摘要
目的:观察针刺联合加减大秦艽汤对脑卒中后偏瘫患者改良Barthel指数(MBI)评分、生活自理能力及血液学指标的影响。方法:选取脑卒中后偏瘫患者126例,按随机数字表法分成对照组与观察组各63例。对照组用加减大秦艽汤治疗,观察组在对照组基础上加用针刺治疗。比较2组临床疗效,并比较2组治疗前后MBI评分、生活自理能力、血管性血友病因子(vWF)、血小板聚集率(MPAR)、D-二聚体(D-D)、纤维蛋白原(FIB)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、血浆黏度、全血黏度及红细胞沉降率。结果:观察组总有效率92.06%,高于对照组76.19%(P<0.05)。与同组治疗前比较,治疗后2组MBI评分、生活自理能力评分、APTT、PT、TT均升高(P<0.05),v WF、MPAR、D-D、红细胞沉降率、血浆黏度、全血黏度、FIB均降低(P<0.05);与对照组治疗后比较,观察组治疗后MBI评分、生活自理能力评分、APTT、PT、TT均较高(P<0.05),vWF、MPAR、D-D、红细胞沉降率、血浆黏度、全血黏度、FIB均较低(P<0.05)。与同组治疗前比较,2组治疗7 d、14 d神经功能缺损评分均降低(P<0.05);与对照组治疗7 d、14 d比较,观察组同期神经功能缺损评分均较低(P<0.05)。结论:针刺联合加减大秦艽汤能够改善脑卒中后偏瘫患者血液流动性,加快神经功能恢复,显著提高治疗效果。
Objective:To observe the effect of acupuncture combined with modified Daqinjiao tang on scores of Modified Barthel Index(MBI), self-care ability and hematology index of patients with hemiplegia after stroke. Methods: A total of126 cases of patients with hemiplegia after stroke were selected and divided into the control group and the observation group according to the random number table method,with 63 cases in each group. The control group was treated with modified Daqinjiao tang,and the observation group was additionally treated with acupuncture based on the treatment of the control group. Clinical effects were compared between the two groups. Before and after treatment,MBI scores,self-care ability,von Willebrand Factor(vWF),maximal platelet aggregation rate(MPAR),D-dimer(D-D),fibrinogen(FIB),thrombin time(TT)and activated partial thromboplastin time(APTT), prothrombin time(PT), plasma viscosity, whole blood viscosity and erythrocyte sedimentation rate were compared between the two groups. Results:The total effective rate was 92.06% in the observation group,higher than that of 76.19% in the control group(P<0.05). After treatment,MBI scores,self-care ability scores,APTT,PT,and TT in the two groups were increased when compared with those in the same group before treatment(P<0.05),and vWF,MPAR,D-D,erythrocyte sedimentation rate,plasma viscosity,whole blood viscosity and FIB were decreased(P<0.05). After treatment,MBI scores,self-care ability scores,APTT,PT,and TT in the observation group were higher than those in the control group(P<0.05),and vWF,MPAR,D-D,erythrocyte sedimentation rate,plasma viscosity, whole blood viscosity and FIB were lower(P<0.05). After seven and fourteen days of treatment, scores of neurologic impairment in the two groups were decreased when compared with those in the same group before treatment(P<0.05), and the score in the observation group was lower than that in the control group in the same period(P<0.05).Conclusion:Acupuncture combined with modified Daqinjiao tang can improve blood fluid
作者
钟小平
施建芳
吴赛飞
陈利丽
吴爱文
ZHONG Xiaoping;SHI Jianfang;WU Saifei;CHEN Lili;WU Aiwen
出处
《新中医》
CAS
2022年第3期187-190,共4页
New Chinese Medicine
关键词
脑卒中后偏瘫
针刺
加减大秦艽汤
血液黏度
凝血因子
Hemiplegia after stroke
Acupuncture
Modified Daqinjiao tang
Blood viscosity
Coagulation factor
