麝香药线埋线治疗中风后遗症临床疗效观察

Observation on treating stroke sequelae by musk medicine catgut-embedding

目的:探讨麝香药线埋线治疗中风后遗症的临床疗效。方法:选取60例入院前经CT或MRI确诊的中风后遗症患者,按就诊时间随机分为PGLA埋线组和麝香药线埋线组各30例,两组患者埋线选穴相同,埋线手法相同,PGLA埋线组用PGLA植物蛋白线,麝香药线埋线组用自制麝香药液浸泡后的4.0医用缝合羊肠线。两组患者均隔4d埋线一次,每次选4~6穴,10次为一个疗程,疗程结束后观察临床疗效及神经功能缺损评分的变化。结果:两组患者后遗症均有改善,生活自理能力、语言、肢体功能均有恢复,麝香药线埋线组总有效率为93.33%,PGLA埋线组为83.33%,组间差异有统计学意义(P<0.05);两组组内治疗前后神经功能缺损评分比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:麝香药线埋线组疗效明显优于PGLA埋线组,麝香药线埋线治疗中风后遗症可以更好地促进瘫痪肢体功能恢复,提高患者自理能力,恢复劳动力,值得临床推广应用。

Objective:To study clinical effects of musk medicine catgut-embedding on stroke sequela.Methods:60cases were randomly divided into the PGLA buried group and musk medicine catgut-embedding group,30cases for each.Two groups choose the same embedded wire hole and the same embedded wire technique,the PGLA buried group with PGLA vegetable protein,the musk medicine catgut-embedding group with4.0medical catgut-soaking with homemade musk solution.Two groups were embedded wire once every4days,choose4~6holes per time,and10times as a course.Results:Stroke sequelae in groups also were relieved;self-care ability,language and limb function in groups were restored;the total efficiency in the treatment group was92.42%,and in the control group was76.36%;the difference was statistically significant(P<0.05).Nerve function defect score within the group before and after the treatment and between groups after treatment showed statistically significant differences(P<0.05).Conclusion:Musk medicine catgut-embedding showed better clinical effects than PGLA buried,can better promote the paralytic limb function recovery,improve patients’self-care ability,restore the labor,and is worthy of clinical popularization and application.