用进展[J].当代护士:下旬刊,2010,12(12):5-6.
• [11]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
• [12]中华人民共和国卫生部.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:16-18.
• [13]盛莉.脑卒中患者临床神经功能缺损程度评分标准[J].中国乡村医药,1995,8(1):45.
• [14] Derex L,Nighoghossian N,Hermier M,et al. Early detection of cerebral arterial occlusion on magnetic resonance angiography:predictive value of the baseline NIHSS score and impact on neurological outcome[J]. Cerebrovascular Diseases,2002,13(4):225-229.
• [15] Collin C,Wade DT,Davies S,et al. The Barthel ADL Index:a reliability study[J]. International Rehabilitation Medicine,1988,10(2):61-63.
• [16] de Oliveira R,Cacho EW,Borges G. Post-stroke motor and functional evaluations:a clinical correlation using Fugl-Meyer assessment scale, Berg balance scale and Barthel index[J].Arq Neuropsiquiatr,2006,64(3b):731-735.
• [17] Costa TF,Gomes TM,Viana LR,et al. Stroke:patient characteristics and quality of life of caregivers[J]. Revista Brasileira De Enfermagem,2016,69(5):933.
• [18]董启武.脑梗死中医治疗进展[J].内蒙古中医药,2014,12(36):101-102.