益气聪明汤加减联合维筋相交针刺法治疗肝肾亏虚型中风后复视的临床效果

Clinical effect on the treatment of diplopia after stroke of liver and kidney deficiency type with the combination of modified Yiqi Congming Decoction and weijin intersection acupuncture method

目的 探讨益气聪明汤加减联合维筋相交针刺法治疗肝肾亏虚型中风后复视的临床效果。方法 选取2021年1月至2023年1月承德医学院附属医院收治的90例中风后复视患者为研究对象,按照随机数字表法将其分为三组,各30例。对照组1常规治疗+益气聪明汤加减治疗;对照组2常规治疗+针刺治疗;联合组常规治疗+益气聪明汤加减+针刺治疗。10 d为1个疗程。治疗3个疗程后评估三组临床疗效、症状评分、眼部功能指标、治疗安全性。结果 联合组临床疗效优于对照组1、对照组2(P<0.05)。治疗后,三组复视、眼斜、头晕、恶心、代偿头位评分较治疗前均降低,且联合组低于对照组1、对照组2(P<0.05)。治疗后,三组复视像距离、瞳孔直径小于治疗前,眼裂宽度大于治疗前,且联合组复视像距离、瞳孔直径小于对照组1、对照组2,眼裂宽度大于对照组1、对照组2(P<0.05)。联合组与对照组1、对照组2不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 益气聪明汤加减联合针刺治疗中风后复视的临床效果显著,可改善患者临床症状及眼球功能,有较好的治疗安全性。

Objective To explore the clinical efficacy of Yiqi Congming Decoction combined with weijin intersection acu-puncture in the treatment of diplopia after stroke of liver and kidney deficiency type.Methods A total of 90 patients with post stroke diplopia admitted to Affiliated Hospital of Chengde Medical College from January 2021 to January 2023 were selected as the subjects,and they were divide into three groups by random number table method,with 30 cases in each group.Control group 1 received conventional treatment+modified treatment with Yiqi Congming Decoction;control group 2 received conventional treatment+acupuncture treatment;combined group received conventional treatment+modified Yiqi Congming Decoction+acupuncture treatment.Ten days was one course of treatment.After three courses of treatment,the clinical efficacy,symptom score,ocular function index,and treatment safety of the three groups were evaluated.Results The effective rate of the combined group was higher than that of control group 1 and control group 2(P<0.05).After treatment,diplopia,oblique eye,dizziness,nausea,and compensatory head position scores in the three groups were lower than before treatment,and the combined group was significantly lower than control group 1 and control group 2(P<0.05).After treatment,the diplopia image distance and pupil diameter of the three groups were smaller than before treatment,and the eye cleft width was larger than before treatment,and the combined group’diplopia image distance and pupil diameter were smaller than control group 1 and control group 2,and the eye cleft width was larger than control group 1 and control group 2(P<0.05).There was no significant difference in the incidence of adverse reactions between the combined group and control group 1 and control group 2(P>0.05).Conclusion The clinical efficacy of modified Yiqi Congming Decoction combined with acupuncture in the treatment of post stroke diplopia is significant,which can improve the patients’traditional symptom and symptom scores.