摘要
目的:观察开窍醒脑针刺结合菖蒲郁金汤加减治疗老年脑梗死恢复期(痰瘀阻络证)的临床效果。方法:选取2014年8月至2019年12月宿州市第一人民医院收治的老年脑梗死恢复期(痰瘀阻络证)患者120例作为研究对象,随机分为西医组、针刺组、汤剂组、联合组,每组30例。比较治疗前后症状评分、神经功能缺损程度、运动功能变化,临床疗效和不良事件率。结果:治疗后4组患者的主症、次症、总症状、NIHSS评分均低于治疗前,且治疗后联合组均低于其余3组,针刺组和汤剂组均低于西医组,差异均有统计学意义(P<0.05);治疗后4组上、下肢运动功能评分均升高,且治疗后联合组均高于其余3组,针刺组和汤剂组均高于西医组,差异均有统计学意义(P<0.05);4组临床疗效比较差异有统计学意义(P<0.05),联合组总有效率高于西医组,差异有统计学意义(P<0.01)。结论:对老年脑梗死恢复期(痰瘀阻络证)予以开窍醒脑针刺、菖蒲郁金汤加减均可减轻症状和神经功能缺损,提升运动功能,且二者联合作用更佳,可增强疗效,均安全。
Objective:To observe the clinical effects of Kaiqiao Xingnao acupuncture combined with modified Changpu Yujin Decoction in the treatment of senile cerebral infarction in the recovery period.Methods:A total of 120 patients with senile cerebral infarction in recovery period(phlegm and blood stasis obstructing collaterals syndrome),admitted to Suzhou First People′s Hospital,were selected as the research objects and were randomly divided into a Western medicine group,an acupuncture group,a decoction group and a combination group,with 30 cases in each group.The symptom scores,neurological deficit degrees,motor function changes before and after treatment,clinical effects and adverse event rates were compared before and after treatment.Results:After treatment,the main symptom scores,secondary symptom scores,total symptom scores and NIHSS scores of the 4 groups were lower than those before treatment.The combined group after treatment were lower than the other 3 groups,and the scores in the acupuncture group and decoction group were lower than those in the Western medicine group,with statistically significant differences(P<0.05).After treatment,the scores of upper limb motor function and lower limb motor function in the 4 groups were increased,the combined group after treatment were higher than the other 3 groups.The acupuncture group and decoction group were higher than Western medicine group,with statistically significant differences(P<0.05).There was a significant difference in the clinical efficacy among the 4 groups(P<0.05).The total effective rate of the combined group was higher than that of the Western medicine group,there was no significant difference(P<0.01).Conclusion:The Kaiqiao Xingnao acupuncture,combined with modified Changpu Yujin Decoction in the treatment of senile cerebral infarction in the recovery period(syndrome of phlegm and blood stasis blocking collaterals)can reduce symptoms and neurological defects,and improve motor function.The combination of the 2 is better,and it can enhance the efficacy,which is safe.
作者
陈琳
CHEN Lin(Suzhou First People′s Hospital,Suzhou 234000,China)
出处
《世界中医药》
CAS
2020年第18期2735-2738,2742,共5页
World Chinese Medicine
基金
国家自然科学基金面上项目(30672714)。
关键词
开窍醒脑针刺
菖蒲郁金汤
老年人
脑梗死
恢复期
Kaiqiao Xingnao acupuncture
Changpu Yujin Decoction
Elderly
Cerebral infarction
Recovery period
