补阳还五汤联合长针阴阳透刺治疗脑卒中后遗症随机平行对照研究

Buyanghuanwu Soup Combined with Long Needle Through Thorn Treatment Stroke Sequela of Yin and Yang,a Randomized Controlled Study

[目的]观察补阳还五汤联合长针阴阳透刺治疗脑卒中后遗症疗效。[方法]使用随机平行对照方法,将82例住院患者按就诊顺序编号法分为两组。对照组41例长针阴阳透刺,患者取侧卧或仰卧位,使用捻转补虚泻实法,得气之后留针30min,1次/d,透刺10d后隔1d再透刺10d;取穴:曲池透少海,外关透内关,合谷透劳宫,绝骨透三阴交,阳陵泉透阳陵泉,梁丘透血海。治疗组41例补阳还五汤(白芍、牛膝、桑寄生、丹参各15g,桃仁10g,红花15g,大黄制6g,地龙10g,三七6g,鸡血藤10g,赤芍15g,黄芪60g,当归15g;气虚加太子参或党参),1剂/d,水煎200mL,早晚口服;长针阴阳透刺治疗同对照组。连续治疗14d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效21例,有效16例,无效4例,总有效率90.24%。对照组显效14例,有效16例,无效11例,总有效率73.17%。治疗组疗效优于对照组(P<0.05)。[结论]补阳还五汤联合长针阴阳透刺治疗脑卒中后遗症效果显著,值得推广。

[ Objective ] Buyanghuanwu soup joint long needle penetration acupuncture treatment of stroke sequelae of yin and yang effect. [ Methods] Random parallel control method, 82 cases of hospitalized patients were divided into two groups of sequentially numbered treatment. A control group of 41 patients a long needle through the thorns of yin and yang, the patient lateral or supine position, using real tonic diarrhea twisting method, the needle may air after 30min, 1 times / d, 10d after the interval through one day and then stab stab through 10d; acupoints：Qu pool through a small sea, foreign relations through the customs, Hegu through labor Temple, absolutely bone through Sanyinjiao Yanglingquan through Yanglingquan liangqiu through a sea of blood. Treatment group of 41 patients Buyanghuanwu soup （Baishao, Niuxi, Sangjisheng, Danshen each 15g, Taoren 10g, Honghua 15g, Dahuang made 6g, Dilong 10g, Sanqi 6g, Jixueteng 10g, Chishao 15g, Huangqi 60g, Dangui 15g; qi plus Taizishen or Danshen ）, 1 does / d, decoction 200mL, sooner or later, oral ; yin and yang long needle prick through treatment with the control group. 14d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. A course of treatment to determine efficacy. [ Results ] 21 cases markedly effective in 16 cases, 4 cases, the total efficiency of 90.24%. The control group 14 cases markedly effective in 16 cases, 11 cases, the total efficiency 73.17%. Treatment group than the control group （ P〈O.05 ） . [ Conclusion ] Buyanghuanwu soup joint long needle penetration acupuncture treatment of stroke sequelae of yin and yang, the effect is significant, it is worth promoting.