Clinical Study on Modified Tianma Gouteng Decoction(天麻钩藤饮)Combined with Electroacupuncture in Treatment of Acute Cerebral Infarction with Lower Limb Hemiplegia Complicated with Hypertension
Clinical Study on Modified Tianma Gouteng Decoction(天麻钩藤饮)Combined with Electroacupuncture in Treatment of Acute Cerebral Infarction with Lower Limb Hemiplegia Complicated with Hypertension
Objective:To observe the effect of Modified Tianma Gouteng Decoction(天麻钩藤饮)combined with electroacupuncture on the neurological function and blood flow of lower limb on the affected side in patients with acute cerebral infarction with lower limb hemiplegia complicated with hypertension.Methods:A total of 242 patients with acute cerebral infarction with lower limb hemiplegia complicated with hypertension of upper hyperactivity of liver yang were collected and divided into the basic treatment group(62 cases),the Chinese medicine group(61 cases),the electroacupuncture group(58 cases),and the combination group(61 cases)by using random number table method.The basic treatment group was given basic treatments such as antihypertensive,anti-platelet,lipid-lowering and plaque stabilizing,improving circulation and removing free radicals.On this basis,the Chinese medicine group was given Modified Tianma Gouteng Decoction,the electroacupuncture group was given electroacupuncture treatment,and the combination group was given Modified Tianma Gouteng Decoction combined with electroacupuncture treatment.After 2 weeks and 4 weeks of treatment,the motor function,sensory function and balance function of the lower limb on the affected side were evaluated,and the peak arterial flow velocity of the posterior tibial(PT)and dorsalis pedis(DP)of the lower limb were recorded,and the changes of nerve function and blood flow of the lower limb were evaluated.Results:Repeated mea-surement analysis of variance(ANOVA)showed that,after treatment,the lower limb motor function,balance function,sensory function,peak flow velocity of the PT and DP arteries in each group were improved compared with those before treatment(P＜0.05).Factorial design ANOVA showed that,after 2 weeks and 4 weeks of treatment,the motor function of Chinese medicine group and electroacupuncture group were significantly improved(P＜0.05);After 4 weeks of treatment,the sensory function in the electroacupuncture group was significantly improved(P＜0.05),and the balance function in the Chinese medicine group was significantly improved(P＜0.05);After 2 weeks and 4 weeks of treatment,the peak flow velocity of PT and DP arteries in the Chinese medicine group were significantly improved(P＜0.05),while there was no significant change in the electroacupuncture group(P＞0.05).Conclusion:Modified Tianma Gouteng Decoction combined with electroacupuncture can significantly improve the lower limb motor function,sensory function and balance function,increase the peak flow velocity of lower limb arteries,and effectively improve the nerve function and circulatory function of the lower limb in patients with acute cerebral infarction.
关键词
肝阳上亢/急性脑梗死/高血压/下肢偏瘫/天麻钩藤饮/电针/神经功能/循环功能
Key words
upper hyperactivity of liver yang/acute cerebral infarction/hypertension/lower limb hemiplegia/Tianma Gouteng Decoction/electroacupuncture/nerve function/circular function
维普
万方数据