摘要
目的研究羚角钩藤汤合温胆汤加减配合针灸对痰热内闭证中风偏瘫疗效及对患者中医症状、下肢功能和足底压力的影响。方法将2017年10月—2019年10月医院诊治的中风后偏瘫患者214例随机均分为观察组和对照组各107例进行前瞻性研究,均给予降血压、抗血小板和营养支持等基础治疗,同时选取督脉、手厥阴经和足太阴经穴进行针刺治疗,观察组另加用羚角钩藤汤合温胆汤加减口服;两组疗程均为4周。结果观察组临床疗效明显优于对照组(P<0.05),两组有效率分别为85.05%(91/107)和71.96%(77/107)(P<0.05)。治疗后,两组中医症状积分和NDS评分均明显降低(P<0.05),观察组中医症状积分和NDS评分低于对照组;两组治疗后全血高切黏度(HSV)、全血低切黏度(LSV)和血浆黏度(PSV)均明显降低(P<0.05),观察组HSV、LSV和PSV低于对照组;两组患足静态压力占比和患足中部动态压力峰值均明显升高,两组健足中部动态压力峰值均明显降低(P<0.05),观察组患足静态压力占比和患足中部动态压力峰值高于对照组,健足中部动态压力峰值低于对照组;两组治疗后下肢简化Fugl-Meyer万能量表(FMA)和改良Barthel指数(MBI)评分均明显升高(P<0.05),且观察组FMA和MBI评分高于对照组;差异均有统计学意义(P<0.05)。结论羚角钩藤汤合温胆汤加减配合针灸治疗痰热内闭证中风偏瘫可有效改善患者症状和血液流变学特征,促进足底压力和患肢功能恢复正常,对提升日常生活能力具有良好效果。
Objective To study the efficacy of Lingjiao Gouteng Decoction(羚角钩藤汤)and Wendan Decoction(温胆汤)combined with traditional chinese medicine acupuncture and moxibustion on stroke hemiplegia with phlegm-heat internal block syndrome and its influence on traditional chinese medicine symptoms,lower limb function and plantar pressure.Methods From October 2017 to October 2019,214 patients with post-stroke hemiplegia in our hospital were randomly divided into observation group and control group for prospective research,with 107 cases in each group.All patients were given basic treatments such as lowering blood pressure,anti-platelet and nutritional support,and given acupuncture at Governor meridian,hand Jueyin meridian and foot Taiyin meridian,and observation group was additionally treated with Lingjiao Gouteng Decoction and Wendan Decoction for oral administration.The treatment course was 4 weeks in the two groups.Results The clinical efficacy in the observation group was significantly better than that in the control group(P<0.05),and the effective rates of the two groups were 85.05%(91/107)and 71.96%(77/107),respectively(P<0.05).After treatment,the TCM symptoms scores and NDS score of the two groups were significantly reduced(P<0.05),and the scores in the observation group were lower than those in the control group.The levels of HSV,LSV and PSV in the two groups were significantly reduced after treatment(P<0.05),and the levels in the observation group were lower than those in the control group.The proportion of foot static pressure and middle dynamic pressure peak of affected foot in the two groups were significantly increased,and the middle dynamic pressure peak of healthy foot in the two groups was significantly reduced(P<0.05),and those in the observation group were higher than those in the control group while the middle dynamic pressure peak of healthy foot was lower than that in the control group.The scores of FMA and MBI in the two groups were significantly increased after treatment(P<0.05),and the sc
作者
宋剑英
李季
李聪
郭耀光
楚鑫
SONG Jianying;LI Ji;LI Cong;GUO Yaoguang;CHU Xin(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,Sichuan,China)
出处
《中华中医药学刊》
CAS
北大核心
2022年第2期86-89,共4页
Chinese Archives of Traditional Chinese Medicine
基金
国家中医药管理局临床研究项目(zylc20160913)。
关键词
中风
偏瘫
痰热内闭证
羚角钩藤汤
温胆汤
针灸
下肢功能
足底压力
stroke
hemiplegia
phlegm-heat internal block syndrome
Lingjiao Gouteng Decoction(羚角钩藤汤)
Wendan Decoction(温胆汤)
acupuncture and moxibustion
lower limb function
plantar pressure
