补阳还五汤联合电针治疗中风后上肢功能障碍(气虚血瘀)随机平行对照研究

Buyang Huanwu decoction(补阳还五汤) combined with Electro Acupuncture in the Treatment of Upper Limb Dysfunction after Stroke(Qixu Xueyu/气虚血瘀) Randomized Parallel Control Study

[目的]观察补阳还五汤联合电针治疗中风后上肢功能障碍(气虚血瘀)疗效。[方法]使用随机平行对照方法,将60例住院患者按病志号抽签方法随机分为两组。对照组30例电针,取曲池、合谷、尺泽、手三里、阿是穴、天井、肩髃、肩髎。患者坐位,0.35mm×25~75mm一次性无菌针灸针,穴位处皮肤常规消毒,快速进针,捻转补泻,医者手下有沉紧感,患者有酸胀感为得气,接电针仪,连续波,50Hz,从低频逐渐到高频,以患者感觉有跳动为度,留针30min,治疗5d休息1d。治疗组30例补阳还五汤(赤芍、桃仁各10g,黄芪60g,川芎、地龙各10g,当归15g,红花10g),水煎400mL,1剂/d,2次/d;电针治疗同对照组。连续治疗1个月为1疗程。观测视觉模拟评分、上肢运动功能评分、不良反应。治疗1疗程(1个月),判定疗效。[结果]VAS评分、Fugl-Meyer量表评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]补阳还五汤联合电针治疗中风后上肢功能障碍(气虚血瘀),可明显缓解疼痛,改善患肢功能,无严重不良反应,值得推广。

[Objective] To observe the therapeutic effect of Buyang Huanwu decoction combined with electro acupuncture on upper limb dysfunction （Qixu Xueyu） after stroke. [Methods] 60 cases of inpatients were randomly divided into two groups by random parallel control method. In the control group, 30 cases were electroacupuncture, taking Quchi, Hegu, Chize, Shousanli, ashi point, patio, shoulder and shoulder. The patient sitting position, 0.35mm × 25-75mm disposable sterile acupuncture needle, the skin acupoint routine disinfection, rapid injection, twisting and reinforcing and diarrhea, the doctor has a feeling of sinking, the patient has a feeling of acid swelling, the electroacupuncture instrument, continuous wave, 50Hz, from low frequency to high frequency, the patient feels the beating, the needle 30min, the treatment 5d rest 1 d. In the treatment group, there were 30 cases of Buyang Huanwu decoction（Chishao, Taoren each lOg, Huangqi 60g, Chuanxiong, Dilong each 10g, Danghui 15g, Honghua 10g）, water decoction 400rnL, 1 doses/d, 2 times/d; electroacupuncture treatment was the same as the control group. Continuous treatment for 1 months was the 1 course of treatment. Visual analogue scale, upper extremity motor function score, adverse reactions were observed. The 1 course of treatment （1 months） was treated and the curative effect was determined. [Results] VAS score and Fugl-Meyer score were improved in both two groups （P〈0.01）, and the improvement in the treatment group was better than that in the control group （P〈0.01）. [Conclusion] Buyang Huanwu decoction combined with electroacupuncture treatment of upper limb dysfunction after apoplexy （Qixu Xueyu） can relieve pain obviously, improve the function of the affected limbs, and have no serious adverse reaction. It is worth popularizing.