摘要
目的 探讨电针辅助靳三针辨证治疗恢复期中风后偏瘫风痰瘀阻证的临床效果。方法 选取2020年7月—2022年7月期间东台市人民医院收治的80例中风后偏瘫患者,采用随机数字表法分为对照组与试验组,每组各40例。两组患者均给予中风恢复期基础治疗,在此基础上,对照组给予单纯靳三针辨证治疗,试验组施以电针配合靳三针,两组均治疗8周。观察比较两组患者西医疗效、中医疗效、治疗安全性及治疗前后肢体运动功能(Fugl-Meyer motor function assessment,FMA评分)、神经功能(Neurological deficit score,NDS评分)、自主生活能力(Barthel Index,BI评分)改善情况。结果 治疗后试验组西医疗效总有效率97.50%(39/40)明显高于对照组79.49%(31/39),差异有统计学意义(P<0.05)。试验组中医疗效总有效率95.00%(38/40)明显高于对照组76.92%(30/39),差异有统计学意义(P<0.05)。治疗后两组患者FMA各项评分均较治疗前升高,差异有统计学意义(P<0.05);且试验组FMA各项评分明显高于对照组,差异有统计学意义(P<0.05)。治疗后两组患者NDS评分较治疗前降低,BI评分较治疗前升高,差异有统计学意义(P<0.05);且试验组NDS评分低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05)。治疗期间,仅对照组出现1例针刺部位轻微红肿,未影响治疗。结论 电针辅助靳三针辨证治疗恢复期中风后偏瘫风痰瘀阻证效果显著,安全性高,有利于改善患者肢体运动功能、神经功能,提高自主生活能力。
Objective To investigate the clinical efficacy of electroacupuncture combined with Jinsanzhen syndrome differentiation in treating post-stroke hemiplegia with wind-phlegm obstruction syndrome in convalescence.Methods Eighty patients with post-stroke hemiplegia treated at Dongtai People′s Hospital between July 2020 and July 2022 were randomly divided into a control group(n=40)and an experimental group(n=40)according to a random number table.Both groups received conventional treatment during the stroke recovery phase.Additionally,the control group received Jinsanzhen treatment based on syndrome differentiation,while the experimental group received electroacupuncture in combination with Jinsanzhen treatment.Both groups were treated for eight weeks.The western medicine efficacy,traditional Chinese medicine(TCM)efficacy,treatment safety,as well as improvements in limb motor function(Fugl-Meyer motor function assessment,FMA score),neurological function(neurological deficit score,NDS),and activities of daily living(Barthel Index,BI score)were observed and compared before and after treatment.Results The total effective rate of western medicine efficacy in the experimental group after treatment was 97.50%(39/40),significantly higher than 79.49%(31/39)in the control group(P<0.05).The total effective rate of TCM efficacy in the experimental group after treatment was 95.00%(38/40),significantly higher than 76.92%(30/39)in the control group(P<0.05).After treatment,FMA scores in both groups increased significantly compared to those before treatment(P<0.05),and the FMA score in the experimental group was significantly higher than that in the control group(P<0.05).The NDS scores decreased and BI scores increased significantly after treatment in both groups(P<0.05).Moreover,the NDS score in the experimental group was lower than that in the control group,and the BI score was higher than that in the control group(P<0.05).During the treatment period,only one case of mild redness and swelling at the acupuncture site occurred in the control group,which did not affect the treatment.Conclusion Electroacupuncture combined with Jinsanzhen treatment for post-stroke hemiplegia with wind-phlegm obstruction syndrome during the recovery phase shows significant efficacy and high safety,promoting improvements in limb motor function,neurological function,and activities of daily living for patients.
作者
王成荣
徐立华
张艳丽
WANG Cheng-rong;XU Li-hua;ZHANG Yan-li(Dongtai People's Hospital,Dongtai Shandong 224200)
出处
《世界中西医结合杂志》
2023年第8期1625-1629,共5页
World Journal of Integrated Traditional and Western Medicine
基金
山东省重点研发计划项目(2020GSF19126)。
关键词
中风后偏瘫
风痰瘀阻证
电针
靳三针
肢体运动功能
神经功能
自主生活能力
Hemiplegia After Stroke
Wind-phlegm Obstruction Syndrome
Electroacupuncture
Jinsanzhen
Limb Motor Function
Neurological Function
Independent Living Ability
