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At Consumer Law And Bobath Walking Vent Technology To Improre Clinical Research In Stroke Hemiplegia

Posted on:2010-04-05Degree:MasterType:Thesis
Country:ChinaCandidate:M J HouFull Text:PDF
GTID:2144360275960273Subject:TCM clinical basis
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Stroke is an acute cerebral vascular disease,and more as a result of rupture or acute cerebral vascular occlusion,resulting in partial or total brain dysfunction.Chinese medicine is considered what with disorder of gas-blood,bring on wind,fire,phlegm,haemostasis come into being,leading to blood stagnant in cerebral venation or overflow.Most of the acute phase of stroke are the type of phlegm and blood stasis obstructing,which can easily lead to the triple burners' Qi-activity disorder,led to air-limb disorders.Section is the cerebrovascular common and frequently-occurring disease with high morbidity and mortality, morbidity,about 60~80%of patients in varying degrees left over from motor dysfunction.The way of diffluence is one of the treatment of the law of "Science of Seasonal Febrile Diseases".Treat the heat and dampness evils attending linger triple burners,result to the triple burner gasification-disorder, heat-phlegmon stasis the vein,the behalf formulas is the "Wendan Decoction" to declare open the upper burner,free the middle turner, seepage the under burner,eliminate dampness points,adjusting the air-show of propaganda.Rehabilitation training is to follow the natural law of human growth and development,in accordance with the normal movement patterns,and enhance neuromuscular excitability and improve muscle tone,enhance stability,to strengthen the inhibition of muscle spasms to reduce tension. Inhibition of hemiplegia after stroke motor dysfunction of the abnormal movement patterns.Bobath technology is now used by more people,one of the rehabilitation techniques for the control of the spastic limb emergence, reduce spasticity and increase the body of the extent of motor dysfunction, as well as limb paralysis can be obtained from the motor and sensory limb. Stroke patients with hemiplegia on the functional recovery from certain effects.In this study,TCM treatment and rehabilitation techniques of modern medicine in combination with governance in post-stroke hemiplegia,from the perspective of clinical observation and objective evaluation of diffluence method and Bobath walking vent technology to improve the clinical effects of hemiplegia after stroke,with a view to better used to promote better clinical practice.Methods:The acute phase of stroke patients with hemiplegia 60 cases, 30 cases divided into treatment group,using Wendan Decoction with Bobath rehabilitation technology and hospital treatment combined with conventional drug therapy.30 cases of the control group,the use of conventional hospital treatment.Clinical indicators:improved muscle tone Ashworth grading;Brief Fugl-Meyer assessment of motor function; Bathel improved scoring method.Subjects:two groups of 60 patients from Guangzhou University of Traditional Chinese Medicine First Affiliated Hospital of Internal MedicineⅣpatients.Treatment:1.The treatment group(1) Chinese Medicine:The Decoction Wendan basic side,the composition of its prescriptions Banxia,Zhuru,Zhishi,Jupi,Gancao.Fuling. Compatibility and certification:dizzy gastrodin sputum increase in serious cases,Gouteng;Blood stasis long days:Ezhu,leech;upper limb hemiplegia were Guizhi,Sangzhi,serious cases of lower limb paralysis,Niuxi,xuduan,One who chiropodaligia,Xixin,Xuan Hu.Use of methods:traditional Chinese medicine one dose a day,2 times of oral, per 150 milliliters.(2) Western medicine:use the conventional medical treatment in stroke-related hospitalization.(3) rehabilitation therapy:According to Brunnstrom staging technical training in acrossding to Bobath.Ⅰ,Ⅱperiod:limb should be put in the correct position to prevent the cramps and the common stereotypes of sport.Stand up the training: Training provided to patients suffering from bed to turn over to the side or contralateral.Upper limb training:passive motion shoulder girdle and hands lifting grip to prevent the retreat of scapula,down,shoulder luxation why.Training of lower limbs:flexion training,training of ankle flexion,pelvis before turning at the same time to bring hip knee extensor training,control patients without health legs leg training activities. Sitting and sitting balance training:Training of patients come to the edge from the supine position,sitting balance training.Ⅲ,Ⅳstages:the lifting of the lower limbs cramps,body cramps, shoulder cramps,hand cramps,elbow cramps,confrontational means,such as the treatment of spasticity.Sit down and stand up training:training in patients with self-control to sit down and stand up and balance function. Go before the training:training in patients with anti-spasm model can stand up,control the balance immediately,with dorsiflexion of ankle flexion exercises the functions of and practice in the indomitable knees under the conditions of the hip to ensure that the hip,knee,ankle relaxation,to Qu Moving the hip flexion.Upper limb training:training in upper limb control,elbow extensor and elbow function of the independent training.Ⅴ,Ⅵperiod:cramps and joint movement gradually reduced to a combination of simple movement to give guidance.Upper limb training: extensor carpi training hand forearm supination training,outreach and thumb with the other hand refers to the training.Fine hand function training.Lower extremity training:standing balance training,to go and the training,pelvic rotation exercises,walking training,training of lower limb co-ordination fine.(4) in the treatment of treatment:treatment for 6 days a week,twice a day,one hour in the morning and one hour in the afternoon,every two weeks for a course of treatment.2.The control group(1) Chinese Medicine:Stroke Syndromes of phlegm and blood obstruct the venation,mainly in the Huatan Tongluo Tang.Use of methods: traditional Chinese medicine one dose a day,twice of oral,per 150 milliliters. (2) Western medicine:use the conventional medical treatment in stroke-related hospitalization.Results:1.The treatment of the former two groups had no significant differences in the indicators.Show that the two sets of samples from the same general,comparable.2.After treatment compared to the targets of the two groups with significant difference3.The targets of the two groups before and after treatment are significant differenceConclusion:The clinical studies have shown:the use of the method of diffluence and Bobath walking vent technology combined to improve post-stroke hemiplegia,clinical research and routine patient treatment effects are obvious differences,the method of diffluence and Bobath walking vent technology combined to improve the clinical stroke hemiplegia effectively improve the physical dysfunction treatment.
Keywords/Search Tags:Method of diffluence and Bobath technology, cerebral apoplexy and hemiparesis, clinical research
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