针灸联合通络扶正汤治疗老年缺血性脑卒中后偏瘫的临床效果

Clinical Effect of Acupuncture and Moxibustion Combined with Tongluo Fuzheng Decoction for Treating Hemiplegia After Ischemic Stroke in Elderly

目的:探讨针灸联合通络扶正汤治疗老年缺血性脑卒中后偏瘫的临床价值。方法:选取2019年4月-2020年4月昌平区中医医院收治的老年缺血性脑卒中后偏瘫患者60例为观察对象,根据随机数字表法分为对照组与观察组,各30例。对照组采用针灸治疗,观察组在对照组基础上给予通络扶正汤治疗,比较两组患者治疗效果、血脂指标[甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)]、神经状态[美国国立卫生研究院卒中量表(NIHSS)]、认知功能[简易智能评估量表(MMSE)]、肢体功能、日常生活能力。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.0419)。治疗后,两组患者TG水平、LDL-C水平均降低,观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者NIHSS评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);两组患者MMSE评分均升高,观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者肢体功能评分均升高,观察组高于对照组,差异有统计学意义(P=0.0000);治疗后,两组患者日常生活能力评分均升高,观察组高于对照组,差异有统计学意义(P=0.0000)。结论:老年缺血性脑卒中后偏瘫患者采用针灸联合通络扶正汤治疗效果显著,可显著改善患者肢体功能、卒中症状、日常生活能力及认知功能,调整血脂水平。

Objective:To explore the clinical value of acupuncture and moxibustion combined with Tongluo Fuzheng Decoction for treating hemiplegia after ischemic stroke in the elderly.Methods:Sixty elderly patients with hemiplegia after ischemic stroke treated in Changping District Hospital of Traditional Chinese Medicine from April 2019 to April 2020 were selected as the observation subjects.They were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received acupuncture and moxibustion treatment.The observation group received Tongluo Fuzheng Decoction treatment on the basis of control group.The therapeutic effects,blood lipid indexes[triglycerides(TG),low density lipoprotein cholesterol(LDL-C)],neurological status[National Institute of Health Stroke Scale(NIHSS)],cognitive function[Mini-Mental State Examination(MMSE)],limb function,and daily living ability were compared between the two groups.Results:The total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.0419).After treatment,TG levels and LDL-C levels in the two groups were decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,NIHSS score was increased in the two groups,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).MMSE score was increased in the two groups,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).After treatment,the limb function scores in the two groups were increased,and the observation group was higher than the control group,and the difference was statistically significant(P=0.0000).After treatment,the score of daily living ability increased in the two groups,and the observation group was higher than the control group,and the difference was statistically significant(P=0.0000).Conclusion:The effect of acupuncture and moxibustion combined with Tongluo Fuzheng Decoction is remarkable for treating elderly patients with hemiplegia after ischemic stroke,which can significantly improve limb function,stroke symptoms,daily living ability and cognitive function,and adjust blood lipid levels.