摘要
目的:观察补阳还五汤联合通经解痉针刺法治疗中风后遗症患者的效果。方法:选取84例中风后遗症患者为研究对象,按照随机数字表法分为对照组和观察组各42例,对照组给予通经解痉针刺法治疗,观察组在对照组的基础上联合补阳还五汤治疗。比较两组临床疗效、治疗前后运动功能[Fugl-Meyer运功功能评定量表(FMA)]评分、神经功能[美国国立卫生研究院卒中量表(NIHSS)]评分、日常生活活动能力[Barthel指数(BI)评定量表]评分、血液流变学指标水平及不良反应发生率。结果:治疗后,观察组治疗总有效率为95.24%,高于对照组的78.57%,差异有统计学意义(P<0.05);治疗后,观察组FMA评分、BI评分均高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05);观察组血浆黏度、全血低切黏度及全血高切黏度均低于对照组,差异有统计学意义(P<0.05);两组治疗期间均未见明显不良反应。结论:补阳还五汤联合通经解痉针刺法治疗中风后遗症患者可提高临床疗效,改善患者运动、神经功能及日常生活活动能力,改善血液流变学指标水平,其效果优于单纯通经解痉针刺法治疗。
Objective:To observe effects of Buyang Huanwu decoction combined with Tongjing Jiejing acupuncture in treatment of patients with stroke sequela.Methods:84 patients with stroke sequela were selected as the research objects,and were divided into control group and observation group according to the random number table method,42 cases in each group.The control group was treated with Tongjing Jiejing acupuncture,while the observation group was treated with Buyang Huanwu decoction on the basis of that of the control group.The clinical efficacy,the motor function[Fugl-Meyer motor assessment(FMA)]score,the neurological function[national institutes of health stroke scale(NIHSS)]score,the activities of daily living[Barthel index(BI)]score,the hemorheology index levels and the incidence of adverse reactions were compared between the two groups before and after treatment.Results:After the treatment,the total effective rate of the observation group was 95.24%,which was higher than 78.57%of the control group,and the difference was statistically significant(P<0.05).After the treatment,the FMA score and the BI score of the observation group were higher than those of the control group;the NIHSS score was lower than that of the control group;and the differences were statistically significant(P<0.05).The plasma viscosity,the whole blood low shear viscosity and the whole blood high shear viscosity of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there were no obvious adverse reactions in the two groups during treatment.Conclusions:Buyang Huanwu decoction combined with Tongjing Jiejing acupuncture in the treatment of stroke sequela can improve the clinical efficacy,improve the patient’s motor,nerve function and activities of daily living,and improve the levels of hemorheology indexes.Moreover,it is superior to single Tongjing Jiejing acupuncture.
作者
郭杨
徐梦
GUO Yang;XU Meng(Department of acupuncture and moxibustion,Jiamusi Hospital of traditional Chinese Medicine,Jiamusi 154000 Heilongjiang,China)
出处
《中国民康医学》
2022年第3期100-102,共3页
Medical Journal of Chinese People’s Health
关键词
中风后遗症
通经解痉针刺法
补阳还五汤
神经功能
血液流变学
Stroke sequela
Tongjing Jiejing acupuncture
Buyang Huanwu decoction
Neurological function
Hemorheology
