针刺结合补阳还五汤治疗脑梗死后遗症的临床研究

The Value of Acupuncture Combined With Buyang Huanwu Decoction for Sequelae of Cerebral Infarction

目的探讨针刺结合补阳还五汤治疗脑梗死后遗症的运动及语言功能恢复的临床价值。方法选择2016年1月—2017年12月我科收治的急性脑梗死后遗症患者80例作为研究对象。按照随机数字法分为两组,每组各40例。对照组行对症支持治疗联合补阳还五汤,观察组则在对照组基础上,使用针刺。比较两组患者干预后欧洲脑卒中评分及Barthel指数,分析入组者语言能力变化,统计干预后两组仍存在不良生活习惯。结果干预后,观察组欧洲脑卒中评分及生活质量Barthel指数均优于对照组,差异具有统计学意义(P <0.05),语言表达能力得分高于干预后对照组,差异具有统计学意义(P <0.05),仍存在吸烟饮酒、饮食油腻及辛辣、熬夜的比例均低于对照组,差异具有统计学意义(P <0.05)。结论针对脑梗死后遗症的运动及语言功能障碍患者,在使用补阳还五汤治疗基础上,联合针刺治疗,能显著提高患者运动与语言能力,改变不良生活习惯。

Objective To investigate the clinical value of acupuncture combined with buyang huanwu decoction in the treatment of cerebral infarction sequelae.Methods 80 patients with sequelae of acute cerebral infarction admitted to our department from January 2016 to December 2017 were selected as the study subjects.According to the random number method,the patients were divided into two groups,40 cases in each group.The control group received symptomatic support therapy combined with buyang huanwu decoction.The observation group was treated with acupuncture on the basis of the control group.The European stroke score and Barthel after intervention were compared between the two groups,and the changes of language ability were analyzed.The bad habits of the two groups were still observed after intervention.Results After intervention,the European stroke score and quality of life Barthel index in the observation group were significantly better than the control group(P<0.05),and the language expression ability score was significantly higher than the postintervention control group(P<0.05).There were still smoking,drinking and diet.The proportions of greasy and spicy,staying up late were significantly lower than the control group(P<0.05).Conclusion For patients with motor and language dysfunction of sequelae of cerebral infarction,combined with acupuncture treatment based on the treatment of Buyang Huanwu Decoction can significantly improve the patient's exercise and language ability and change bad habits.