Yiqihuoxue France Combined Treadmill Ambulation Training For Acute Ischemic Stroke Patients With Lower Extremity Function

Objective To study the combined Yiqihuoxue treadmill ambulation training in patients with acute ischemic stroke lower limb function. Research Methods A randomized control study will be from December 2008 to September 2009 in Hubei Province, Chinese medicine hospital inpatient and outpatient neurology met the inclusion criteria of 46 cases subjects were divided into treatment and control groups, which Treatment of 24 cases,22 cases of the control group, two groups of patients with basic information P> 0.05 no significant difference. All patients were given basic treatment, such as routine medical care, suction, oxygen, blood pressure, blood glucose, intracranial pressure, intravenous drugs, expanding pipe, and with treadmill ambulation training, the treatment group received Buyanghuanwu Tang decoction of Chinese medicine, oral or nasal feeding twice a day, a 200ml, Shen Mai injection 40mL 5% glucose injection 250ml given intravenously once a day; the control group were given oral oxiracetam capsule, day two second oral or enteral feeding, a 0.8g, citicoline 0.5 in 0.9% sodium chloride injection 250ml of intravenous infusion once a day. Course of 28 days. On the day of admission, and the first 2 weeks after admission, 4 weekend symptom scores, activities of daily living index (barthel index, referred to as BI), and functional walking classification (FAC), on the day of admission and treatment s 2,4 weekend assessment of lower extremity Fugl-Meyer Scale. After the clinical data collection, data entry using spssl3.0 package and statistical analysis, measurement data were compared with analysis of variance; count data using chi-square test. Test levels wereα=0.05.Results:(1) symptom scores compared two groups:two groups of patients admitted to hospital the day of the Chinese medicine symptoms Statistically, the difference was not statistically significant (P> 0.05).2 weeks,4 weeks after the two groups were symptom scores showed statistically between groups and the group was significantly higher (P> 0.05), shows two groups were effective in the treatment group more effective than the treatment group; but the first 4 weeks of group P=0.01, shows the effect of the treatment group than the control group.(2) activities of daily living index (BI) comparison:two groups of patients the day of admission BI statistically, the difference was not statistically significant (P> 0.05).2 weeks,4 weeks after the two groups were BI Statistically, the group and the group was significantly higher (P> 0.05), shows two groups were effective in the treatment group more effective than the treatment group; but the first 4 weeks of group P=0.01, shows the therapeutic effect of the treatment group than the control group.(3) functional walking classification (FAC) comparison:two groups of patients admitted to hospital the same day FAC statistically, the difference was not statistically significant (P>0.05).2 weeks, 4 weeks after the two groups were FAC Statistically, the groups and the group was significantly higher (P>0.05), shows two groups were effective in the treatment group more effective than the treatment group; but the first 4 weeks group P<0.01, shows the effect of the treatment group than the control group.(4) lower extremity Fugl-Meyer scale score comparison:two groups of patients admitted to hospital the day lower extremity Fugl-meyer scale score statistically, the difference was not statistically significant (P> 0.05).2 weeks,4 weeks after the two groups were lower limbs Fugl-Meyer Scale score Statistically, the group and the group was significantly higher (P> 0.05), shows two groups are effective, but efficacy of the treatment group than in the control group curative effect; but the first 4 weeks group P<0.01, shows the effect of the treatment group than the control group.Conclusion The results show that co-Yiqihuoxue treadmill ambulation training than in the control group in patients with acute ischemic stroke of TCM symptoms, activities of daily living index, classification of functional walking, lower extremity Fugl-Meyer scale scores were significant improvement over the role of our efforts to improve lower limb function of hemiplegic patients, and patients can correct the skewed gait.