首页|补阳还五汤联合针灸治疗中风偏瘫恢复期患者的临床效果

补阳还五汤联合针灸治疗中风偏瘫恢复期患者的临床效果

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目的:评估补阳还五汤联合针灸治疗中风偏瘫恢复期患者的临床效果。方法:选取陆丰市人民医院 2020 年10 月—2023 年 8 月的 90 例中风偏瘫恢复期患者,按照随机数表法分为两组,对照组 45 例给予常规西药治疗,观察组45 例加用补阳还五汤联合针灸。评价组间改良Barthel指数(MBI)、美国国立卫生研究院卒中量表(NIHSS)、Berg平衡量表(BBS)、简式Fugl-Meyer运动功能(FMA)、炎症因子、红细胞沉降率(ESR)、D-二聚体(D-D)。结果:治疗后,两组MBI评分升高,NIHSS评分降低,观察组MBI评分更高,NIHSS评分更低,差异有统计学意义(P<0。05)。治疗后,两组BBS、上肢FMA、下肢FMA评分升高,观察组BBS、上肢FMA、下肢FMA评分更高,差异有统计学意义(P<0。05)。治疗后,两组PCT、hs-CRP、ESR、D-D降低,观察组PCT、hs-CRP、ESR、D-D更低,差异有统计学意义(P<0。05)。结论:中风偏瘫恢复期患者采用补阳还五汤联合针灸,可以改善ESR、D-D,减轻神经功能缺损程度及炎症反应,提高肢体平衡、运动功能,增强日常生活能力。
Influence of Buyang Huanwu Decoction Combined with Acupuncture on Patients with Hemiplegia in Convalescence Period of Stroke
Objective:To evaluate the effect of Buyang Huanwu Decoction combined with acupuncture in patients with hemiplegia in convalescence period stroke.Method:Ninety patients with hemiplegia in convalescence period of stroke from October 2020 to August 2023 in Lufeng People's Hospital were included and grouped into two groups according to random number table method.The 45 cases in the control group was given conventional western medicine treatment,the 45 cases in the observation group plus Buyang Huanwu decoction combined with acupuncture.The intergroup modified Barthel index(MBI),National Institutes of Health stroke scale(NIHSS),Berg balance scale(BBS),Fugl-Meyer motor function(FMA),inflammatory factors,erythrocyte precipitation rate(ESR),and D-dimer(D-D)were evaluated between the two groups.Result:After treatment,MBI scores increased and NIHSS scores decreased in the two groups,MBI score was higher and NIHSS score was lower in the observation group than those in the control group,the differences were statistically significant(P<0.05).After treatment,the BBS,upper limb FMA and lower limb FMA scores of the two groups were increased,and the BBS,upper limb FMA and lower limb FMA scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,PCT,hs-CRP,ESR and D-D were decreased in the two groups,and the PCT,hs-CRP,ESR and D-D were lower in the observation group than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Buyang Huanwu Decoction combined with acupuncture can improve ESR and D-D,reduce the degree of neurological impairment and inflammatory response,improve limb balance and motor function,and enhance the ability of daily life on patients with hemiplegia in convalescence period of stroke.

Buyang Huanwu DecoctionAcupunctureStrokeHemiplegiaConvalescence periodAbility of daily living

欧林艳、林浩俊

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陆丰市人民医院 广东 陆丰 516500

补阳还五汤 针灸 中风 偏瘫 恢复期 日常生活能力

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(35)