针药结合治疗风痰阻络型中风偏瘫痉挛状态临床研究

Clinical Study on Treatment of Wind-phlegm Obstructing Collateral Apoplexy Hemiplegia Spasticity with Combination of Acupuncture and Medicine

目的探讨万氏温胆汤联合针灸治疗风痰阻络型中风偏瘫痉挛状态的临床疗效。方法选择60例风痰阻络型中风偏瘫痉挛状态患者作为研究对象,根据入院顺序采用随机数字表法分为对照组和观察组,每组30例。对照组予以西药对症治疗及上下肢运动康复训练,观察组在对照组基础上给予针灸及万氏温胆汤。2组连续治疗3周。比较2组临床疗效、神经功能缺损情况、肢体运动功能、平衡能力、步行能力、肌张力、日常生活能力及中医证候评分。结果治疗后,观察组临床总有效率为96.67%,明显高于对照组的83.33%(P<0.05);2组肢体运动功能、平衡能力及日常生活能力评分均较前升高(P<0.05),步行能力、神经功能缺损、肌张力和中医证候评分均较前降低(P<0.05);且观察组上述指标改善程度均大于对照组(P<0.05)。结论针药结合治疗风痰阻络型中风后痉挛性偏瘫可有效改善患者神经功能缺损情况及日常生活能力,降低肌张力,提高肢体平衡、运动及步行能力,值得临床推广。

Objective To explore the clinical efficacy of Wanshi Wendan decoction combined with acupuncture in the treatment of hemiplegia spasticity due to apoplexy with syndrome of wind-phlegm obstructing collateral.Methods Sixty patients with hemiplegia spasticity due to apoplexy with syndrome of wind-phlegm obstructing collateral were selected as the research objects.They were randomly divided into the control group and the observation group according to the order of admission,with 30 cases in each group.The control group was given western medicine symptomatic treatment and upper and lower limb exercise rehabilitation therapy.The observation group was given acupuncture and Wanshi Wendan decoction on the basis of control group.Both groups were treated continuously for 3 weeks.The clinical efficacy,scores of neurological deficits,limb motor function,balance ability,walking ability,muscle tone,daily living ability and TCM syndrome were compared in the two groups.Results After treatment,the total effective rate in the observation group was 96.67%,which was significantly higher than the control group(P<0.05).The scores of limb motor function,balance ability and daily living ability in the two groups were increased(P<0.05),while the scores of walking ability,neurological deficits,muscle tone and TCM syndrome were decreased(P<0.05).And the improvement degree of the above indexes in the observation group was greater than that in the control group(P<0.05).Conclusion The combination of acupuncture and Chinese medicine in the treatment of hemiplegia spasticity due to apoplexy with syndrome of wind-phlegm obstructing collateral could effectively improve the neurological deficits and daily living ability,reduce muscle tension and improve limb balance,movement and walking ability.It is worth clinical promoting.