摘要
目的:探究针刺联合活血通脑汤对缺血性中风患者蒙特利尔认知评估量表(MoCA)评分、颈动脉血流动力学及Fugl-Meyer运动功能评定量表(FMA)评分的影响。方法:选取本院2016年8月至2019年8月收治的缺血性中风患者65例作为研究对象,随机分为试验组和对照组,试验组33例,对照组32例。其中对照组仅给予活血通脑汤治疗,试验组给予针刺联合活血通脑汤治疗。测定并比较2组患者治疗前后MoCA评分、NIHSS评分、上下肢FMA评分及颈动脉血流动力学参数的变化。结果:治疗前,2组患者MoCA评分、NIHSS评分及上、下肢FMA评分比较差异均无统计学意义(P>0.05);治疗后,2组患者MoCA评分都较治疗前显著升高,NIHSS评分显著降低,上、下肢FMA评分显著升高(P<0.05);且治疗后试验组MoCA评分明显高于对照组,NIHSS评分明显低于对照组,上、下肢FMA评分明显高于对照组(P<0.05)。治疗前,2组患者颈动脉收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)和阻力指数(RI)比较差异都无统计学意义(P>0.05);治疗后,2组患者颈动脉PSV、EDV均比治疗前显著加快,RI比治疗前显著减小(P<0.05);且试验组颈动脉PSV、EDV明显快于对照组,RI明显小于对照组(P<0.05)。结论:针刺联合活血通脑汤在缺血性中风治疗中疗效显著,能明显改善患者的认知及神经功能,缓解患者的运动障碍,调节血液循环,使患者尽快回归正常生活,临床价值较高,值得推广。
Objective: To explore the effect of acupuncture combined with Huoxue Tongnao Decoction on Montreal Cognitive Assessment(MoCA) score, carotid hemodynamics and Fugl-Meyer Assessment of Motor Function(FMA) score for patients with ischemic stroke.Methods: 65 patients with ischemic stroke admitted in our hospital from August 2016 to August 2019 were selected as the research objects and randomly divided into a experimental group and a controlled group, with 33 cases in the experimental group and 32 cases in the controlled group.The controlled group was only treated with the Huoxue Tongnao Decoction while the experimental group was treated with acupuncture combined with the Huoxue Tongnao Decoction.The changes of MoCA score, NIHSS score, FMA score of upper and lower limbs and carotid hemodynamic parameters were measured and compared before and after treatment.Results: Before treatment, there was no significant difference in MoCA score, NIHSS score and FMA score of upper and lower limbs between the two groups(P > 0.05).After treatment, the MoCA scores of the two groups were significantly higher than before treatment, the NIHSS scores were significantly lower, and the FMA scores of upper and lower limbs were significantly higher(P < 0.05).After treatment, the MoCA score of the experimental group was significantly higher than that of the controlled group, the NIHSS score was significantly lower than that of the controlled group, and the FMA score of upper and lower limbs was significantly higher than that of the controlled group(P < 0.05).Before treatment, there was no significant difference in peak systolic velocity(PSV),end diastolic velocity(EDV) and resistance index(RI) between the two groups(P > 0.05).After treatment, PSV and EDV of carotid artery in both groups were significantly faster than those before treatment, RI was significantly lower than that before treatment(P < 0.05).Moreover, PSV and EDV of carotid artery in the experimental group were significantly faster than those in the controlled group, and RI was significantly lower than that in the controlled group(P < 0.05).Conclusion: Acupuncture combined with the Huoxue Tongnao Decoction has a significant effect in the treatment of ischemic stroke, which can significantly improve the cognitive and neurological functions of patients, alleviate the movement disorders of patients, regulate blood circulation, and make patients return to normal life as soon as possible, with high clinical value, and is worth promoting.
作者
文义雄
陈之虎
王春晓
徐琼
WEN Yixiong;CHEN Zhihu;WANG Chunxiao;无(Department of Internal Medicine,Qionghai Hospital of Traditonal Chinese Medicine,Qionghai Haninan 571400,China;Department of Acupuncture and Moxibustion,the Central Hospital of Sanya City,Sanya Hainan 572000,China)
出处
《四川中医》
2020年第12期198-201,共4页
Journal of Sichuan of Traditional Chinese Medicine
