中药熏蒸联合针灸推拿治疗中风的临床效果

Clinical Efiicacyof Chinese Medicine Fumigation Combined with Massage and Acupuncture on Stroke

目的:观察中药熏蒸联合推拿和针灸治疗中风的临床疗效。方法:选取2018年11月至2020年7月南通大学第二附属医院收治的中风患者100例作为研究对象,按照入院顺序进行编号,按编号单双数不同分为对照组和观察组,每组50例。对照组给予推拿+针灸治疗,观察组则在对照组基础上给予中药熏蒸治疗。比较2组患者临床疗效、红细胞压积(HCT)、纤维蛋白原(FBG)、血浆黏度(CP)、免疫学(lgA,lgG,lgM)、神经缺损(NDF)、运动功能(FMA)、临床痉挛指数(CSI)及不良反应。结果:治疗后,观察组临床有效率为96.00%,对照组为84.00%,差异有统计学意义(P<0.05);2组FBG、CP、HCT、IgA、IgM、IgG水平均显著降低,且观察组显著低于对照组(P<0.05);2组NDF、CSI评分均明显降低,且观察组明显低于对照组(P<0.05);2组FMA评分上升,且观察组显著高于对照组(P<0.05);对照组与观察组的不良反应发生率分别为10.00%和12.00%,差异无统计学意义(P>0.05)。结论:改良中药熏蒸法联合推拿、针灸可改善中风患者血循环状态和免疫调节,促进神经及运动功能恢复,疗效确切。

Objective:To explore the clinical efficacy of Chinese medicine fumigation combined with massage and acupuncture in the treatment of stroke.Methods:A total of 100 stroke patients admitted to the Second Affiliated Hospital of Nantong University from November 2018 to July 2020 were included,numbered according to the order of admission,and divided into a control group(n=50)and an observation group(n=50)according to the odd and even numbers.The control group was given massage and acupuncture,and the observation group was offered extra traditional Chinese medicine fumigation.Tthe clinical efficacy were compared,including blood flow status,namely hematocrit(HCT),fibrinogen(FBG),and plasma viscosity(CP),immune mechanism(lgA,lgG,lgM),nerve and limb motor function,such as neural defect,movement function clinical spasticity index,and adverse reactions.Results:After treatment,the clinical effective rate of the observation group(96.00%)was significantly higher than that of the control group(84.00%);the levels of FBG,CP,HCT,lgA,lgM,and lgG in the two groups were significantly reduced,and those of the observation group was significantly lower than those of the control group;The NDF and CSI scores of the two groups were significantly reduced,and those of the observation group was significantly lower than those of the control group;the FMA scores of the two groups increased,it was significantly higher in the observation group(P<0.05);for the incidence of adverse reactions between the control group and the observation group(10.00%and 12.00%),there was no statistical difference(P>0.05).Conclusion:The traditional Chinese medicine fumigation method combined with massage and acupuncture can improve the blood circulation and immune regulation in stroke patients,and promote the recovery of nerve and movement function.