补阳还五汤加减联合针灸治疗脑卒中后遗症

Buyang Huanwu decoction combined with acupuncture in the treatment of stroke sequel

目的本研究分析对比我院收治的脑卒中患者在接受常规治疗和补阳还五汤加减联合针灸治疗的临床效果,旨在为临床治疗提供治疗思路。方法选取我院2012年1月-2015年6月收治的急性脑卒中患者共160例作为受试对象,随机分为对照组和观察组,每组各80例。对照组使用传统治疗方式(阿司匹林或氯吡格雷治疗),观察组在对照组治疗的基础上使用补阳还五汤联合针灸治疗。比较2组患者治疗效果和生活质量量表(SF-36)、采用蒙特利尔认知评估量表(Montreal Congnitive Assessment,Mo CA)和简易精神状态量表(Mini-Mental State Examination,MMSE)评分。结果对照组和观察组中治愈率均较低(10.00%vs.18.75%),在总有效率上,对照组和观察组有显著差异(82.50%vs.92.50,P<0.01)。对照组和观察组在SCL-36评分各个子项上的对比结果表明,对照组和观察组在总体健康、生理功能、生理职能、躯体疼痛、活力和社会功能上均有显著性差异(P<0.05)。对照组和观察组在MOCA和MMSE评分上有显著差异(P<0.05)。结论补阳还五汤联合针灸治疗在阿司匹林治疗的基础上有着更好的治疗效果。

Objective This study compared the stroke patients in our hospital in the clinical effect of receiving routine treatment and five Buyang Huanwu decoction combined with acupuncture treatment, in order to provide ideas for the clinical treatment of patients. Methods 160 cases of acute stroke patients admitted to our hospital from January 2012 to June 2015 were selected as subjects, and randomly divided into the control group and the observation group, 80 cases in each group. The control group used conventional treatment （aspirin or clopidogrel）, the observation group used five Buyang Huanwu decoction combined with acupuncture therapy based on the treatment in control group. Comparison of two groups of patients with treatment effect and quality of life scale （SF-36）, the Montreal cognitive assessment scale （Montreal Congnitive Assessment, MoCA） and the Mini Mental State Scale （Mini-Mental StateExamination MMSE） score. Results in the control group and the observation group, the cure rate was low （10% vs. 18.75%）, the total effective rate, the control group and the observation group were significantly different （82.50% vs. 92.50, P〈0.01）. The control group and the observation group compared with the various items on the score in SCL-36 showed that the control group and the observation group were in general health, physiologicalfunction, physiological function, body pain, vitality and social function of significant differences （P〈0.05）. There were significant differences in MOCA and MMSE scores between the control group and the observation group （P〈0.05）. Conclusion Buyang Huanwu decoction combined with acupuncture therapy has a better therapeutic effect on the basis of aspirin treatment.