首页|督脉灸刺联合血府逐瘀汤治疗脑梗死气虚血瘀证的效果

督脉灸刺联合血府逐瘀汤治疗脑梗死气虚血瘀证的效果

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目的 分析督脉灸刺联合血府逐瘀汤治疗脑梗死气虚血瘀证的效果.方法 选取2021年8月—2022年8月威海市文登区中西医结合医院收治的118例脑梗死气虚血瘀证患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组59例.对照组采用常规西医治疗,观察组在对照组基础上采用督脉灸刺联合血府逐瘀汤治疗.对比两组患者的治疗效果、神经功能、运动功能、血液流变学指标、脑血流动力学指标及安全性.结果 观察组的治疗总有效率为96.61%,高于对照组的84.75%,差异有统计学意义(P<0.05).治疗后,观察组的全血低切粘度、全血高切粘度、红细胞压积均低于对照组,组间差异有统计学意义(P<0.05);观察组的美国国立卫生研究院卒中量表评分低于对照组,简式Fugl-Meyer运动功能评定量表评分高于对照组,组间差异有统计学意义(P<0.05);观察组的大脑前动脉、大脑中动脉、大脑后动脉平均血流速度均快于对照组,组间差异有统计学意义(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P>0.05).结论 督脉灸刺联合血府逐瘀汤可减轻脑梗死气虚血瘀证患者的神经损伤,改善其肢体运动功能,调节血液流变学、脑血流动力学,且不会增加不良反应.
Effect of Du Meridian Moxibustion Needle Combined with Xuefu Zhuyu Decoction on Patients with Qi Deficiency and Blood Stasis Syndrome of Cerebral Infarction
Objective To analyze the effect of Du Meridian moxibustion needle combined with Xuefu Zhuyu Decoction on patients with Qi deficiency and blood stasis syndrome of cerebral infarction. Methods A total of 118 patients with Qi deficiency and blood stasis syndrome of cerebral infarction admitted to Wendeng District Hospital of Integrated Chinese and Western Medicine of Weihai City from August 2021 to August 2022 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 59 cases in each group. The control group was treated with conventional western medicine,and the observation group was treated with Du Meridian moxibustion needle combined with Xuefu Zhuyu Decoction on the basis of the control group. The therapeutic effect,neurological function,motor function,hemorheology indexes,cerebral hemodynamics indexes and safety of the two groups were compared. Results The total effective rate of the observation group was 96.61%,which was higher than 84.75% of the control group,the difference was statistically significant (P<0.05). After treatment,the whole blood low shear viscosity,whole blood high shear viscosity and hematocrit in the observation group were lower than those in the control group,and the differences between the groups were statistically significant (P<0.05);the National Institute of Health stroke scale score in the observation group was lower than that in the control group,and the simple Fugl-Meyer assessment score was higher than that in the control group,the differences between the groups were statistically significant (P<0.05);the average blood flow velocities of anterior cerebral artery,middle cerebral artery and posterior cerebral artery in the observation group were faster than those in the control group,and the differences between the groups were statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion The combination of Du Meridian moxibustion needle and Xuefu Zhuyu Decoction can alleviate nerve injury,improve limb motor function,regulate hemorheology and cerebral hemodynamics in patients with Qi deficiency and blood stasis syndrome of cerebral infarction,and will not increase adverse reactions.

Cerebral infarctionDu Meridian moxibustion needleXuefu zhuyu DecoctionAdverse reactionsNeurological function

杨秋波、张洁

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威海市文登区中西医结合医院中医科,山东威海 264400

威海市文登区中西医结合医院内科,山东威海 264400

脑梗死 督脉灸刺 血府逐瘀汤 不良反应 神经功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)