摘要
目的观察神经节苷脂联合泻阴补阳针刺法对脑卒中弛缓性瘫痪患者神经功能及瘫痪肢体运动能力的影响。方法将130例脑卒中弛缓性瘫痪患者随机分为观察组65例和对照组65例。2组均给予常规西医治疗,并给予注射用单唾液酸四己糖神经节苷脂钠治疗,观察组在上述治疗基础上给予泻阴补阳针刺法治疗。2组均治疗30 d。观察2组治疗前后神经功能缺损、日常生活活动能力、肢体运动功能、生存质量变化情况,统计2组弛缓性瘫痪持续时间及临床疗效。结果 2组治疗后NIHSS评分均显著低于治疗前(P<0.05),而Barthel评分及FMA评分均显著高于治疗前(P均<0.05),且观察组治疗后NIHSS评分显著低于对照组(P<0.05),而Barthel评分及FMA评分均显著高于对照组(P均<0.05)。2组治疗后生理、心理、社会及环境评分均显著高于治疗前(P均<0.05),且观察组治疗后各项评分均显著高于对照组(P均<0.05)。观察组上肢和下肢迟缓性瘫痪持续时间均显著短于对照组(P均<0.05),临床总有效率显著高于对照组(P<0.05)。结论神经节苷脂联合泻阴补阳针刺法治疗脑卒中弛缓性瘫痪患者临床疗效确切,可显著缩短瘫痪的持续时间,促进肢体功能恢复,提高患者的运动功能和日常生活活动能力,改善生活质量。
Objective It is to observe the effect of gangliosides with Xieyin Buyang acupuncture on nerve function and motor function in patients with stoke and flaccid paralysis. Methods 130 patients with stroke and flaccid paralysis were randomly divided into observation group and control group, each group had 65 cases. Both groups were given conventional western medicine treatment, additionally the control group was added with gangliosides and the observation group was added with gangliosides puls Xieyin Buyang acupuncture. Both groups were treated for 30 days. The changes of neurologic deficits and daily life activities ability, limb motor function and quality of life before and after treatment were observed in both groups, the flaccid paralysis duration and clinical curative effect were compared between the two groups. Results After treatment NIHSS scores were significantly decreased, Barthel scores and FMA scores were increased in both groups （P 〈 0. 05 ） , and the increase or decrease in observation group were better than that in control group （P 〈 0.05 ） ; the physiological, psychological, social and environmental scores were higher than that before treatment in both groups（ P 〈 0.05 ）, and the scores after treatment in observation group were higher than that in control group （ P 〈 0.05 ）. The palsy duration of upper and lower limbs were significantly shorter and the clinical total effective rate was significantly higher in observation group than that in control group （ P 〈 0.05 ）. Conclusion Gangliosides with Xieyin Buyang acupuncture which can significantly shorten the duration of paralysis and promote the limb function recovery, improve the patient＇s motor function and daily life activities ability, improve the quality of life has good curative effect in the patients with stroke and flaccid paralysis.
出处
《现代中西医结合杂志》
CAS
2017年第20期2195-2197,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
脑卒中
弛缓性瘫痪
泻阴补阳
针刺
stroke
relaxation paralysis
Xieyin Buyang
acupuncture
