针刺配合补阳还五汤加减治疗对中风后肢体偏瘫患者康复的影响

陈士炯; 倪凌雁; 任超; 鞠露

doi:10.7619/jcmp.20211705

针刺配合补阳还五汤加减治疗对中风后肢体偏瘫患者康复的影响

Effect of acupuncture combined with modified Buyang Huanwu Decoction on rehabilitation of patients with limb hemiplegia after stroke

摘要

摘要:
目的观察针刺配合补阳还五汤加减治疗对肢体偏瘫患者康复的影响。
方法选取中风后肢体偏瘫患者93例为研究对象，按照随机数字表法将其分为对照组（n=47）和观察组（n=46）。2组均给予常规对症综合治疗，对照组给予补阳还五汤加减治疗，观察组在对照组基础上配以针刺治疗。观察2组治疗3个疗程后临床疗效、肢体运动功能、日常生活能力及中医证候积分。
结果观察组治疗总有效率为93.48%，高于对照组的78.72%，差异有统计学意义（P < 0.05）；治疗后，观察组Fugl-Meyer运动功能评定量表评分、Barthel指数评分高于对照组，中医证候积分低于对照组，差异有统计学意义（P < 0.05）。
结论针刺配合补阳还五汤加减治疗中风后肢体偏瘫患者康复效果优于补阳还五汤加减单一治疗，有利于患者肢体功能康复，提高患者肢体运动功能及日常生活能力。

Abstract:
Objective To observe the effect of acupuncture combined with modified Buyang Huanwu Decoction on rehabilitation of patients with limb hemiplegia after stroke.
Methods A total of 93 patients with limb hemiplegia after stroke were selected as study objects, they were divided into control group (n=47) and observation group (n=46). Patients of two groups were given routine symptomatic comprehensive treatment, the control group was treated with modified Buyang Huanwu Decoction, and observation group was given acupuncture based on control group. The efficacy, limb motor function, activity of daily living and TCM syndrome score in two groups were observed.
Results The total effective rate of the observation group was higher than that of the control group (93.48% versus 78.72%, P < 0.05). After treatment, the Fugl-Meyer Assessment score for motor function and Barthel index score in the observation group were higher than those in the control group, and the TCM syndrome score was lower than that in the control group (P < 0.05).
Conclusion Rehabilitation effect of acupuncture combined with modified Buyang Huanwu Decoction in treatment of patients with limb hemiplegia after stroke is better than that of single modified Buyang Huanwu Decoction, it can promote rehabilitation of limb function, and increase limb movement and activity of daily living.

HTML全文

参考文献(18)

施引文献

资源附件(0)