中风病特色中医诊疗方案临床再评价研究

发布时间：2018-03-05 16:41

本文选题：中风　切入点：诊疗方案　出处：《中华中医药学刊》2017年06期 　论文类型：期刊论文

【摘要】：目的:在辽宁省内对中风病(脑梗死)特色中医诊疗方案进行临床疗效再评价,为进一步优化诊疗方案奠定基础。方法:于2015年11月—2016年11月期间,收集来自省内5家中医院的符合纳入标准的中风病(风痰阻络证)患者300例,随机分为两组,治疗组在基础治疗上加用体针、眼针治疗,对照组在基础治疗上加用体针治疗,针刺20 min,每日1次,14 d为1疗程,共治疗1个疗程。并于试验前、针刺7 d末、针刺14 d末分别进行美国国立卫生研究所卒中量表(NIHSS评分)、BARTHEL指数评价,同时进行治疗前后的病残程度和中医证候疗效评价。结果:治疗组和对照组在治疗7 d末、治疗14 d末的NIHSS评分、BARTHEL指数均较治疗前明显下降(P0.05),但治疗组与对照组中治疗7 d末、治疗14 d末NIHSS评分、BARTHEL指数的组间比较,则未见明显统计学差异(P0.05)。病残程度评估比较,治疗组的无残疾率、明显残疾率均高于对照组,且下降1个级别、下降2个级别的患者数也较多。两组中医证候疗效评价表明治疗组的总有效率明显高于对照组。结论:中风病(脑梗死)特色中医诊疗方案具有较好的临床适用性,临床疗效肯定,值得临床推广。
[Abstract]:Objective: to reevaluate the clinical efficacy of traditional Chinese medicine diagnosis and treatment scheme of stroke (cerebral infarction) in Liaoning Province, so as to lay a foundation for further optimization of diagnosis and treatment scheme. Methods: from November 2015 to November 2016, A total of 300 patients with stroke (wind-phlegm-blocking collateral syndrome) from 5 Chinese medicine hospitals in the province were randomly divided into two groups: the treatment group was treated with body acupuncture and eye acupuncture on basic treatment, and the control group was treated with body acupuncture on basic treatment. Acupuncture for 20 minutes, once a day for 14 days as a course of treatment, a course of treatment, and at the end of 7 days and 14 days of acupuncture before the experiment, the National Institutes of Health Stroke scale (NIHSS) and BARTHEL index were evaluated respectively. Results: at the end of 7 days and 14 days of treatment, the NIHSS score of BARTHEL index in the treatment group and the control group were significantly lower than that before and after treatment, but at the end of 7 days in the treatment group and in the control group, the BARTHEL index was significantly lower than that before and after treatment, but at the end of 7 days in the treatment group and the control group, the BARTHEL index was significantly decreased. At the end of the 14th day of treatment, there was no significant difference in NIHSS score and Barthel index between the two groups (P 0.05). Compared with the evaluation of the degree of disability, the rate of no disability in the treatment group was significantly higher than that in the control group, and the rate of disability in the treatment group was lower than that in the control group. The total effective rate of the treatment group was significantly higher than that of the control group. Conclusion: the characteristic TCM diagnosis and treatment scheme of stroke (cerebral infarction) has better clinical applicability, the evaluation of the curative effect of TCM syndrome in the two groups shows that the total effective rate of the treatment group is obviously higher than that of the control group. The clinical effect is certain, and it is worth popularizing.
【作者单位】：辽宁中医药大学附属医院脑病科;
【基金】：辽宁省中医临床重点学(专)科服务能力建设项目(2013-lnzyxzk-03)
【分类号】：R277.7

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