育阴通络汤联合针灸治疗中风恢复期阴虚血瘀型偏瘫患者的临床疗效

Clinical Efficacy Observation of Yuyin Tongluo Decoction Combined with Acupuncture on Hemiplegia of Yin Deficiency and Blood Stasis Syndrome in Stroke Restoration Stage

目的:观察育阴通络汤联合针灸治疗中风恢复期阴虚血瘀型偏瘫患者的临床疗效。方法:选取2016年1月至2017年1月北京中医医院顺义医院收治的中风恢复期(阴虚血瘀型)偏瘫患者118例为调查对象,随机等分为育阴通络汤联合针灸组与对照组,每组59例,2组均给予常规西医治疗,其中育阴通络汤联合针灸组加用育阴通络汤联合针灸治疗,比较2组患者治疗效果、上肢功能、手功能及日常生活活动能力变化。结果:治疗后,育阴通络汤联合针灸组偏瘫患者总有效率为88.14%,对照组偏瘫患者总有效率为67.80%,差异有统计学意义(P<0.05)。治疗后在10 d、20 d、30 d,2组偏瘫患者上肢功能、手功能、日常生活活动能力量表的评分均优于治疗前,差异有统计学意义(P<0.05),但在20 d、30 d时育阴通络汤联合针灸组患者上肢功能、手功能、日常生活活动能力量表评分好于对照组,差异有统计学意义(P<0.05)。结论:育阴通络汤联合针灸有助于提高中风恢复期阴虚血瘀型偏瘫患者的上肢功能及手功能,提高临床疗效,改善患者的日常生活能力。

Objective： To observe the clinical effects of Yuyin Tongluo Decoction combined with acupuncture on hemiplegia of yin deficiency and blood stasis syndrome in stroke restoration stage,and to provide effective treatment for patients with hemiplegic syndrome of yin deficiency and blood stasis in the recovery period of stroke. Methods： A total of 118 patients with the hemiplegia of yin deficiency and blood stasis syndrome who were hospitalized in our hospital from January 2016 to January 2017 were continuously selected as respondents by convenience sampling. They were randomly divided into two groups,who were treated with conventional western medicine treatment. The Yuyin Tongluo Decoction combined with acupuncture group was given Yuyin Tongluo Decoction combined with acupuncture. The treatment effect,the upper limb function,the hand function and the daily living ability were compared between the two groups. Results： After treatment,the total effective rate of the Yuyin Tongluo Decoction combined with acupuncture group was 88. 14%,and the total effective rate of the control group was 67. 80%. The difference was statistically significant（ P 〈0. 05）. Meanwhile,the results showed that at the end of 10 d,20 d and 30 d,the scores of upper limb function,hand function and daily life ability energy score in the two groups were better than those before treatment（ P 〈0. 05）,but at the end of20 d and 30 d,the upper limb function,hand function and daily life ability energy score of the Yuyin Tonglong Decoction combined with acupuncture group were better than those of the control group（ P 〈0. 05）. Conclusion： Yuyin Tongluo Decoction combined with acupuncture can improve the upper limb function and hand function of the patients with hemiplegia of yin deficiency and blood stasis syndrome in stroke restoration stage,and improve the clinical effect,and improve the patient＇s daily life ability. It is worthy of promotion and application.