摘要
目的探讨补阳还五汤联合针灸治疗中风后肢体功能障碍患者的效果。方法将67例中风后肢体功能障碍患者分为2组。对照组(n=33)给予西医常规治疗,研究组(n=34)在西医常规治疗基础上给予补阳还五汤与针灸治疗。比较2组肢体运动功能Fugel-Meyer(FMA)评定量表评分、炎症因子指标[C反应蛋白(CRP)、基质金属蛋白酶-9(MMP-9)]、中医证候积分以及总有效率。结果治疗后,研究组FMA评分显著高于对照组(P<0.05)。治疗后,研究组CRP、MMP-9水平均显著低于对照组(P<0.05)。研究组治疗后中医证候积分显著低于对照组(P<0.05)。研究组总有效率显著高于对照组(P<0.05)。结论补阳还五汤联合针灸治疗中风后肢体功能障碍患者的效果显著,可有效改善患者患肢运动功能。
Objective To explore the effect of Buyang Huanwu Decoction combined with acupuncture in the treatment of patients with limb dysfunction after stroke.Methods A total of 67 patients with limb dysfunction after stroke were divided into two groups.Control group(n=33)was treated with western medicine,while the study group(n=34)was treated with Buyang Huanwu Decoction and acupuncture on the basis of western medicine.The scores of Fugel Meyer Scale(FMA)for limb motor function assessment,indexes of inflammatory factors[C reactive protein(CRP),matrix metalloproteinase-9(MMP-9)],score of syndrome of tradition Chinese medicine(TCM),and total effective rate were compared between two groups.Results After treatment,the FMA score of the study group was significantly higher than that of the control group(P<0.05).After treatment,the levels of CRP and MMP-9 in the study group were significantly lower than those in the control group(P<0.05).After treatment,the score of TCM syndrome in the study group was significantly lower than that in the control group(P<0.05),and the total effective rate of the study group was significantly higher than that of the control group(P<0.05).Conclusion Buyang Huanwu Decoction combined with acupuncture is effective in the treatment of patients with limb dysfunction after stroke,which can effectively improve the movement function of the affected limbs.
作者
张万钧
冯勇
ZHANG Wanjun;FENG Yong(Department of Rehabilitation Medicine,Shenmu City Hospital,Yulin,Shaanxi,719300;Department of Rehabilitation and Pain,Red Cross Hospital of Mian County,Hanzhong,Shaanxi,723000)
出处
《实用临床医药杂志》
CAS
2020年第8期91-93,100,共4页
Journal of Clinical Medicine in Practice
关键词
补阳还五汤
针灸
中医
中风后肢体功能障碍
中医证候
炎症因子
Buyang Huanwu Decoction
acupuncture
traditional Chinese medicine
limb dysfunction after stroke
syndrome of traditional Chinese medicine
inflammatory factors
