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热补法针法配合补阳还五汤在卒中后偏瘫患者中的应用效果

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目的:探究热补法针法配合补阳还五汤在卒中后偏瘫患者中的应用效果。方法:选择2021年1月—2023年1月酒泉市中医医院收治的 80 例卒中后偏瘫患者作为研究对象,根据随机数表法分为对照组和观察组,各 40 例。对照组进行常规针刺配合补阳还五汤治疗,观察组则进行热补法针法配合补阳还五汤治疗。比较两组治疗总有效率、生活能力(Barthel指数)、步态参数[距离参数(步长、跨步长及步速)与时间参数(步频、站立相百分比与摆动相百分比)]及关节运动指标(踝关节背屈跖屈、旋转及内翻外翻)。结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0。05)。治疗前,两组Barthel指数、步态参数及关节运动指标比较,差异无统计学意义(P>0。05)。治疗 3 个疗程后,观察组Barthel指数显著优于对照组,摆动相百分比、踝关节旋转及内翻外翻角度显著低于对照组,步长、跨步长、步速、步频、站立相百分比及踝关节背屈跖屈角度均高于对照组,差异有统计学意义(P<0。05)。结论:热补法针法配合补阳还五汤治疗卒中后偏瘫患者中的效果较好,且可显著改善步态参数及关节运动状态。
Application Effect of Hot Fill Method Acupuncture Combined with Buyang Huanwu Decoction in Patients with Hemiplegia after Stroke
Objective:To explore the effect of hot fill method acupuncture combined with Buyang Huanwu Decoction in patients with hemiplegia after stroke.Method:A total of 80 patients with hemiplegia after stroke treated in Jiuquan Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with conventional acupuncture combined with Buyang Huanwu Decoction,and the observation group was treated with hot fill method acupuncture combined with Buyang Huanwu Decoction.The total effective rate,living capacity(Barthel index),gait parameters[distance parameters(step length,stride length and stride speed)and time parameters(stride frequency,percentage of standing phase and percentage of swinging phase)]and joint motion parameters(ankle dorsiflexion and plantar flexion,rotation and varion and valgus)were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in Barthel index,gait parameters and joint motion indexes between the two groups(P>0.05).After 3 courses of treatment,the Barthel index of the observation group was significantly better than that of the control group,the percentage of swing phase,ankle rotation and varion and varion angle of the observation group were significantly lower than those of the control group,and the step length,stride length,step speed,step frequency,percentage of standing phase and ankle dorsiflexion and plantar flexion angle of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Hot fill method acupuncture combined with Buyang Huanwu Decoction is effective in the treatment of hemiplegia patients after stroke,and can significantly improve the gait parameters and joint motion state.

Hot fill method acupunctureBuyang Huanwu DecoctionHemiplegia after strokeGait parametersJoint movements

陈昕、孙国举、赵国福、缑朝辉、孟海琴、杨刚

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酒泉市中医医院 甘肃 酒泉 735000

热补法针法 补阳还五汤 卒中后偏瘫 步态参数 关节运动

酒泉市科技计划

2022MB1037

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(13)
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