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| Clinical study of traditional Chinese medicine massage combined with Huatan Tongluo Jiejing Decoction in the treatment of spastic paralysis after stroke |
| XU Guizhen ZHANG Jie CHEN Yongmao |
| Department of Rehabilitation, People′s Hospital of Jianyang City, Sichuan Province, Jianyang 641500, China |
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Abstract Objective To explore clinical effect of traditional Chinese medicine massage combined with Huatan Tongluo Jiejing Decoction in the treatment of spastic paralysis after stroke. Methods One hundred and six patients with spastic paralysis after stroke treated in People′s Hospital of Jianyang City from September 2018 to June 2019 were divided into control group (n = 53) and observation group (n = 53) by random number table method. Two groups were given routine treatment. Control group was treated with rehabilitation and massage therapy of traditional Chinese medicine. Observation group was treated with rehabilitation and massage therapy of traditional Chinese medicine and Huatan Tongluo Jiejing Decoction. Clinical efficacy, serum glutamate (Glu), gamma aminobutyric acid (GABA), modified Ashworth scale (MAS), fugl meyer motor function scale (FMA), Barthel index (BI) and patient satisfaction were compared between two groups. Results Total effective rate in observation group was higher than that in control group, the difference was statistically significant (P ＜ 0.05). After treatment, Glu level in two groups was lower than that before treatment, and GABA level in two groups was higher than that before treatment, Glu level in observation group was lower than that in control group, and GABA level in observation group was higher than that in control group (P < 0.05). After treatment, the scores of MAS, FMA and BI in two groups were higher than those before treatment, and the scores in observation group were higher than those in control group (P < 0.05). Total satisfaction of observation group was higher than that of control group (P < 0.05). No adverse reactions occurred in two groups during the treatment. Conclusion Traditional Chinese medicine massage combined with Huatan Tongluo Jiejing Decoction has a significant effect in the treatment of spastic paralysis after stroke, which can effectively improve the level of serum amino acid neurotransmitters.
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