醒脑通督针法联合化痰通络汤治疗中风偏瘫临床研究

Clinical Study on Treatment of Stroke Hemiplegia by Xingnao Tongdu Acupuncture Combined with Huatan Tongluo Decoction(化痰通络汤)

目的:探究醒脑通督针法联合化痰通络汤、肌电生物反馈疗法(EMGBFT)对中风偏瘫患者的影响。方法:将164例中风偏瘫患者随机分为对照组53例、观察一组55例、观察二组56例。对照组采用EMGBFT方法治疗,观察一组采用化痰通络汤和EMGBFT治疗,观察二组采用醒脑通督针法联合化痰通络汤、EMGBFT治疗。检测患者神经功能、关节活动度、肢体功能、运动功能、中医证候积分,统计临床疗效及不良反应发生情况。结果:治疗后,三组患者血清神经生长因子(NGF)、脑源性神经营养因子(BDNF)水平及关节活动度、肢体功能评分、运动功能评分高于治疗前(P<0.05),中医证候积分低于治疗前(P<0.05);且以上指标,观察一组表现优于对照组(P<0.05),观察二组表现优于对照组、观察一组(P<0.05);总有效率,对照组73.58%,观察一组81.82%,观察二组96.43%,三组疗效比较,差异有统计学意义(P<0.05);三组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:醒脑通督针法联合化痰通络汤、EMGBFT可明显改善中风偏瘫患者的肢体运动功能,且安全性良好。

Objective:To explore the effect of Xingnao Tongdu acupuncture combined with Huatan Tongluo Decoction(化痰通络汤)and electromyography biofeedback therapy(EMGBFT)on apoplectic hemiplegia patients.Methods:A total of 164 apoplectic hemiplegia patients were randomly divided into three groups,53 patients in control group treated with EMGBFT,55 in observation A group treated with EMGBFT and Huatan Tongluo Decoction and 56 in observation B group treated with EMGBFT,Huatan Tongluo Decoction combined with Xingnao Tongdu acupuncture.The method to verify the efficacy is to detect the patient’s nerve function,joint mobility,limb function,motor function,traditional Chinese medicine(TCM)syndrome score,to count the clinical efficacy and adverse reactions.Results:The levels of serum nerve growth factor(NGF),brain derived neurotrophic factor(BDNF),joint mobility,limb function score and motor assessment score in the three groups were higher than those before treatment(P<0.05),and TCM syndrome score was lower than before treatment(P<0.05).And the above indicators from the observation A group were better than those in the control group(P<0.05).The above indicators from observation B group were better than the control group and observation A group(P<0.05).Total response rate,73.58%in the control group,81.82%in the observation A group,96.43%in the observation B group,and the differences among the three groups were statistically significant(P<0.05).The occurrence of adverse reactions in the three groups showed no statistically significant difference(P>0.05).Conclusion:Xingnao Tongdu acupuncture combined with Huatan Tongluo Decoction and EMGBFT can significantly improve the limb function of apoplectic hemiplegia patients with less adverse effects.