摘要
目的:探讨脑卒中风痰阻络证患者应用针灸联合半夏白术天麻汤治疗的效果。方法:选择2019年6月~2020年11月于某院就诊的84例脑卒中患者,随机分为对照组和观察组各42例,对照组采用西医常规治疗,观察组加用针灸联合半夏白术天麻汤治疗,对比两组神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、炎症因子水平[超敏C反应蛋白(hs-CRP)、白细胞介素6(IL-6)、肿瘤坏死因子(TNF-α)]、血液流变学及不良反应。结果:观察组治疗后NIHSS评分(14.06±3.27)分、hs-CRP(2.50±1.05)mg/L、TNF-α(9.30±4.41)ng/L、IL-6(8.32±2.58)ng/mL、全血高切黏度(4.42±0.27)mpa·s、血浆黏度(1.54±0.12)mpa·s、全血高切黏度(14.35±4.20)mpa·s,低于对照组的(16.78±4.21)分、(4.46±2.12)mg/L、(12.44±3.95)ng/L、(9.80±2.74)ng/mL、(4.90±0.30)mpa·s、(1.81±0.18)mpa·s、(17.51±3.78)mpa·s,有统计学差异(P<0.05)。治疗期间两组均未见明显不良反应。结论:针灸和半夏白术天麻汤可有效抑制脑卒中风痰阻络证患者机体炎症反应,促进血液流变学和神经功能改善,安全可靠,是一种理想的治疗方案。
Objective:To explore the effect of acupuncture and moxibustion combined with Banxia Baizhu Tianma decoction in the treatment of stroke patients with wind-phlegm obstruction syndrome.Methods:A total of 84 stroke patients who were treated in a hospital from June 2019 to November 2020 were selected.The control group received conventional western medicine treatment,and the observation group received acupuncture combined with Banxia Baizhu Tianma decoction.The neurological deficits[National Institutes of Health Stroke Scale(NIHSS)],inflammatory factor levels[high-sensitivity C-reactive protein(hs-CRP),interleukin 6(IL-6),tumor necrosis factor(TNF-α)],hemorheology and adverse reactions were compared between the two groups.Results:After treatment,the NIHSS score(14.06±3.27),hs-CRP(2.50±1.05)mg/L,TNF-α(9.30±4.41)ng/L,IL-6(8.32±2.58)ng/mL,whole blood high shear viscosity(4.42±0.27)mpa·s,plasma viscosity(1.54±0.12)mpa·s,whole blood low shear viscosity(14.35±4.20)mpa·s in the observation group were lower than those in the control group[(16.78±4.21),(4.46±2.12)mg/L,(12.44±3.95)ng/L,(9.80±2.74)ng/mL,(4.90±0.30)mpa·s,(1.81±0.18)mpa·s,(17.51±3.78)mpa·s],with statistically significant difference(P<0.05).There were no obvious adverse reactions in both groups during the treatment.Conclusion:Acupuncture combined with Banxia Baizhu Tianma decoction can effectively inhibit the body's inflammatory response in stroke patients with wind-phlegm blockage syndrome,and promote the improvement of blood rheology and neurological function,which is safe and reliable,and is an ideal treatment plan.
作者
李晶晶
Li Jingjing(Lingbao No.3 People's Hospital,Henan Provincem,Lingbao 472500)
出处
《数理医药学杂志》
CAS
2021年第9期1328-1330,共3页
Journal of Mathematical Medicine
关键词
脑卒中
半夏白术天麻汤
针灸
神经功能缺损
炎症因子水平
血液流变学
不良反应
stroke
Banxia Baizhu Tianma decoction
acupuncture
neurological deficit
inflammatory factor levels
hemorheology
adverse reactions
