摘要
【目的】观察辨证分型针灸治疗加用中药(三棱、莪术、大黄、冰片)穴位敷贴对中风偏瘫的治疗效果。【方法】将合格病例60例按1∶1比例随机分配入治疗组和对照组,每组30例。对照组予以常规西医治疗加针灸治疗,治疗组在对照组的基础上配合穴位敷贴治疗。2组均以21 d为1个疗程,1个疗程后评定疗效。【结果】(1)治疗组总有效率为96.67%,对照组为86.67%,治疗组疗效优于对照组,2组比较,差异有统计学意义(P﹤0.05)。(2)治疗后,2组的神经功能缺损评分(NDS)、日常生活活动功能评分(Barthel指数)均显著改善(P﹤0.01),且治疗组的改善作用优于对照组(P﹤0.05)。(3)副反应情况:在治疗过程中,2组患者均未出现晕针、过敏等副反应;2组的血常规、肝肾功能等均无异常。【结论】穴位敷贴配合针灸是治疗中风偏瘫的安全、有效方法之一。
Objective To evaluate the therapeutic efficacy for post-stroke hemiplegia treated by electroacupuncture （EA） and Chinese medicine acupoints plaster application （APA） based on syndrome differentiation. Methods Sixty post-stroke hemiplegia patients were evenly randomized into treatment group and control group. Both groups were given routine western medical treatment and EA treatment, and the treatment group was given APA of medicine powder of Rhizoma Sparganii, Rhizoma Curcume, Radix et Rhizoma Rheiand Borneol additionally. The treatment lasted for 21 days, and the therapeutic effect was evaluated after treatment. Results （1） The total effective rate of treatment group was 96.67% and that of control group was 86.67%, and the difference was statistically significant （P〈0.05）. （2） After treatment, neurological deficit score （NDS） and the activities of daily living （ADL） scores evaluated by Barthel index were markedly improved in both groups as compared with those before treatment （P〈0.01）, and the improvement in the treatment group was superior to that in the control group （P〈0.05）. （3） The results of side effect monitoring showed that acupuncture syncope and hypersensitiveness never occurred during the treatment, and the blood routine and hepatic-renal function remained normal. Conclusion The combination of EA and APA is effective and safe for the treatment of post- stroke hemiplegia.
出处
《广州中医药大学学报》
CAS
北大核心
2014年第3期385-388,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
中风
偏瘫
穴位敷贴
针灸疗法
Stroke
Hemiplegia
Acupoints plaster application
Electroacupuncture
