通督调神针刺联合小续命汤加减治疗气虚血瘀型中风临床研究

Clinical Study on Tongdu Tiaoshen Acupuncture Combined with Modified Xiaoxuming Decoction(小续命汤)on Qi Deficiency and Blood Stasis Type Apoplexy

目的:观察通督调神针刺联合小续命汤加减治疗气虚血瘀型中风患者的临床疗效。方法:将符合纳入标准的70例气虚血瘀型脑卒中患者,采用随机数字表法分为对照组和治疗组各35例。对照组根据缺血性和出血性脑卒中相关指南予以对症处理,结合通督调神针刺;治疗组在对照组基础上联合服用小续命汤加减。两组均连续治疗3周,观察美国国立卫生院卒中量表(NIHSS)评分、日常生活活动能力评分表(ADL)评分、气虚血瘀型中医证候疗效和总体临床疗效。结果:治疗后治疗组与对照组NIHSS评分显著降低,ADL评分显著升高,组内比较差异均有统计学意义(P<0.01),且治疗组NIHSS评分、ADL评分与对照组比较差异均有统计学意义(P<0.05);治疗后治疗组与对照组气虚血瘀型中医症状评分均较治疗前显著下降,组内比较差异具有统计学意义(P<0.01),且治疗组的改善程度优于对照组(P<0.05);综合临床疗效比较,治疗组优于对照组(P<0.05)。结论:联合疗法能改善脑卒中患者肢体功能障碍,促进神经功能修复,提高患者生活质量,改善预后。

Objective:To observe the clinical prognosis of Tongdu Tiaoshen acupuncture combined with Modified Xiaoxuming Decoction(小续命汤)on apoplexy patients with qi deficiency and blood stasis type.Methods:Total 70 cases of apoplexy patients with qi deficiency and blood stasis type were divided into the control group and the treatment group according with random number table method,with 35 cases in each group.The control group was given symptomatic treatment according to the relevant guidelines for ischemic and hemorrhagic apoplexy,combined with Tongdu Tiaoshen acupuncture;the treatment group was combined with Modified Xiao-xuming Decoction on the basis of the treatment of the control group.All patients were treated for 3 consecutive weeks,and the National Institutes of Health Stroke Scale(NIHSS)score,Activities of Daily Living(ADL)score,the efficacy of Traditional Chinese Medicine(TCM)syndromes of qi deficiency and blood stasis type and the total clinical efficacy were observed.Results:After treatment,the NIHSS score of the treatment group and the control group decreased significantly,and the ALD score increased significantly,the comparisons within the group were statistically significant(P<0.01).The NIHSS score and ADL score of the treatment group were significantly different from those of the control group(P<0.01).The scores of TCM symptoms of qi deficiency and blood stasis type in the treatment group and the control group were significantly lower than those before the treatment,the difference within the group was statistically significant(P<0.01),and the improvement degree of the treatment group was better than that of the control group(P<0.05).In terms of comprehensive clinical efficacy comparison,the treatment group was better than the control group(P<0.05).Conclusions:Tongdu Tiaoshen acupuncture combined with Modified Xiaoxuming Decoction can improve the limb dysfunction of apoplexy patients,promote the repair of nerve function,enhance the quality of life of patients,and improve the prognosis.