补阳还五汤加减联合电针、中频脉冲治疗脑梗死效果观察
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摘要
目的:观察补阳还五汤加减+电针+中频脉冲治疗脑梗死的效果。方法:选择2016年1月-2018年12月本院收治的198例脑梗死患者,按照随机数字表法分为两组,各99例。研究组采取补阳还五汤加减+电针+中频脉冲治疗,对照组采取补阳还五汤加减治疗,对比两组治疗效果。结果:研究组总有效率为91.92%,明显高于对照组的79.80%(P<0.05)。治疗前两组NIHSS评分相比,差异无统计学意义(P>0.05);治疗后1、2周两组均明显改善,研究组NIHSS评分均低于对照组(P<0.05)。治疗前两组言语不清、肢体乏力麻木、头晕头痛症状积分相比,差异均无统计学意义(P>0.05);治疗后两组各症状积分均明显改善,但研究组各症状积分均低于对照组(P<0.05)。治疗前两组生理职能、躯体疼痛、健康状况、社会功能、精神健康评分相比,差异均无统计学意义(P>0.05);治疗后两组各评分均明显改善,研究组各评分均高于对照组(P<0.05)。结论:补阳还五汤加减+电针+中频脉冲治疗脑梗死效果明显,改善神经缺损情况,促进相关症状消退,提高生活质量,稳定病情。
Objective:To study the clinical effect of modified Buyang Huanwu Decoction plus electric acupuncture and mid-frequency pulse in cerebral infarction.Method:A total of 198 cerebral infarction patients treated in our hospital from January 2016 to December 2018 were selected and randomly assigned to two groups, 99 cases in each group.The study group was treated with modified Buyang Huanwu Decoction,electric acupuncture and mid-frequency pulse,the control group was treated with modified Buyang Huanwu Decoction.The therapeutic effects of two groups were compared.Result:The total effective rate in the study group was 91.92%,it was significantly higher than 79.80% in the control group(P<0.05).Before treatment,NIHSS scores of two groups were not significantly different(P>0.05).After 1 and 2 weeks of treatment,NIHSS scores of two groups were improved,but the related scores in the study group were lower than those of the control group(P<0.05).Before treatment,the symptom scores of alalia,limb weakness,acroagnosis,dizziness and headache of two groups were not significantly different(P>0.05).After treatment,the symptom scores of two groups were improved,but the related scores in the study group were lower than those of the control group(P<0.05).Before treatment,the scores of role physical,bodily pain,health status,social function and mental health of two groups were not significantly different(P>0.05).After treatment,the related life quality scores of two groups were improved,but the related scores in the study group were higher than those of the control group(P<0.05).Conclusion:The effect of modified Buyang Huanwu Decoction plus electric acupuncture and mid-frequency pulse in the treatment of cerebral infarction is good,it can relieve the neurological defects and clinical symptoms,improve the life quality and control the illness state.
Objective:To study the clinical effect of modified Buyang Huanwu Decoction plus electric acupuncture and mid-frequency pulse in cerebral infarction.Method:A total of 198 cerebral infarction patients treated in our hospital from January 2016 to December 2018 were selected and randomly assigned to two groups, 99 cases in each group.The study group was treated with modified Buyang Huanwu Decoction,electric acupuncture and mid-frequency pulse,the control group was treated with modified Buyang Huanwu Decoction.The therapeutic effects of two groups were compared.Result:The total effective rate in the study group was 91.92%,it was significantly higher than 79.80% in the control group(P<0.05).Before treatment,NIHSS scores of two groups were not significantly different(P>0.05).After 1 and 2 weeks of treatment,NIHSS scores of two groups were improved,but the related scores in the study group were lower than those of the control group(P<0.05).Before treatment,the symptom scores of alalia,limb weakness,acroagnosis,dizziness and headache of two groups were not significantly different(P>0.05).After treatment,the symptom scores of two groups were improved,but the related scores in the study group were lower than those of the control group(P<0.05).Before treatment,the scores of role physical,bodily pain,health status,social function and mental health of two groups were not significantly different(P>0.05).After treatment,the related life quality scores of two groups were improved,but the related scores in the study group were higher than those of the control group(P<0.05).Conclusion:The effect of modified Buyang Huanwu Decoction plus electric acupuncture and mid-frequency pulse in the treatment of cerebral infarction is good,it can relieve the neurological defects and clinical symptoms,improve the life quality and control the illness state.
引文
[1]万小雪,贾建真,符涛,等.补阳还五汤配合针灸对脑梗死后肢体功能恢复的影响[J].临床医学研究与实践,2017,2(15):110-111.
[2]潘焕珍.临床对脑梗塞患者实施中医治疗的效果观察[J].中医临床研究,2015,7(13):97-98.
[3]黄奕旻,曾科学.补阳还五汤加减配合太极针法治疗中风后便秘32例[J].河南中医,2015,35(6):1378-1379.
[4]段高锋.补阳还五汤配合针灸对脑梗死后肢体功能恢复的影响[J].内蒙古中医药,2017,36(12):57.
[5]中华神经病学会.各类脑血管病诊断要点[M].中华神经科杂志,1996,29(6):379-381.
[6]张建斌,李晓慧,刘旭峰等.肌电生物反馈联合电针治疗脑梗死后吞咽障碍的疗效[J].中国老年学杂志,2015,35(18):5141-5142.
[7]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:39.
[8]张宇,张海英,朱碧宏,等.电针穴位刺激辅助西医对症干预对脑梗死后记忆功能障碍患者MoCA评分及相关电位的影响[J].中国中医急症,2017,26(11):2062-2063,2068.
