补阳还五汤加减结合针灸治疗脑出血后遗症的效果

Effect of Buyanghuanwu Decoction Combined with Acupuncture on Sequela of Cerebral Hemorrhage

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摘要目的分析在脑出血后遗症治疗中采用补阳还五汤加减结合针灸治疗的效果。方法于本院抽选80例脑出血后遗症患者作为研究对象,以诊疗资料为研究主体参与2021年8月至2022年9月期间临床统计。研究对象按照入院时间先后顺序不同分出对照组、试验组,每组40患者均接受不同的治疗干预。对照组:常规西药治疗。试验组:补阳还五汤加减结合针灸治疗,比较中医症状积分、NIHSS评分、运动功能、日常生活能力、治疗总有效率、生活质量、不良反应发生率。结果在治疗前对比中医症状积分,即眩晕、偏身麻木、语言蹇涩评分相比,差异无统计学意义(P>0.05),治疗后,试验组眩晕、偏身麻木、语言蹇涩评分低于对照组(P<0.05)。对比两组NIHSS评分,即在治疗1周、4周、12周对比NIHSS评分,试验组低于对照组(P<0.05);对比两组运动功能,即采用FMA工具评估,在治疗1周、4周、12周时,FMA评分试验组均高于对照组(P<0.05);对比两组日常生活能力,即采用Barthel工具评估,在治疗1周、4周、12周时,Barthel评分试验组均高于对照组(P<0.05);统计两组治疗总有效率,试验组高于对照组(P<0.05)。对比两组生活质量,即采用SF-36量表评估,治疗前相比无差异(P>0.05),治疗后,试验组生活质量评分高于对照组(P<0.05)。对比两组不良反应发生率,试验组少于对照组(P<0.05)。结论在脑出血后遗症治疗中,补阳还五汤加减结合针灸治疗方案的开展,可以减轻神经缺损程度,对提高患者的运动功能与生活能力有积极作用,故治疗效果显著,且不良反应少,安全性较高,值得推荐。 Objective To analyze the effect of Buyanghuanwu decoction combined with acupuncture in the treatment of sequelae of cerebral hemorrhage.Methods 80 patients with sequela of cerebral hemorrhage were selected in our hospital as the research object,and the clinical statistics from August 2021 to September 2022 were taken as the research subject.Subjects were divided into control group(2021.08—2022.02)and experimental group(2022.03—2022.09)according to the order of admission time,and 40 patients in each group received different treatment interventions.Control group:routine western medicine treatment,experimental group:Buyanghuanwu decoction combined with acupuncture treatment,comparing TCM symptom score,NIHSS score,motor function,daily living ability,total effective rate,quality of life and incidence of adverse reactions.Results Before treatment,there was no difference compared with the scores of symptoms of traditional Chinese medicine,namely dizziness,hemiparalysis and dysphoria,P>0.05.After treatment,the scores of dizziness,hemiparalysis and dysphoria in the experimental group were lower than those in the control group,P<0.05.The NIHSS scores of the two groups were compared,that is,the NIHSS scores were compared at 1 week,4 weeks and 12 weeks after treatment,and the experimental group was lower than the control group,P<0.05;The motor function of the two groups was compared,that is,the FMA tool was used to evaluate.

作者孙宝山吴鹏潘亮李静马杰贺丽华夏清岫 Sun Baoshan;Wu Peng;Pan Liang;Li Jing;Ma Jie;He Lihua;Xia Qingxiu(Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 161013)

机构地区河北省沧州中西医结合医院

出处《哈尔滨医药》 2023年第3期129-132,共4页 Harbin Medical Journal

基金河北省中医药管理局科研计划项目(2020472)。

关键词脑出血后遗症补阳还五汤加减针灸中医症状积分 NIHSS评分运动功能日常生活能力治疗总有效率不良反应发生率 sequelae of cerebral hemorrhage Buyang Huanwu Decoction is modified Acupuncture TCM symptom score NIHSS score Motor function Ability of daily living The total effective rate of treatment Incidence rate of adverse reactions