补阳还五汤配合针灸治疗脑中风后遗症42例

发布时间：2018-12-13 10:51

【摘要】：目的:研究补阳还五汤配合针灸治疗脑中风后遗症的效果。方法:病例选取本院2014年2月—2015年10月60例脑中风后遗症患者。随机将60例患者分为常规组和中药+针灸组。常规组采取西医方法治疗;中药+针灸组采取补阳还五汤配合针灸治疗。比较(1)脑中风后遗症临床治疗效果;(2)干预前和干预后患者生活质量的差异;(3)干预前和干预后患者神经功能缺损评分、Barthel指数、血浆黏度的差异。结果:(1)中药+针灸组对比常规组脑中风后遗症临床治疗效果更高,P0.05;(2)干预前两组生活质量相似,P0.05;干预后中药+针灸组对比常规组生活质量改善更显著,P0.05;(3)干预前两组神经功能缺损评分、Barthel指数、血浆黏度相似,P0.05;干预后中药+针灸组对比常规组神经功能缺损评分、Barthel指数、血浆黏度改善更显著,P0.05。结论:补阳还五汤配合针灸治疗脑中风后遗症效果确切,可有效减轻患者神经功能缺损,促进其血浆黏度的降低,改善患者生活活动能力,提高其生存质量,值得推广。
[Abstract]:Objective: to study the effect of Buyang Huanwu decoction combined with acupuncture on the sequelae of cerebral apoplexy. Methods: 60 patients with sequelae of cerebral apoplexy were selected from Feb 2014 to Oct 2015. 60 patients were randomly divided into routine group and traditional Chinese medicine acupuncture group. The routine group was treated with western medicine and the traditional Chinese medicine acupuncture group was treated with Buyang Huanwu decoction combined with acupuncture and moxibustion. The difference of quality of life between patients before and after intervention and before and after intervention; (3) the difference of neurological deficit score, Barthel index and plasma viscosity before and after intervention. Results: (1) the clinical effect of acupuncture and moxibustion group was higher than that of routine group (P0.05), (2) the quality of life of the two groups before intervention was similar (P0.05). After intervention, the quality of life in the acupuncture and moxibustion group was significantly improved than that in the routine group (P0.05). (3) the neurological impairment score, Barthel index and plasma viscosity of the two groups before intervention were similar (P0.05). After intervention, the scores of neurological impairment, Barthel index and plasma viscosity in the acupuncture and moxibustion group were significantly improved than those in the routine group (P 0.05). Conclusion: Buyang Huanwu decoction combined with acupuncture and moxibustion is effective in treating the sequelae of cerebral apoplexy. It can effectively reduce the neurological function of patients, promote the decrease of plasma viscosity, improve the living ability of patients and improve their quality of life. It is worth popularizing.
【作者单位】：辽宁中医药大学附属医院针灸科;辽宁中医药大学附属医院临床检验中心;
【基金】：中风病特色中医诊疗的临床应用能力建设2013-Lnzyxzk-0(省级课题)
【分类号】：R255.2

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