[9]张建博,申云霞.电针治疗脑梗死后记忆障碍的磁共振波谱成像研究[J].中国针灸,2015,35(7):657-660.
[10]潘燕.益肾活血中药+电针穴位刺激治疗脑梗死后记忆功能障碍疗效及对脑电位、氧化应激指标的影响[J].现代中西医结合杂志,2018,27(1):39-42.
[11]李健瑜,黄丽雅,叶秀云,等.电针结合PNF训练、悬吊运动治疗脑梗死后偏瘫的临床疗效分析[J].中医临床研究,2018,10(15):33-34.
[12]薛月芹.探讨益肾活血方联合电针穴位刺激对脑梗死后记忆功能障碍临床疗效及氧化应激指标的影响[J].中国医药科学,2018,8(13):39-43.
[13]明康文,洪佳明.补阳还五汤对急性脑梗死患者侧支循环的影响[J].广州中医药大学学报,2016,33(1):1-4.
[14]雷靖安.肌电生物反馈联合电针治疗急性脑梗死后运动障碍疗效评价[J].中国实用神经疾病杂志,2015,18(3):78-79.
[15]刘俊梅.早期利用脑电生物反馈结合中频脉冲治疗小儿急性脑梗死致肢体偏瘫的疗效观察[J].山西医药杂志,2018,47(8):935-936.
[16]任吉祥,李丽丽,王娜,等.补阳还五汤对大鼠脑梗死后神经干细胞的影响[J].长春中医药大学学报,2014,30(6):990-992.
[17]张建福,梁雪峰,李贞培等.穴位注射在脑梗死偏瘫康复中的应用效果观察[J].中医临床研究,2016,8(27):36-37.
[18]刘海花,祁瑞刚,郑玉霞,等.超声脉冲电导治疗不同时间急性脑梗死患者肢体功能障碍的疗效[J].临床医学研究与实践,2018,3(27):16-17.
[19]张倩.电针联合高压氧对脑梗死后痴呆患者认知能力和Hcy水平的影响[J].中国老年学杂志,2014,34(18):5253-5254.
[20]林志诚,陈立典,陶静等.电针百会穴对脑梗死后认知障碍患者听觉P300的影响[J].上海针灸杂志,2014,33(1):14-17.
[2]潘焕珍.临床对脑梗塞患者实施中医治疗的效果观察[J].中医临床研究,2015,7(13):97-98.
[3]黄奕旻,曾科学.补阳还五汤加减配合太极针法治疗中风后便秘32例[J].河南中医,2015,35(6):1378-1379.
[4]段高锋.补阳还五汤配合针灸对脑梗死后肢体功能恢复的影响[J].内蒙古中医药,2017,36(12):57.
[5]中华神经病学会.各类脑血管病诊断要点[M].中华神经科杂志,1996,29(6):379-381.
[6]张建斌,李晓慧,刘旭峰等.肌电生物反馈联合电针治疗脑梗死后吞咽障碍的疗效[J].中国老年学杂志,2015,35(18):5141-5142.
[7]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:39.
[8]张宇,张海英,朱碧宏,等.电针穴位刺激辅助西医对症干预对脑梗死后记忆功能障碍患者MoCA评分及相关电位的影响[J].中国中医急症,2017,26(11):2062-2063,2068.
[9]张建博,申云霞.电针治疗脑梗死后记忆障碍的磁共振波谱成像研究[J].中国针灸,2015,35(7):657-660.
[10]潘燕.益肾活血中药+电针穴位刺激治疗脑梗死后记忆功能障碍疗效及对脑电位、氧化应激指标的影响[J].现代中西医结合杂志,2018,27(1):39-42.
[11]李健瑜,黄丽雅,叶秀云,等.电针结合PNF训练、悬吊运动治疗脑梗死后偏瘫的临床疗效分析[J].中医临床研究,2018,10(15):33-34.
[12]薛月芹.探讨益肾活血方联合电针穴位刺激对脑梗死后记忆功能障碍临床疗效及氧化应激指标的影响[J].中国医药科学,2018,8(13):39-43.
[13]明康文,洪佳明.补阳还五汤对急性脑梗死患者侧支循环的影响[J].广州中医药大学学报,2016,33(1):1-4.
[14]雷靖安.肌电生物反馈联合电针治疗急性脑梗死后运动障碍疗效评价[J].中国实用神经疾病杂志,2015,18(3):78-79.
[15]刘俊梅.早期利用脑电生物反馈结合中频脉冲治疗小儿急性脑梗死致肢体偏瘫的疗效观察[J].山西医药杂志,2018,47(8):935-936.
[16]任吉祥,李丽丽,王娜,等.补阳还五汤对大鼠脑梗死后神经干细胞的影响[J].长春中医药大学学报,2014,30(6):990-992.
[17]张建福,梁雪峰,李贞培等.穴位注射在脑梗死偏瘫康复中的应用效果观察[J].中医临床研究,2016,8(27):36-37.
[18]刘海花,祁瑞刚,郑玉霞,等.超声脉冲电导治疗不同时间急性脑梗死患者肢体功能障碍的疗效[J].临床医学研究与实践,2018,3(27):16-17.
[19]张倩.电针联合高压氧对脑梗死后痴呆患者认知能力和Hcy水平的影响[J].中国老年学杂志,2014,34(18):5253-5254.
[20]林志诚,陈立典,陶静等.电针百会穴对脑梗死后认知障碍患者听觉P300的影响[J].上海针灸杂志,2014,33(1):14-17.