针灸辅助治疗急性缺血性脑卒中后偏瘫的临床价值

Clinical value of acupuncture and moxibustion combined with traditional Chinese medicine decoction in the treatment of hemiplegia after acute ischemic stroke

目的探讨针灸辅助治疗急性缺血性脑卒中(CIS)后偏瘫的临床疗效及安全性。方法选取2019年3月至2021年3月我院收治的CIS偏瘫患者79例,按照随机数字表法分为观察组(温针灸联合通络扶正汤治疗)42例和对照组(通络扶正汤治疗)37例。比较两组治疗后临床疗效、血清学指标环磷酸腺苷(cAMP)、环磷酸鸟苷(cGMP)、肢体功能、神经功能及生活能力,并分析治疗安全性。结果治疗后,观察组临床疗效优于对照组(P<0.05);两组cAMP水平较治疗前上升,cGMP水平较治疗前下降,且观察组变化程度显著高于对照组(P<0.05);治疗后观察组肢体功能、神经功能及生活能力评分均优于对照组(P<0.05);两组治疗期间及治疗后不良反应比较差异无统计学意义(P>0.05)。结论温针灸辅助治疗急性缺血性脑卒中后偏瘫疗效更佳,更有利于促进患者神经功能及运功能康复。

Objective To investigate the clinical efficacy and safety of acupuncture and moxibustion in the treatment of hemiplegia after acute cerebral ischemic stroke(CIS).Methods Seventy-nine patients with CIS hemiplegia who were treated in our hospital from March 2019 to March 2021 were selected.According to the random number table method,they were divided into an observation group(n=42)and a control group(n=37).The observation group was treated with warm acupuncture and moxibustion combined with Tong-luo-fu-zheng decoction.The control group was treated with Tong-luo-fu-zheng decoction.The clinical efficacy,serological indexes such as cyclic adenosine monophosphate(cAMP)and cyclic guanosine monophosphate(cGMP),limb function,neurological function and living ability were compared between the two groups after treatment.The safety of treatment was also analyzed.Results After treatment,the observation group had better clinical efficacy than the control group(P<0.05).After treatment,the level of cAMP in the two groups was increased and the level of cGMP was decreased when compared with that before treatment,and the degree of changes in the observation group was larger than that in the control group(P<0.05).After treatment,compared with the control group,the limb function,neurological function and living ability of the observation group were improved better(P<0.05).There was no significant difference in adverse reaction between the two group during and after treatment(P>0.05).Conclusions Warm acupuncture and moxibustion are more effective in the treatment of hemiplegia after acute CIS.It is more conducive to promote the recovery of neurological and motor functions.