针刺联合中药益气活血汤在缺血性脑卒中患者后期康复治疗中的应用

Application of acupuncture plus the Yiqi Huoxue decoction on the later rehabilitation of patients with ischemic stroke

目的:研究针刺联合中药益气活血汤治疗缺血性脑卒中患者的临床效果。方法:选取我院2018年1-6月接收的缺血性脑卒中患者90例,将其随机且平均分为对照组和观察组,对照组患者进行规范化的康复治疗,观察组患者在规范化康复治疗的基础上结合针刺和中药汤剂治疗,对比两组治疗效果。结果:观察组患者神经功能评分(National Institute of Health Stroke Scale,NIHSS)显著低于对照组,日常生活能力评分(Barthel评分)显著高于对照组,肢体运动能力评分(Fugl-Meyer)显著高于对照组,组间差异显著;观察组的总有效率明显优于对照组,P<0.05,差异具有统计学意义;干预后,观察组患者的白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子(Tumor Necrosis Factor-α,TNF-α)及超敏C反应蛋白(Hypersensitive C-reactive Protein,hs-CRP)的水平均显著优于对照组,差异显著,P<0.05。结论:对缺血性脑卒中患者后期康复进行规范化康复治疗结合针刺和中药汤剂治疗,可有效改善神经功能,提高患者肢体运动能力和日常生活能力,从而改善患者预后,提高患者生活质量。

Objective:To study the clinical effect of acupuncture plus the Yiqi Huoxue decoction(益气活血汤)on ischemic stroke.Methods:Ninety patients with ischemic stroke were selected from our hospital from January 2018 to June 2018.They were randomly and equally divided into the control group and the observation group.The control group was treated by rehabilitation treatment,the observation group patients was treated by acupuncture and TCM medicine decoction more,and the treatment effects in the two groups were compared.Results:The NIHSS in the observation group was significantly lower than that in the control group,and Barthel and Fugl-Meyer were significantly higher than the control group,with significant differences between the groups.The total effective rate in the observation group was significantly better than the control group,P﹤0.05.After intervention,the interleukin-6(IL-6),Tumor necrosis factor(TNF-α)and high-sensitivity C-reactive protein(hs-CRP)were significantly better than the control group,P﹤0.05.Conclusion:For patients with ischemic stroke in the later stage of rehabilitation,standardized rehabilitation treatment plus acupuncture and TCM medicine decoction treatment can effectively improve the neurological function,improve the ability of limb movement and daily life,thereby improving the prognosis and quality of life of patients.