摘要
目的:观察瓜蒌桂枝汤联合针灸治疗脑梗死后偏瘫患者的效果。方法:选取2021年6月至2022年6月该院收治的100例脑梗死后偏瘫患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各50例。对照组给予针灸治疗,观察组在对照组基础上联合瓜蒌桂枝汤治疗,比较两组疗效、美国国立卫生研究院卒中量表(NIHSS)评分、中医证候积分、Fugl-Meyer运动功能评定量表(FMA)评分和卒中专门化生命质量量表(SS-QOL)评分。结果:观察组治疗总有效率为96.00%,明显高于对照组的82.00%,差异有统计学意义(P<0.05);治疗后,两组NIHSS评分、中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组FMA、SS-QOL评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:瓜蒌桂枝汤联合针灸治疗脑梗死后偏瘫患者可提高治疗总有效率、FMA评分和SS-QOL评分,降低NIHSS评分和中医证候积分,效果优于单纯针灸治疗。
Objective:To observe effects of Gualou Guizhi decoction combined with acupuncture on hemiplegia patients after cerebral infarction.Methods:A prospective study was conducted on 100 patients with hemiplegia after cerebral infarction from June 2021 to June 2022.They were divided into observation group and control group according to the random number table method,50 cases in each group.The control group was treated with acupuncture,while the observation group was treated with Gualou Guizhi decoction on the basis of that of the control group.The efficacy,the National Institutes of Health Stroke Scale(NIHSS)score,the TCM syndrome score,the Fugl-Meyer assessment(FMA)score,and the strokespecific quality of life scale(SS-QOL)score were compared between the two groups.Results:The total effective rate of treatment in the observation group was 96.00%,which was significantly higher than 82.00%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the NIHSS scores and the TCM syndrome scores of the two groups were lower than those before the treatment,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the FMA and SS-QOL scores of the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Gualou Guizhi decoction combined with acupuncture can improve the total effective rate,the FMA scores and the SS-QOL scores,and reduce the NIHSS scores and the TCM syndrome scores in the patients with hemiplegia after cerebral infarction.Moreover,it is superior to single acupuncture treatment.
作者
唐乐毅
TANG Leyi(Department of Integrated Traditional Chinese and Western Medicine of Mangshan Second Community Health Service Center of Laocheng District,Luoyang 471000 Henan,China)
出处
《中国民康医学》
2023年第7期102-104,共3页
Medical Journal of Chinese People’s Health
