补阳还五汤配合足四针在脑卒中踝关节障碍中的应用效果

Application effect of Buyang Huanwu Decoction combined with four foot needles in post-stroke ankle dysfunction

目的探讨补阳还五汤配合足四针在脑卒中踝关节障碍中的应用效果。方法选取2021年3月至9月上饶市人民医院收治的80例脑卒中踝关节障碍患者为研究对象,采用随机数字表法分为两组,每组各40例,对照组采用常规康复训练+补阳还五汤治疗,观察组采用常规康复训练+补阳还五汤配合足四针治疗,比较两组患者的神经功能、日常生活活动能力、踝关节功能、步行功能以及不良反应发生情况。结果两组患者治疗前美国国立卫生研究院卒中量表(NIHSS)评分比较,差异无统计学意义(P>0.05),观察组治疗后NIHSS评分低于对照组,差异有统计学意义(P<0.05);两组患者治疗前日常生活活动能力(ADL)评分比较,差异无统计学意义(P>0.05),观察组治疗后ADL评分高于对照组,差异有统计学意义(P<0.05)。两组患者治疗前美国足与踝关节外科踝与后足功能评分系统(AOFAS)评分比较,差异无统计学意义(P>0.05),观察组治疗后AOFAS评分高于对照组,差异有统计学意义(P<0.05)。两组患者治疗前Hold-on步行功能分级(FAC)评分比较,差异无统计学意义(P>0.05),观察组治疗后FAC评分高于对照组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论采用补阳还五汤配合足四针治疗效果佳,患者神经缺损、活动能力、踝关节功能以及步行功能均有显著改善,患者预后效果佳。

Objective To discuss the application effect of Buyang Huanwu Decoction combined with four foot needles in post-stroke ankle dysfunction.Methods A total of 80 stroke patients with ankle joint disorder admitted to Shangrao People′s Hospital from March to September 2021 was selected as the research objects.The patients was divided into the observation group and the control group according to random number table method,with 40 cases in each group.Patients in the control group was given routine rehabilitation training and treated with Buyang Huanwu Decoction,while patients in the observation group was given routine rehabilitation training and treated with Buyang Huanwu Decoction combined with four foot needles.The neurological function,activities of daily living,ankle function,walking function and adverse reactions were compared between the two groups.Results There was no statistically significant difference between the two groups in the National Institutes of Health stroke scale(NIHSS)score before treatment(P>0.05).After treatment,the NIHSS score of observation group was lower than those of control group,with statistically significant difference(P<0.05).There was no statistically significant difference between the two groups in the activity of daily living scale(ADL)score before treatment(P>0.05).The ADL score of observation group was higher than that of control group after treatment,with statistically significant difference(P<0.05).There was no statistically significant difference between the two groups in the American orthopedics foot and ankle score(AOFAS)before treatment(P>0.05).The AOFAS score of observation group was higher than that of control group after treatment,with statistically significant difference(P<0.05).There was no statistically significant difference between Hold-on functional ambulation category(FAC)score before treatment(P>0.05).The FAC score of observation group was higher than that of control group after treatment,with statistically significant difference(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Buyang Huanwu Decoction combined with four-needle acupuncture has a good effect,and the patients′nerve defect,mobility,ankle function and walking function have been significantly improved,and the patients′prognosis is good.