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中风恢复期中医证候与神经功能缺损相关性研究:观点

Study on correlation between Chinese medicine syndromes in stroke and neurological deficits during recovery phase: Perspective.

机构信息

Department of Rehabilitation, Fengdu People's Hospital, Chongqing, China.

Department of Gastroenterology, Fengdu People's Hospital, Chongqing, China.

出版信息

Medicine (Baltimore). 2024 Sep 27;103(39):e39600. doi: 10.1097/MD.0000000000039600.

Abstract

Stroke is a leading cause of long-term disability and mortality worldwide, necessitating effective rehabilitation strategies for successful recovery. Traditional Chinese medicine (TCM) has gained recognition as a complementary and alternative approach in stroke rehabilitation, owing to its unique syndromes that offer valuable insights for personalized treatment plans. This study aims to elucidate the correlation between TCM syndromes observed during the recovery phase of stroke and the associated neurological deficits. Syndromes such as Blood stasis, Phlegm-dampness, Qi deficiency, and Yin deficiency were systematically examined, while standardized neurological assessments, encompassing motor function, sensory perception, and cognitive abilities, were employed to evaluate the extent of neurological impairment. Rigorous statistical analyses were conducted to discern potential correlations between TCM syndromes and the severity of neurological deficits. The results revealed statistically significant positive associations between certain TCM syndromes, particularly Blood stasis and Phlegm-dampness, and heightened neurological deficits during the recovery phase post-stroke. These findings suggest that these syndromes may serve as indicators of more severe brain injury post-stroke, thereby guiding the development of tailored rehabilitation strategies. By establishing robust connections between TCM syndromes and neurological deficits, this study contributes to advancing our understanding of stroke recovery through an integrated approach that incorporates TCM principles. Moreover, it underscores the potential benefits of integrating TCM into conventional rehabilitation protocols, offering valuable insights for healthcare professionals and potentially improving patient outcomes.

摘要

中风是全球范围内导致长期残疾和死亡的主要原因,因此需要有效的康复策略来实现成功的恢复。由于其独特的证候为个性化治疗方案提供了有价值的见解,传统中医(TCM)已被公认为中风康复的一种补充和替代方法。本研究旨在阐明中风恢复期 TCM 证候与相关神经功能缺损之间的相关性。系统检查了血瘀、痰浊、气虚和阴虚等证候,同时采用标准化的神经评估,包括运动功能、感觉感知和认知能力,来评估神经损伤的程度。进行了严格的统计分析,以辨别 TCM 证候与神经功能缺损严重程度之间的潜在相关性。结果表明,某些 TCM 证候,特别是血瘀和痰浊,与中风后恢复期的神经功能缺损显著正相关。这些发现表明,这些证候可能是中风后更严重脑损伤的指标,从而指导制定针对性的康复策略。通过在 TCM 原则基础上建立 TCM 证候与神经功能缺损之间的牢固联系,本研究有助于通过综合方法推进中风恢复的理解。此外,它强调了将 TCM 整合到常规康复方案中的潜在益处,为医疗保健专业人员提供了有价值的见解,并可能改善患者的预后。

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China stroke surveillance report 2021.中国卒中监测报告 2021。
Mil Med Res. 2023 Jul 19;10(1):33. doi: 10.1186/s40779-023-00463-x.
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Estimated Burden of Stroke in China in 2020.2020 年中国脑卒中发病与死亡负担估计。
JAMA Netw Open. 2023 Mar 1;6(3):e231455. doi: 10.1001/jamanetworkopen.2023.1455.

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