通络扶正汤与针刺联合治疗对中风后偏瘫患者NIHSS与运动功能的影响研究
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摘要
目的探讨通络扶正汤联合苍龟探穴针刺法对中风后偏瘫患者NIHSS及运动功能的影响。方法将2017年8月—2018年10月期间我院收治的86例中风后偏瘫患者根据数字排列顺序分为实验组与对照组。实验组43例患者给予通络扶正汤、苍龟探穴针刺法联合治疗,对照组43例患者单纯给予通络扶正汤治疗,观察对比两组患者治疗前后NIHSS评分、运动功能、临床疗效。结果治疗前,观察组患者NIHSS、运动功能评分分别为(17.97±8.13)分、(33.32±5.80)分,对照组分别为(18.19±8.33)分、(32.83±5.51)分,相比差异无统计学意义(t=0.1239、0.4016,P>0.05);治疗30 d后,实验组患者NIHSS评分(11.73±2.94)分显著低于对照组(15.94±3.18)分,运动功能评分(63.39±6.25)分显著高于对照组(48.67±9.55)分,且组间差异有统计学意义(t=6.374 5、8.457 2,P<0.05)。对照组中有15例患者治疗无效,其总有效率为65.12%,实验组中有5例患者治疗无效,其总有效率为88.37%。实验组临床有效率(88.37%)显著高于对照组(65.12%),且组间差异有统计学意义(χ~2=15.144 3,P<0.05)。结论对中风后偏瘫患者行通络扶正汤联合苍龟探穴针刺法治疗,能有效促进患者NIHSS以及运动功能恢复,提高临床有效率,利于预后,值得临床推广应用。
Objective To investigate the effects of Tongluo Fuzheng Decoction combined with acupuncture at the acupoints on NIHSS and motor function in patients with hemiplegia after stroke. Methods Eighty-six patients with post-stroke hemiplegia admitted to our hospital from August 2017 to October 2018 were divided into experimental group and control group according to the numerical order.In the experimental group, 43 patients were treated with Tongluo Fuzheng Decoction and Acacia Exploration Acupuncture. 43 patients in the control group were treated with Tongluo Fuzheng Decoction alone. The NIHSS score, motor function and clinical efficacy were compared before and after treatment. Results Before treatment, the NIHSS and motor function scores of the observation group were(17.97±8.13)points and(33.32±5.80)points, respectively. The control group was(18.19±8.33)points and(32.83±5.51)points, respectively. There was no significant difference(t=0.123 9, 0.401 6, P>0.05); after treatment for 30 days, the NIHSS score of(11.73±2.94)points in the experimental group was significantly lower than that in the control group of(15.94±3.18)points, and the motor function score was(63.39±6.25)points, which was significantly higher than the control group by(48.67±9.55)points, and the differences were statistically significant(t=6.374 5, 8.457 2, P<0.05). In the control group, 15 patients were ineffective, and the total effective rate was 65.12%. In the experimental group, 5 patients were ineffective, and the total effective rate was 88.37%. The clinical effective rate of the experimental group(88.37%) was significantly higher than that of the control group(65.12%), and the difference between the groups was statistically significant(χ~2=15.144 3, P<0.05). Conclusion The treatment of patients with hemiplegia after stroke with Tongluo Fuzheng Decoction combined with acupuncture treatment can effectively promote the recovery of NIHSS and motor function, improve clinical efficiency and prognosis, and it is worthy of clinical application.
