补阳还五汤合四味健步汤联合针灸治疗脑梗死后遗症的临床效果分析

发布时间：2018-07-07 22:15

本文选题：脑梗死后遗症 + 补阳还五汤　；参考：《辽宁中医杂志》2017年12期

【摘要】：目的:探讨补阳还五汤合四味健步汤联合针灸治疗脑梗死后遗症的临床效果分析。方法:将2015年2月—2017年2月在本院中医科治疗的130例脑梗死后遗症患者随机分为两组,每组各65例,对照组给予常规西医治疗配合康复训练,在此基础上观察组辅以补阳还五汤合四味健步汤联合针灸治疗,治疗3个月后比较两组患者的临床疗效、神经功能缺损量表评分(NIHSS)、Fugl-Meyer运动功能评分(FMA)、日常生活活动能力评分(ADL)、中医证候积分变化、血液流变学指标变化、不良反应。结果:观察组临床有效率为95.38%,较对照组的78.46%显著上升,两组间有统计学差异(P0.05);观察组治疗后NIHSS、FMA、ADL评分较对照组显著改善,两组间有统计学差异(P0.05);观察组治疗后偏身感觉异常、偏瘫、口舌歪斜、语言蹇涩、神识昏蒙等中医证候积分明显较对照组降低,两组间有统计学差异(P0.05);观察组治疗后血浆黏度、全血高切黏度、全血低切黏度、血小板聚集率较对照组明显降低,两组间有统计学差异(P0.05);两组治疗期间均未有严重不良反应发生(P0.05)。结论:补阳还五汤合四味健步汤联合针灸治疗脑梗死后遗症有显著疗效,能明显提高患者神经功能,改善症状,促进运动及生活能力的提高,具有积极的临床意义。
[Abstract]:Objective: to explore the clinical effect of Buyang Huanwu decoction and Siwei Jianbu decoction combined with acupuncture in treating sequelae of cerebral infarction. Methods: from February 2015 to February 2017, 130 patients with sequelae of cerebral infarction were randomly divided into two groups, 65 cases in each group. The control group was treated with routine western medicine combined with rehabilitation training. On this basis, the observation group was treated with Buyang Huanwu decoction and Siwei Jianbu decoction combined with acupuncture and moxibustion. After 3 months of treatment, the clinical efficacy of the two groups was compared. Neurological deficit scale (NIHSS) Fugl-Meyer motor function score (FMA), activity of daily living (ADL) score, TCM syndrome score changes, hemorheology index changes, adverse reactions. Results: the clinical effective rate in the observation group was 95.38, which was significantly higher than that in the control group (78.46%), and there was statistical difference between the two groups (P0.05), the NIHSS FMA-ADL score in the observation group was significantly improved than that in the control group (P0.05), and there was significant difference between the two groups (P0.05). The scores of TCM syndromes such as hemiplegia, tongue skew, language Jian acerbity, mental consciousness faint Mongolia and so on were significantly lower than those in the control group (P0.05); the plasma viscosity, whole blood high shear viscosity, whole blood low shear viscosity after treatment in the observation group were significantly lower than those in the control group (P0.05). Platelet aggregation rate was significantly lower than the control group, there was a statistical difference between the two groups (P0.05); there were no serious adverse reactions occurred during the treatment between the two groups (P0.05). Conclusion: Buyang Huanwu decoction combined with Siwei Jianbu decoction combined with acupuncture has remarkable curative effect on sequelae of cerebral infarction, can obviously improve patients' neurological function, improve symptoms, promote the improvement of movement and life ability, and has positive clinical significance.
【作者单位】：武汉市武昌医院中医科;
【分类号】：R277.7

【相似文献】