针刺结合中药熏洗治疗中风后偏瘫痉挛期的临床观察

Clinical observation of acupuncture combined with traditional Chinese medicine fumigation in the treatment of spastic stage of post-apoplectic hemiplegic

目的:比较针刺结合中药熏洗与普通针刺治疗中风后偏瘫痉挛期的临床疗效差异。方法:将80例患者随机分成两组,每组40例。观察组采用针刺结合中药熏洗,对照组采用普通针刺治疗。1次/d,14 d为1个疗程,每个疗程间隔2 d,2个疗程后评定疗效;中药熏洗,1次/d,疗程1个月。治疗前后通过改良Ashworth痉挛量表进行疗效评定,通过FMA、FIM、CSI表评分比较两组患者治疗前后数值。结果:观察组显效率52.5%,明显高于对照组的25%(P<0.01);观察组总有效率92.5%,明显高于对照组的72.5%(P<0.01)。FMA、FIM、CSI观察组与对照组在治疗前比较均无显著性差异(P>0.05),说明具有可比性,在治疗后比较则有显著性差异(P<0.05)。结论:针刺结合中药熏洗可以改善中风后偏瘫的生存质量,减少病变影响,临床疗效明显,值得进一步应用推广。

Objective: To compare the therapeutic effect of acupuncture combined with traditional Chinese medicine fumigation and general acupuncture in the treatment of spastic stage of post-apoplectic hemiplegic. Methods: 80 patients were randomly divided into two groups evenly, with 40 cases in each group. The patients in the observation group were treated with acupuncture combined with traditional Chinese medicine fumigation, and the patients in the control group were treated with conventional acupuncture. Acupuncture was given once everyday, 14 days formed a course of treatment, each course was at an interval of 2 days, evaluation of curative effect was after 2 courses; traditional Chinese medicine fumigation was given once a day, 1 month formed a course of treatment. Clinical efficacy was assessed through comparing Ashworth and FMA, FIM, CSI table scores between the two groups before and after treatment. Results: The effective rate of the observation group was 52.5%, which was significantly higher than that of the control group, 25% (P<0.01); the total effective rate of the observation group was 92.5%, which was significantly higher than that of the control group of 72.5% (P<0.01). There was no significant difference between the FMA, FIM, CSI of the two groups before treatment (P>0.05), indicating that it was comparable,and there was significant difference between the two groups (P<0.05). Conclusion: Acupuncture combined with traditional Chinese medicine fumigation could improve the quality of life of post-apoplectic hemiplegic, reduce the impact of lesions, the clinical efficacy was significant, it was worthy of further application and promotion.