调任通督针刺法治疗肝肾亏虚型脑梗塞恢复期患者临床疗效的回顾性研究

Retrospective Analysis of Clinical Efficacy of Conception Vessel-Regulating and Governor Vessel-Dredging Acupuncture Treatment for Convalescent Cerebral Infarction Patients of Liver and Kidney Deficiency Syndrome

【目的】回顾性分析使用调任通督针刺法治疗肝肾亏虚型脑梗塞恢复期患者的临床疗效。【方法】从深圳市中医院结构化病历系统提取2018年5月1日至2019年8月30日期间收治的被诊断为脑梗塞恢复期肝肾亏虚证型的住院病例,共计105例。根据治疗方案的不同将病例分为调任通督针刺组57例和普通针刺组48例。调任通督针刺组在临床真实治疗基础上给予调任通督针刺法治疗,普通针刺组在临床真实治疗基础上给予普通针刺法治疗。观察2组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分的变化情况,并评价2组患者的临床疗效及中医病症疗效。【结果】(1)一般情况:2组患者的性别、年龄、病程等一般情况比较,差异均无统计学意义(P>0.05)。(2)出院时,2组患者的NIHSS评分明显降低(P<0.05),且调任通督针刺组在改善NIHSS评分方面明显优于普通针刺组,差异有统计学意义(P<0.05)。(3)临床疗效:调任通督针刺组总有效率为92.98%(53/57),普通针刺组为77.08%(37/48)。调任通督针刺组疗效优于普通针刺组,差异有统计学意义(P<0.05)。(4)中医病症疗效:调任通督针刺组总有效率为92.98%(53/57),普通针刺组为79.17%(38/48)。调任通督针刺组疗效优于普通针刺组,差异有统计学意义(P<0.05)。【结论】调任通督针刺法可有效改善肝肾亏虚型脑梗塞恢复期患者神经功能缺损,且具有良好的临床疗效和中医病症疗效。

Objective To retrospectively analyze clinical efficacy of conception vessel-regulating and governor vessel-dredging acupuncture treatment for convalescent cerebral infarction patients of liver and kidney deficiency syndrome. Methods A total of 105 inpatient cases of convalescent cerebral infarction of liver and kidney deficiency syndrome was extracted from Shenzhen Traditional Chinese Medicine Hospital Structured Case System database from May 1,2018 to August 30,2019,and then were divided into conception vessel-regulating and governor vessel-dredging acupuncture group(57 cases)and common acupuncture group(48 cases)according to therapeutic schedules. The conception vessel-regulating and governor vessel-dredging acupuncture group received conception vessel-regulating and governor vessel-dredging acupuncture based on routine treatment, and the common acupuncture group received common acupuncture based on routine treatment. The changes in national institutes of health stroke scale(NIHSS)scores were observed in the two groups before and after treatment,and the clinical efficacy and curative efficacy of traditional Chinese medicinal diseases and syndromes in the two groups were evaluated. Results(1)There was no statistically significant differences in general conditions of gender, age,course of disease,etc. between the two groups(P>0.05).(2)At time of discharge,the NIHSS scores of the two groups were decreased significantly(P < 0.05),and the improvement in NIHSS scores of the conception vesselregulating and governor vessel-dredging acupuncture group was superior to that of the common acupuncture group,the difference being statistically significant(P < 0.05).(3)Clinical efficacy: The total response rate in the observation group was 92.98%(53/57),and that in the control group was 77.08%(37/48). The clinical efficacy of the conception vessel-regulating and governor vessel-dredging acupuncture group was superior to that of the common acupuncture group, the difference being statistically significant(P < 0.05).(4)Curative efficacy of traditional Chinese medicinal diseases and syndromes:The total effective rate in the observation group was 92.98%(53/57), and that in the control group was 79.17%(38/48). The curative efficacy of the conception vesselregulating and governor vessel-dredging acupuncture group was superior to that of the common acupuncture group,the difference being statistically significant(P < 0.05). Conclusion Conception vessel-regulating and governor vessel-dredging acupuncture is effectively for improving the nerve function defect in convalescent cerebral infarction patients with liver and kidney deficiency syndrome, and has good clinical efficacy and traditional Chinese medicinal curative efficacy.