针刺联合益气化瘀经验方对缺血性中风患者的肢体活动能力和认知能力的改善作用

Effect of Acupuncture Combined with Yiqi Huayu Decoction on Improving Limb Activity and Cognitive Ability in Patients with Cerebral Apoplexy

目的:观察针刺联合益气化瘀经验方对缺血性中风患者的肢体活动能力和认知能力的改善作用。方法:选择2016年6月至2017年6月期间来我院进行治疗的156例脑中风患者,据数字表法随机分为观察组和对照组,每组各78例;对照组给与常规治疗包括急性期控制血压、降脂、抗凝、改善脑循环,并给与伊达拉奉注射液,待度过急性期给予相关营养支持与康复位锻炼。观察组在对照组基础上给予针灸与益气化瘀经验汤剂治疗;对两组患者治疗前、治疗后7天和治疗后28天的认知功能进行比较与分析;对两组患者治疗后28天日常生活活动(ADL)、肢体运动功能恢复情况比较分析;对两组患者神经功能缺损改善情况进行比较分析。结果:对治疗前和治疗后不同时间点对患者的VIQ、PIQ、FIQ和MQ4个维度比较,治疗前,4个维度指标两组患者无显著差异(P>0. 05),治疗后7天比较发现,观察组患者记忆功能高于对照组(P<0. 05),其他指标和对照组比较无显著差异(P>0. 05),而治疗后28天之后,观察组患者的认知功能显著改善,且优于对照组,差异有统计学意义(P<0. 05),和治疗前比较,对照组患者的认知功能改善轻微;观察组患者的日常生活能力、肢体运动情况等均显著的高于对照组(P<0. 05);治疗前,两组患者神经功能受损NIHSS评分无统计学差异(P>0. 05),治疗后,两组患者的神经功能均得到了改善,组间比较,实验组的改善程度显著高于对照组(P<0. 05)。结论:针灸联合益气化瘀经验汤剂在脑中风患者的治疗中能有效改善患者肢体活动能力和认知能力以及神经恢复情况。

Objective： To explore the effect of acupuncture combined with Yiqi Huayu Decoction on the improvement of limb activity and cognitive ability in patients with cerebral apoplexy. Methods： 156 patients with stroke treated in our hospital from June2016 to June 2017 were selected,according to randomly divided into observation group and controlled group,78 cases in each group; The controlled group was given conventional treatment,including blood pressure control in acute stage of lipid-lowering,anticoagulation,improve cerebral circulation,and given edaravone injection,to be spent in acute period give nutrition support and health exercise reduction. The observation group was given acupuncture and Yiqihuayu Decoction on the basis of the controlled group,the two groups before and after treatment 7 d and treatment of cognitive function after 28 d were compared and analyzed;The two groups of patients after treatment,28 d activities of daily living（ ADL）,limb motor function recovery condition of comparative analysis; Comparative analysis to improve the situation of the two groups of patients with neurological deficit. Results： 4 dimensions of before and after treatment at different time points of patients with VIQ,PIQ,FIQ and MQ compared with before treatment,the 4 dimensions of indicators of the two groups had no significant difference（ P〈0. 05）,were found after 7 d treatment,the observation group patients with memory function was higher than that of the controlled group（ P〈0. 05）,no statistically significant other differences between the index and the controlled group（ P〈0. 05）,and 28 d after treatment,the observation group cognitive function were significantly improved,and better than the controlled group,the difference was statistically significant（ P〈0. 05）,compared with before treatment,the controlled group of patients with mild cognitive function improvement in patients in the observation group; The ability of daily life and limb movement etc. were significantly higher than the controlled group（ P〈0. 05）; Before treatment,the two groups of patients with neurological impairment scores of NIHSS had no significant difference（ P〈0. 05）,after treatment,the two groups of patients with neurological function were improved compared with the controlled group,the improvement degree of the experimental group was significantly higher than that of the controlled group（ P〈0. 05）.Conclusion： Using Acupuncture combined with Yiqi Huayu Decoction in the treatment of stroke patients can effectively improve the physical activity and cognitive ability of patients and nerve recovery.