Objective To investigate the effects of Tongluo Fuzheng Decoction combined with acupuncture at the acupoints on NIHSS and motor function in patients with hemiplegia after stroke. Methods Eighty-six patients with post-stroke hemiplegia admitted to our hospital from August 2017 to October 2018 were divided into experimental group and control group according to the numerical order.In the experimental group, 43 patients were treated with Tongluo Fuzheng Decoction and Acacia Exploration Acupuncture. 43 patients in the control group were treated with Tongluo Fuzheng Decoction alone. The NIHSS score, motor function and clinical efficacy were compared before and after treatment. Results Before treatment, the NIHSS and motor function scores of the observation group were(17.97±8.13)points and(33.32±5.80)points, respectively. The control group was(18.19±8.33)points and(32.83±5.51)points, respectively. There was no significant difference(t=0.123 9, 0.401 6, P>0.05); after treatment for 30 days, the NIHSS score of(11.73±2.94)points in the experimental group was significantly lower than that in the control group of(15.94±3.18)points, and the motor function score was(63.39±6.25)points, which was significantly higher than the control group by(48.67±9.55)points, and the differences were statistically significant(t=6.374 5, 8.457 2, P<0.05). In the control group, 15 patients were ineffective, and the total effective rate was 65.12%. In the experimental group, 5 patients were ineffective, and the total effective rate was 88.37%. The clinical effective rate of the experimental group(88.37%) was significantly higher than that of the control group(65.12%), and the difference between the groups was statistically significant(χ~2=15.144 3, P<0.05). Conclusion The treatment of patients with hemiplegia after stroke with Tongluo Fuzheng Decoction combined with acupuncture treatment can effectively promote the recovery of NIHSS and motor function, improve clinical efficiency and prognosis, and it is worthy of clinical application.
引文
[1]王屹.针刺结合中药与现代康复治疗中风偏瘫痉挛状态的临床效果观察[J].临床合理用药杂志,2019(2):99-100.
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[8]蒋丽,米勇.针灸治疗中风上肢功能障碍的研究进展[J].新疆中医药,2018,36(2):96-98.
[9]赵云桂.醒脑开窍针刺疗法联合通络扶正汤对中风偏瘫的疗效观察[J].实用中西医结合临床,2018,18(2):98-99.
[10]于海霞.透穴针刺配合中药熏蒸治疗中风偏瘫步态的效果探析[J].中国疗养医学,2017,26(9):916-917.
[11]邓妍,刘悦.基于调节气血温阳通气治则毫火针治疗中风后痉挛性偏瘫临床疗效观察[J].四川中医,2017,35(1):186-189.
[12]郑德松,董静,刘国荣.不同针刺方案在中风痉挛性偏瘫康复治疗中的研究进展[J].现代中西医结合杂志,2017,26(1):109-111.
[13]李治忠.通络扶正汤联合苍龟探穴针刺法对中风后偏瘫患者NIHSS及运动功能的影响[J].中国民间疗法,2018,26(14):55-57.
[2]王瑾.中医综合疗法治疗中风后偏瘫的综述[J].现代医学与健康研究电子杂志,2018,2(18):173-174.
[3]龚万欧.针刺结合中药与现代康复治疗中风偏瘫痉挛状态的临床研究[J].四川中医,2017,35(1):183-185.
[4]胡向海,朱静.中风后偏瘫的中医治疗进展[J].中国实用医药,2018,13(20):196-197.
[5]谭秀芬,李颖骥,张明明,等.偏瘫通络汤联合针刺治疗缺血性中风偏瘫(气虚血瘀)随机平行对照研究[J].实用中医内科杂志,2018,32(6):44-46.
[6]陈晓阁.透穴针刺加中药熏洗联合常规疗法治疗中风偏瘫35例[J].中医研究,2018,31(6):56-58.
[7]李旭阳.运用滞针术从头论治中风偏瘫[J].辽宁中医药大学学报,2018,20(6):193-196.
[8]蒋丽,米勇.针灸治疗中风上肢功能障碍的研究进展[J].新疆中医药,2018,36(2):96-98.
[9]赵云桂.醒脑开窍针刺疗法联合通络扶正汤对中风偏瘫的疗效观察[J].实用中西医结合临床,2018,18(2):98-99.
[10]于海霞.透穴针刺配合中药熏蒸治疗中风偏瘫步态的效果探析[J].中国疗养医学,2017,26(9):916-917.
[11]邓妍,刘悦.基于调节气血温阳通气治则毫火针治疗中风后痉挛性偏瘫临床疗效观察[J].四川中医,2017,35(1):186-189.
[12]郑德松,董静,刘国荣.不同针刺方案在中风痉挛性偏瘫康复治疗中的研究进展[J].现代中西医结合杂志,2017,26(1):109-111.
[13]李治忠.通络扶正汤联合苍龟探穴针刺法对中风后偏瘫患者NIHSS及运动功能的影响[J].中国民间疗法,2018,26(14):55-57.