ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI VẬN ĐỘNG NGƯỜI BỆNH LIỆT NỬA NGƯỜI DO NHỒI MÁU NÃO GIAI ĐOẠN HỒI PHỤC BẰNG BÀI THUỐC BỔ DƯƠNG HOÀN NGŨ THANG KẾT HỢP ĐIỆN CHÂM, XOA BÓP TOÀN THÂN VÀ BẤM HUYỆT

Abstract

Background: Stroke is a leading cause of death and severe disability, particularly hemiplegia and impaired motor function, which negatively affect patients’ ability to care for themselves and impose significant socioeconomic burdens. Therefore, effective motor rehabilitation methods need to be investigated. Objective: To evaluate the effectiveness of motor function recovery in hemiplegic patients due to ischemic stroke of the Qi deficiency and blood stasis pattern through a combination therapy using the herbal formula Bu-yang-huan-wu remedy, electroacupuncture, massage and acupressure. Methods: A non-controlled, clinical intervention study was conducted on 30 patients diagnosed with ischemic stroke of the Qi deficiency and blood stasis pattern, hospitalized at Can Tho Traditional Medicine Hospital from June 2024 to February 2025. All patients received a combined treatment regimen including Bu-yang-huan-wu remedy, electroacupuncture, massage, and acupressure. Results: After treatment, upper and lower limb muscle strength indices significantly improved from day 1 to day 10 (p < 0.001). The proportion of patients showing functional recovery, as measured by the Barthel Index, also increased over time. The median of Barthel Index at the end of the study was 75 (80-70), showing a statistically significant improvement compared to baseline (p < 0.001), indicating marked enhancement in motor function and daily activity performance. Conclusion: This study demonstrated the effectiveness of the combined treatment approach in improving motor recovery in patients with ischemic stroke of the Qi deficiency and blood stasis pattern, highlighting the potential of integrating traditional medicine and physical therapies in post-stroke rehabilitation.