|本期目录/Table of Contents|

[1]张志茹.奥拉西坦联合康复训练治疗脑梗死后遗症期的临床疗效[J].慢性病学杂志,2019,20(08):1140-1143.
　ZHANGZhi-ru.Clinical observation of oxiracetam combined with rehabilitation training in the treatment of sequela of cerebral infarction[J].,2019,20(08):1140-1143.
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奥拉西坦联合康复训练治疗脑梗死后遗症期的临床疗效(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
20
期数:
2019年08期
页码:
1140-1143
栏目:
论　著
出版日期:
2019-07-28

文章信息/Info

Title:
Clinical observation of oxiracetam combined with rehabilitation training in the treatment of sequela of cerebral infarction
作者:
张志茹
辽宁中医药大学附属医院，沈阳 110003
Author(s):
ZHANGZhi-ru
AffiliatedHospital of LiaoningUniversityofTraditional Chinese Medicine,Shenyang110003,China Correspondingauthor:ZHANG Zhi-ru,E-mial:zhangzhirubest@sina.com
关键词:
奥拉西坦; 脑梗死; 后遗症; 康复
Keywords:
Oxiracetam;  Cerebral infarction;  Sequelae;  Rehabilitation
分类号:
R743.3
DOI:
-
摘要:
目的 探讨奥拉西坦联合康复训练治疗脑梗死后遗症期的临床疗效，为临床治疗提供参考。方法 选取 2016年8月—2018年8月辽宁中医药大学附属医院收治的100例脑梗死后肢体功能障碍患者，随机分为对照组及 治疗组，各50例。对照组在基础治疗上给予奥拉西坦治疗，治疗组在对照组基础上加以康复训练，两组均连续治 疗4周。治疗前后，评估并比较两组平衡功能（BBS）、神经功能缺失评估、Barthel评分（BI）、生活质量量表 （SF-36）。结果 治疗前，两组BBS、神经功能缺失、BI评分比较，差异无统计学意义（P>0.05），治疗后， 治疗组BBS和BI评分高于对照组，神经功能缺失评分低于对照组，差异有统计学意义（P<0.05）。治疗前，两组 生活质量评分比较，差异无统计学意义（P>0.05）；治疗后，治疗组SF-36评分各指标均明显高于对照组，差异 有统计学意义（P<0.05）。结论 奥拉西坦联合康复训练治疗能改善脑循环、修复脑损伤、预防患者肌肉的痉挛 和萎缩，增加患肢血液供应量，降低患者的致残率，提高患者预后效果和生活质量等。
Abstract:
Objective To investigate the clinical efficacy of oxiracetam combined with rehabilitation training in the treatment of sequelae of cerebral infarction, and to provide reference for clinical treat-ment.Methods One hundred patients with post-cerebral infarction limb dysfunction admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from August2016 to August 2018 were randomly divided into control group and treatment group,50 cases in each group. The con-trol group was treated with oxiracetam in the basic treatment, and the treatment group was given reha-bilitation training on the basis of the control group. Both groups were treated continuously for 4 weeks. Before and after treatment, balance function（BBS）, neurological deficit assessment, Barthel score （BI）, and quality of life scale（SF-36）in the two groups were evaluated and compared. Results Before treatment, there was no significant difference in BBS, neurological deficit and BI score between the two groups（P>0.05）. After treatment, the BBS and BI scores of the treatment group were high-er than those of the control group, and the neurological deficit score was lower than that of the con-trol group（P<0.05）. Before treatment, there was no significant difference in quality of life scores be-tween the two groups（P>0.05）. After treatment, the SF-36scores of the treatment group were signifi-cantly higher than those of the control group（P<0.05）. Conclusion Oxacetam combined with rehabilita-tion training can improve cerebral circulation, repair brain damage, prevent muscle spasm and atrophy, in-crease blood supply to limbs, reduce disability rate, improve patients’prognosis and qualityof life.

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备注/Memo

备注/Memo:
作者简介：张志茹，硕士，主治医师，研究方向：中医康复 通信作者：张志茹，E-mail：zhangzhirubest@sina.com
更新日期/Last Update: 2019-07-28