上海针灸杂志
上海針灸雜誌
상해침구잡지
Shanghai Journal of Acupuncture and Moxibustion
2015年
9期
807-810
,共4页
针刺疗法%偏瘫%针药并用%气虚血瘀证%中风后遗症
針刺療法%偏癱%針藥併用%氣虛血瘀證%中風後遺癥
침자요법%편탄%침약병용%기허혈어증%중풍후유증
Acupuncture therapy%Hemiplegia%Acupuncture medication combined%Qi deficiency and blood stagnation%Post-stroke sequelae
目的：观察针药并用治疗气虚血瘀证缺血性脑卒中偏瘫患者的临床疗效及对运动功能的影响。方法将90例气虚血瘀型缺血性脑卒中偏瘫患者随机分为针刺组、中药组和联合组，每组30例。联合组采用针刺配合口服黄芪桂枝五物汤治疗，针刺组采用单纯针刺治疗，中药组采用单纯中药治疗。观察3组治疗前后CSS评分、FMA评分和BI指数评分，并比较各组临床疗效。结果联合组总有效率为93.3%，针刺组为80.0%，中药组为83.3%，联合组总有效率与针刺组和中药组比较，差异均具有统计学意义(P＜0.05)。3组治疗后 CSS 评分、FMA 评分及 BI 指数评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。联合组治疗前后CSS评分、FMA评分及BI指数评分差值与针刺组和中药组比较，差异均有统计学意义(P＜0.05)。结论针药并用是一种治疗气虚血瘀型缺血性脑卒中的有效方法，能促进神经功能恢复，改善运动功能。
目的：觀察針藥併用治療氣虛血瘀證缺血性腦卒中偏癱患者的臨床療效及對運動功能的影響。方法將90例氣虛血瘀型缺血性腦卒中偏癱患者隨機分為針刺組、中藥組和聯閤組，每組30例。聯閤組採用針刺配閤口服黃芪桂枝五物湯治療，針刺組採用單純針刺治療，中藥組採用單純中藥治療。觀察3組治療前後CSS評分、FMA評分和BI指數評分，併比較各組臨床療效。結果聯閤組總有效率為93.3%，針刺組為80.0%，中藥組為83.3%，聯閤組總有效率與針刺組和中藥組比較，差異均具有統計學意義(P＜0.05)。3組治療後 CSS 評分、FMA 評分及 BI 指數評分與同組治療前比較，差異均具有統計學意義(P＜0.05)。聯閤組治療前後CSS評分、FMA評分及BI指數評分差值與針刺組和中藥組比較，差異均有統計學意義(P＜0.05)。結論針藥併用是一種治療氣虛血瘀型缺血性腦卒中的有效方法，能促進神經功能恢複，改善運動功能。
목적：관찰침약병용치료기허혈어증결혈성뇌졸중편탄환자적림상료효급대운동공능적영향。방법장90례기허혈어형결혈성뇌졸중편탄환자수궤분위침자조、중약조화연합조，매조30례。연합조채용침자배합구복황기계지오물탕치료，침자조채용단순침자치료，중약조채용단순중약치료。관찰3조치료전후CSS평분、FMA평분화BI지수평분，병비교각조림상료효。결과연합조총유효솔위93.3%，침자조위80.0%，중약조위83.3%，연합조총유효솔여침자조화중약조비교，차이균구유통계학의의(P＜0.05)。3조치료후 CSS 평분、FMA 평분급 BI 지수평분여동조치료전비교，차이균구유통계학의의(P＜0.05)。연합조치료전후CSS평분、FMA평분급BI지수평분차치여침자조화중약조비교，차이균유통계학의의(P＜0.05)。결론침약병용시일충치료기허혈어형결혈성뇌졸중적유효방법，능촉진신경공능회복，개선운동공능。
Objective To observe the clinical efficacy of acupuncture plus medication in treating hemiplegic patients after ischemic stroke due to qi deficiency and blood stagnation and its effect on motor function. Methods Ninety patients with hemiplegia after ischemic stroke due to qi deficiency and blood stagnation were randomized into an acupuncture group, a Chinese medication group and a combined group, 30 in each group. The combined group was intervened by acupuncture plus oral administration of Huang Qi Gui Zhi Wu Wu Tang;the acupuncture group was by acupuncture alone;the Chinese medication group was by the Chinese medicinal decoction alone. The CSS score, FMA score, and BI score were observed before and after intervention, and the clinical efficacies were compared. Results The total effective rate was 93.3%in the combined group, versus 80.0%in the acupuncture group and 83.3%in the Chinese medication group, and the total effective rate in the combined group was significantly different from that in the acupuncture group and Chinese medication group (P<0.05). The CSS, FMA, and BI scores were markedly changed after intervention in the three groups (P<0.05). After intervention, the changes of CSS, FMA, and BI scores in the combined group were significantly different from that in the acupuncture group and Chinese medication group (P<0.05). Conclusions Acupuncture plus medication is an effective method in treating ischemic stroke due to qi deficiency and blood stagnation, and it can promote the recovery of neural function and improve the motor function.
