Effects of Huoxue Tongluo decoction combined with acupuncture method of promoting brain circulation and dredging collaterals on motor function and hemodynamics in the treatment of shoulder hand syndrome after stroke of qi deficiency and blood stasis type
Objective To explore the effect of Huoxue Tongluo decoction combined with acupuncture method of promoting brain cir-culation and dredging collaterals on motor function and hemodynamics in the treatment of shoulder hand syndrome after stroke of qi de-ficiency and blood stasis type.Methods A total of 90 patients with shoulder hand syndrome after stroke of qi deficiency and blood sta-sis type admitted to Nanyang Second People's Hospital from January 2021 to December 2022 were randomly divided into a combina-tion group,a traditional chinese medicine group,and an acupuncture group using a random number table method,with 30 patients in each group.The traditional chinese medicine group was treated with Huoxue Tongluo Decoction,the acupuncture group was treated with Li Nao Tongluo acupuncture method,and the observation group was treated with Huoxue Tongluo decoction combined with Li Nao Tongluo acupuncture method.The pain degree[visual analogue scores(VAS)],shoulder hand syndrome scale(SHSS),motor function[upper limb Fugl-Meyer Assessment(FMA)],daily living ability[Barthel Index(BI)],inflammatory factors[calcitonin gene related pep-tide(CGRP),bradykinin(BK)],and hemodynamics[peak blood flow velocity(PFV),peripheral resistance(PR)]were compared among the three groups before and after treatment.The clinical efficacy of three groups was observed.Results The total effective rate of the combined group(93.33%)were higher than those of the traditional chinese medicine group(63.33%)and the acupuncture group(67.67%)(P=0.017).After treatment,the VAS scores and SHSS scores of the three groups were lower than before treatment,and the combined group was lower than the traditional chinese medicine group and acupuncture group(P<0.05).After treatment,the FMA scores and BI scores of the three groups were higher than before treatment,and the combined group was higher than the traditional chi-nese medicine group and acupuncture group(P<0.05).After treatment,CGRP and PBFV in the three groups increased compared to those before treatment,and the combined group was higher than those in the traditional chinese medicine group and acupuncture group(P<0.05).After treatment,BK and PR in the three groups decreased compared to those before treatment,and the combined group was lower than those in the traditional chinese medicine group and acupuncture group(P<0.05).Conclusion Huoxue Tongluo decoction combined with acupuncture method of promoting brain circulation and dredging collaterals has a definite therapeutic effect on shoulder hand syndrome after stroke of qi deficiency and blood stasis type,which can reduce clinical symptoms and pain levels,improve motor function and daily living ability,improve hemodynamics,and reduce inflammatory reactions.
Reflex sympathetic dystrophyHuoxue Tongluo decoctionAcupuncture method of promoting brain circulation and dredging collateralsShoulder hand syndrome after strokeMotor functionHemodynamics
维普
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