Effect Of The Combination Of Buyang Huanwu Decoction And Rehabilitation Training On The Activity Of Daily Living In Patients With Ischemic Stroke Of Qixu Xueyu Syndrome

BackgroundHigh incidence, high morbidity and high mortality were the stroke's characteristics since ancient times. Now with our population aging society's Arrival, the incidence rate of stroke is a clear upward trend. In all steoke Patients, the highest proportion of stroke is ischemic stroke. This seriously endanger the health life of the elderly and enen middle-aged, and bring a heavy burden to the society and the family.ObjectiveThis study is to investigate the effect of combination of Buyang huanwu decoction and rehabilitation training on the activity of daily living (ADL)of subjects with ischemic stroke of Qixu xueyu syndrome.Methods1. General MaterialA total of 60 ischemic stroke patients In the recovery period from February 2009 to April 2010 in Rehabilitation department of Guangdong Provincial TCM Hospital, these patients were randomly divided into two groups,the treatment group(rehabilitation training with Chinese Herbal medicine) and the control group(Simple rehabilitation training). There are 30 cases in the treatment group, including 19 men and 11 women, the average age of 66.20±12.04 years old (ranged from 40 years old-80 years old). There are 30 cases in the control group, including 15 men and 15 women, the average age of 65.57±9.73 years old (ranged from 40 years old-80 years old).2. Research Methods The subjects of treatment group were orally took modified Buyang huanwu decoction and gave rehabilitation training; The subjects of control group were orally took modified Placebo decoction and gave rehabilitation training. (1) Traditional Chinese medicine treatment with Buyang huanwu decoction: It was composed of astragali 60-120g, angelica lOg, szechwan lovge rhizome 15g。paeoniae rubra 15g, earth-worm 10-15g, peach seed lOg, saff lower 5g and twotooth achyranthes root 15g. Plus-minus nmthod:ginseng 6-10g or tangshen 15g was added for Qixu patients; notoginseng radix 3g was added for blood stasis patients; pinelliae tuber 10 g and arisaenla chill bile 10 g were added for stagnation of phlegm patients; ranmlus einnamomi 15 g and suberect spatholobus stem 30g were added for patients with limbs anaesthesia and pain; scorpion 5-10g was added fo patients with limb spasm, taking deeoeted with water, 1 dose per day, taking medicine at twice for 4 weeks. (2) rehabilitative treatment:Body position transformation, range of motion training, muscle force training, balance training, gait training, up-down stair activity training, activities of daily living training were performed, twice a day,60 minute per time, for 4 weeks. (3) Traditional Chinese medicine placebo:Poria 15g, millet sprout 20g, malt 20g, licorice 10g, taking deeoeted with water,1 dose per day, taking medicine at twice for 4 weeks.3. Data processing and statistical analysisTo collect all relevant information into the computer, and set the input (?)lity control procedures to ensure the quality of data entry. Statistical analyses were performed using the Statistical Package for Social software (SPSS 11.5 for Windows). According to the difference of data and observed indicators, measurement data using t test, count data using chisquare test and The mean between the two groups were compared using analysis of variance, all data are mean±standard deviation using the form. Diferences with p<0.05 were considered significant.ResultA totsl of 60 patients were involved in the result analysis, no death and (?) off. Two groups in gender, age, course of the disease, BI scores before treatment, there was no significant difference (p> 0.05). Before treatment and 4 weeks after treatment, both groups Bathel scores Results:The treatment group and control group 4 weeks after treatment compared with before treatment, di fferences were statistically significant (P<0.05); 4 weeks after treatment, the treatment group and the control group were statistically different (P <0.05).ConclusionAfter 4 weeks of treatment, treatment and control groups both could improve the BI scores in patients with ischemic stroke of Qixu xueyu syndrome and improve the patients'activities of daily living. Treatment group was significantly better than the control group. This showed that to improve the activities of daily living of patients with ischemic stroke of Qixu xueyu syndrome, the Buyang huanwu decoction combined with rehabilitation training is better than simple rehabilitation training.