三合五化汤联合贺氏三通针治疗缺血性中风恢复期患者的临床观察

Clinical Observation on Sanhe Wuhua Decoction Combined with He’s Santong Acupuncture in the Treatment of Convalescence Patients with Ischemic Stroke

目的:探究三合五化汤联合贺氏三通针对缺血性中风恢复期患者的治疗效果。方法:选取2020年1月-2021年10月在钦州市中医医院接受治疗的缺血性中风恢复期患者60例,采用随机数字表法分为观察组和对照组,每组30例。其中对照组采用常规治疗,观察组在对照组的基础上联合三合五化汤、贺氏三通针治疗,对比观察两组相关参数。结果:观察组治疗总有效率高于对照组(P<0.05)。治疗后,两组中医主症、次症评分较治疗前均降低,且观察组均低于对照组(P<0.05)。治疗后,两组血清氧化低密度脂蛋白(ox-LDL)、8-异前列腺素F_(2α)(8-iso-PGF_(2α))及高密度脂蛋白胆固醇(HDL-C)较治疗前均升高,且观察组均高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组血清低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)水平及神经功能缺损评分(NIHSS)、日常生活能力量表(ADL)评分较治疗前均降低,且观察组均低于对照组,差异均有统计学意义(P<0.05)。结论:三合五化汤联合贺氏三通针可显著改善缺血性中风恢复期患者临床症状,显著提高其神经功能、自我生活能力及治疗效果,值得在临床治疗中推广。

Objective:To explore the curative effect of Sanhe Wuhua Decoction combined with He’s Santong Acupuncture on patients in convalescence of ischemic stroke.Method:A total of 60 convalescence patients with ischemic stroke who treated in Qinzhou Traditional Chinese Medicine Hospital from January 2020 and October 2021 were selected.According to random number table method,the patients were divided into the observation group and the control group,30 cases in each group.Patients in the control group were given routine treatment,while patients in the observation group were treated with Sanhe Wuhua Decoction and He’s Santong Acupuncture based on the control group.The relevant parameters were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of main and secondary TCM symptoms in two groups were reduced compared with those before treatment,and the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the levels of serum oxidized low-density lipoprotein(ox-LDL),8-isoprostglandin F_(2α)(8-iso-PGF_(2α))and high-density lipoprotein cholesterol(HDL-C)in two groups were increased compared with those before treatment,the observation group were higher than those in the control group(P<0.05).After treatment,the levels of serum low-density lipoprotein cholesterol(LDL-C)and total cholesterol(TC),the national institute of health st roke scale(NIHSS)scores and activity of daily living scale(ADL)scores in two groups were reduced compared with those before treatment(P<0.05),the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Sanhe Wuhua Decoction combined with He’s Santong Acupuncture can significantly improve clinical symptoms,nerve function,activities of daily living and curative effect in convalescence patients with ischemic stroke.