摘要
目的探讨益气活血针法治疗气虚血瘀型缺血性脑卒中偏瘫患者的临床疗效。方法80例气虚血瘀型缺血性脑卒中偏瘫患者为研究对象,随机分为试验组与对照组,各40例。对照组采取常规治疗,试验组在对照组基础上采取益气活血针法治疗。比较两组患者治疗后1、3、6个月神经功能缺损程度、日常生活活动能力、平衡能力及治疗效果。结果治疗后1、3、6个月,试验组美国国立卫生研究院卒中量表(NIHSS)评分分别为(28.27±2.07)、(20.23±1.03)、(14.98±1.21)分,均低于对照组的(30.63±2.01)、(24.40±1.36)、(20.26±1.30)分,差异有统计学意义(P<0.05)。治疗后1、3、6个月,试验组Barthel指数分别为(50.81±10.31)、(63.23±10.23)、(70.20±1.21)分,均高于对照组的(40.32±12.33)、(50.12±11.20)、(55.01±1.30)分,差异有统计学意义(P<0.05)。试验组平衡能力评分(44.38±4.10)分高于对照组的(37.22±5.11)分,差异有统计学意义(P<0.05)。试验组治疗总有效率95.00%高于对照组的62.50%,差异有统计学意义(P<0.05)。结论气虚血瘀型缺血性脑卒中偏瘫患者采取中医益气活血针法治疗,效果显著,可以有效改善缺血性脑卒中恢复情况,提高生活质量,并且安全有效,值得推广。
Objective To discuss the clinical efficacy of Qi-invigorating and blood-activating acupuncture in the treatment of patients with ischemic stroke hemiplegia with Qi-deficiency and Blood-stasis syndrome.Methods A total of 80 cases of ischemic stroke hemiplegia with Qi-deficiency and blood-stasis syndrome were selected as the research subjects,and they were randomly divided into the experimental group and the control group,with 40 cases in each group.The control group received conventional treatment,while the experimental group received Qi-invigorating and blood-activating acupuncture on the basis of the control group.The degree of neurological deficit,activities of daily living,balance ability at 1,3 and 6 months after treatment,and therapeutic effect were compared between the two groups.Results At 1,3,and 6 months after treatment,the National Institutes of Health Stroke Scale(NIHSS)scores in the experimental group were(28.27±2.07),(20.23±1.03),and(14.98±1.21)points,which were lower than(30.63±2.01),(24.40±1.36),and(20.26±1.30)points in the control group,and the differences were statistically significant(P<0.05).At 1,3,and 6 months after treatment,the Barthel index scores of the experimental group were(50.81±10.31),(63.23±10.23),and(70.20±1.21)points,which were higher than(40.32±12.33),(50.12±11.20)and(55.01±1.30)points of the control group,and the differences were statistically significant(P<0.05).The balance ability score(44.38±4.10)points of the experimental group was higher than(37.22±5.11)points of the control group,and the difference was statistically significant(P<0.05).The total effective rate 95.00% of the experimental group was higher than 62.50% of the control group,and the difference was statistically significant(P<0.05).Conclusion Qi-invigorating and blood-activating acupuncture has significant effect on patient with ischemic stroke hemiplegia with Qi-deficiency and Blood-stasis syndrome,and can effectively improve recovery from ischemic stroke and improve quality of life,and is safe and effective,which is worthy of promotion.
作者
曹跃
CAO Yue(Department of Traditional Chinese Medicine,Shenyang 110000,China)
出处
《中国现代药物应用》
2022年第13期158-161,共4页
Chinese Journal of Modern Drug Application
关键词
缺血性脑卒中
偏瘫
益气活血针法
神经功能缺损程度
日常生活活动能力
Ischemic stroke
Hemiplegia
Qi-invigorating and blood-activating acupuncture
Degree of neurological deficit
Activities of daily living
