补阳还五汤加减配合针灸推拿治疗气虚血瘀型中风后遗症的疗效

Effect of Modified Buyang Huanwu Decoction Combined with Acupuncture and Massage in the Treatment of Stroke Sequelae of Qi Deficiency and Blood Stasis Type

目的探讨补阳还五汤加减配合针灸推拿治疗气虚血瘀型中风后遗症的疗效。方法选取2020年1月—2021年8月我院收治的86例气虚血瘀型中风后遗症患者,按照随机数字表法分为两组,各43例。两组均接受脑卒中常规康复治疗,对照组在此基础上采用针灸推拿治疗,试验组在对照组基础上采用补阳还五汤加减治疗。比较两组治疗前后中医症候积分、中国脑卒中临床神经功能缺损程度评分量表(CNDS)评分、Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数评定量表(BI)评分、治疗效果。结果试验组治疗后中医症候积分(11.43±2.94)分低于对照组的(15.85±3.76)分,CNDS评分(3.74±1.06)分低于对照组的(5.91±1.32)分,FMA评分(69.31±5.97)分高于对照组的(60.53±6.44)分,BI评分(75.64±5.73)分高于对照组的(67.29±5.43)分,治疗总有效率93.02%高于对照组的76.74%,组间差异有统计学意义(P<0.05)。结论补阳还五汤加减配合针灸推拿治疗气虚血瘀型中风后遗症效果确切,可以有效改善临床症状,促进患者神经功能与肢体运动功能恢复,提高日常活动能力。

Objective To explore the effect of Buyang Huanwu Decoction combined with acupuncture and massage in the treatment of stroke sequelae of qi deficiency and blood stasis type.Methods 86 patients with stroke sequelae of qi deficiency and blood stasis type admitted to our hospital from January 2020 to August 2021 were selected and divided into two groups according to the random number table method,with 43 cases in each group.Both groups received conventional rehabilitation therapy for stroke,the control group received acupuncture and massage on this basis,and the experimental group received modified Buyang Huanwu Decoction on the basis of the control group.The scores of TCM syndromes,Chinese clinical neurological deficit scale(CNDS)score,Fugl-Meyer motor function evaluation scale(FMA)score,Barthel index scale(BI)score before and after treatment and treatment effect were compared between the two groups.Results After treatment,the TCM syndrome score(11.43±2.94)points in the experimental group was lower than that in the control group(15.85±3.76)points,the CNDS score(3.74±1.06)points was lower than that in the control group(5.91±1.32)points,the FMA score(69.31±5.97)points was higher than that in the control group(60.53±6.44)points,the BI score(75.64±5.73)points was higher than that in the control group(67.29±5.43)points,and the total effective rate 93.02%was higher than that in the control group76.74%,the differences between the groups were statistically significant(P<0.05).Conclusion The modified Buyang Huanwu Decoction combined with acupuncture and massage is effective in the treatment of stroke sequelae of qi deficiency and blood stasis type,which can effectively improve clinical symptoms,promote the recovery of neurological function and limb motor function,and improve the ability of daily activities.