首页|补阳还五汤加减方联合通督调神针刺疗法治疗中风偏瘫患者的效果分析

补阳还五汤加减方联合通督调神针刺疗法治疗中风偏瘫患者的效果分析

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目的:探讨补阳还五汤加减方联合通督调神针刺疗法对中风偏瘫患者的疗效及其对神经、运动等功能恢复的影响。方法:选取 2020年 9月—2023年 9月同济大学附属东方医院胶州医院收治的96例中风偏瘫患者为研究对象,按随机数字表法将其分为对照组与研究组,各48例。对照组接受常规治疗,研究组在此基础上采用补阳还五汤加减方联合通督调神针刺疗法治疗。两组均连续治疗 8周。比较两组中医证候积分、神经功能、肢体运动能力和日常生活能力。结果:治疗后,两组言语謇涩、感觉减退、半身不遂、口眼歪斜评分均低于治疗前,且研究组均低于对照组,差异均有统计学意义(P<0。05)。治疗后,两组美国国立卫生研究院卒中量表评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0。05)。治疗后,两组Fugl-Meyer运动功能评分量表中上肢、下肢评分及Barthel指数评分均高于治疗前,且研究组均高于对照组,差异均有统计学意义(P<0。05)。结论:补阳还五汤加减方联合通督调神针刺疗法治疗中风偏瘫患者,可有效缓解患者的临床症状,促进其神经功能恢复,并提升肢体运动功能及日常生活能力。
Effect Analysis of Buyang Huanwu Decoction Plus Minus Formula Combined with Tongdu Tiaoshen Acupuncture Therapy on Stroke Patients with Hemiplegia
Objective:To investigate the curative effect of Buyang Huanwu Decoction plus minus formula combined with Tongdu Tiaoshen acupuncture on stroke patients with hemiplegia and its influence on the recovery of nerve and motor function.Methods:A total of 96 stroke patients with hemiplegia admitted to Jiaozhou Hospital of Dongfang Hospital Affiliated to Tongji University from September 2020 to September 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 48 cases in each group.The control group received conventional treatment,the study group was treated with Buyang Huanwu Decoction plus minus formula combined with Tongdu Tiaoshen acupuncture therapy on this basis.Both groups were treated continuously for 8 weeks.TCM syndrome score,nerve function,limb motor ability and daily living ability were compared between the two groups.Results:After treatment,the TCM scores of speech depression,hypoesthesia,hemiplegia and mouth and eye skew in two groups were lower than before treatment,the study group were lower than the control group,the differences were statistically significant(P<0.05).After treatment,the National Institutes of Health Stroke Scale scores in both groups were lower than before treatment,the study group was lower than the control group,with statistical significance(P<0.05).After treatment,the scores of upper and lower limbs in Fugl-Meyer Motor Function Rating Scale and Barthel Index in two groups were higher than before treatment,and the study group were higher than the control group,with statistical significance(P<0.05).Conclusion:Buyang Huanwu Decoction plus minus formula combined with Tongdu Tiaoshen acupuncture therapy can effectively relieve the clinical symptoms of stroke patients with hemiplegia,promote the recovery of nerve function,and improve the motor function of limbs and the ability of daily life.

StrokeHemiplegiaBuyang Huanwu DecoctionTongdu Tiaoshen acupuncture therapyNeural function

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同济大学附属东方医院胶州医院中医科,山东 青岛 266300

中风 偏瘫 补阳还五汤 通督调神针刺疗法 神经功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)