天麻钩藤饮联合醒脑开窍针法治疗肝阳上亢型脑梗死急性期临床观察

Clinical Observation on Modified Tianma Gouteng Decoction Combined with Activating Brain and Regaining Consciousness Acupuncture in the Treatment of Acute Ischemic Stroke with Syndrome of Upper Hyperactivity of Liver Yang

目的观察院内自制加味天麻钩藤合剂联合醒脑开窍针法治疗肝阳上亢型急性脑梗死的临床疗效。方法选取2018年6月—2020年6月就诊于徐州中医院并收治入院且符合条件的急性脑梗死(ACI)患者80例,按随机数字表法分为对照组40例和试验组40例。对照组采用基础治疗,观察组在基础治疗上采用加味天麻钩藤合剂联合醒脑开窍针刺疗法。比较2组治疗前后NIHSS评分、MMSE评分及Barthel量表评分变化。结果2组经治疗后,NIHSS评分均下降,试验组更明显(P<0.05);MMSE评分及Barthel量表评分均较前提升,试验组更明显(P<0.05)且无明显不良反应。结论加味天麻钩藤合剂联合醒脑开窍针发治疗脑梗死急性期证属肝阳上亢型安全有效。

Objective To observe the clinical efficacy of modified Tianma Gouteng decoction combined with activating brain and regaining consciousness acupuncture in the treatment of acute ischemic stroke with syndrome of upper hyperactivity of liver yang.Methods A total of80 ACI patients admitted to Xuzhou Hospital of Traditional Chinese Medicine from June 2018 to June 2020 were selected and randomly divided into control group(n=40)and experimental group(n=40).According to the guidelines,40 patients in the control group were treated with conventional therapy.40 patients in the observation group were added modified Tianma Gouteng decoction combined with activating brain and regaining consciousness acupuncture on the basis of the conventional therapy.Neurological deficit function(NIHSS score),simple mental state examination scale(MMSE)and Barthel scale were observed after treatment.Results Compared with before treatment,NIHSS score in both groups were significantly decreased(P<0.05).After treatment,NIHSS score in the observation group were significantly lower than those in the control group(P<0.05).Moreover,MMSE and Barthel score in both groups were significantly decreased after treatment.The decrease was more pronounced in the observation group(P<0.05).There were no obvious adverse reactions during treatment.Conclusion modified Tianma Gouteng decoction combined with activating brain and regaining consciousness acupuncture has excellent clinical effect in treating acute ischemic stroke with syndrome of upper hyperactivity of liver yang.It is safe and worthy of promoting clinically.