参芪活血汤联合温针灸治疗中风后遗症临床研究

Clinical Study on Shenqi Huoxue Tang Combined with Warming-Needle Moxibustion for Sequelae of Stroke

目的:观察参芪活血汤联合温针灸治疗中风后遗症的临床疗效。方法:选取66例中风后遗症患者,随机分为对照组和观察组各33例。对照组给予常规西医治疗,观察组在对照组治疗基础上加以温针灸联合参芪活血汤治疗,共治疗1个月。比较2组治疗前后日常生活活动能力及神经功能缺损情况,观察2组临床疗效及不良反应情况。结果:观察组总有效率为93.9%,明显高于对照组63.6%,差异有统计学意义(P<0.05)。治疗后,2组美国国立卫生研究院卒中量表(NIHSS)评分均降低,观察组NIHSS评分低于对照组(P<0.05);2组日常生活活动能力(ADL)评分均升高,观察组ADL评分高于对照组(P<0.05)。2组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:参芪活血汤联合温针灸治疗中风后遗症临床疗效显著,可有效改善患者的日常生活活动能力及神经功能。

Objective:To observe the clinical effect of Shenqi Huoxue tang combined with warming-needle moxibustion on patients with sequelae of stroke. Methods:A total of 66 patients with sequelae of stroke were randomly divided into the control group and the observation group,33 cases in each group. The control group was treated with conventional western medicine;the observation group was additionally treated with warming-needle moxibustion and Shenqi Huoxue tang based on the treatment of the control group. After one month of treatment,the changes in activities of dailg living and neurological dysfunction before and after treatment in the two groups were compared,and the clinical effect and adverse reactions were observed. Results:The total effective rate was 93.9% in the observation group,significantly higher than that of 63.6% in the control group,the difference being significant(P<0.05). After treatment,the scores of National Institutes of Health Stroke Scale(NIHSS) in the two groups were decreased,and the NIHSS score in the observation group was lower than that in the control group(P<0.05). The scores of Activity of Daily Living(ADL) in the two groups were increased,and the ADL score in the observation group was higher than that in the control group(P<0.05). There was no significant difference in the comparison of incidence of adverse reactions between the two groups(P>0.05). Conclusion:The therapy of Shenqi Huoxue tang combined with warming-needle moxibustion has significant therapeutic effect in treating patients with sequelae of stroke,which can effectively improve the activities of dailg living and neurological function.