改良复方消胀散熏洗联合抽提透针法治疗脑梗死后遗症躯体疼痛的效果

Effect of the Combination of Fumigation and Washing of the Modified Compound Xiaozhang Powder and Extractive Needle in the Treatment of Somatic Pain of Cerebral Infarction Sequelae

目的:分析改良复方消胀散熏洗联合抽提透针法治疗脑梗死后遗症躯体疼痛的临床效果。方法:选取2022年7月—2023年7月开平沙冈张立群医院收治的脑梗死后遗症躯体疼痛的患者100例作为研究对象,采用抽签法分为观察组和对照组,各50例。对照组接受康复运动治疗,观察组在对照组基础上给予改良复方消胀散熏洗联合抽提透针法治疗。观察两组疼痛程度、肢体功能、自理能力、神经功能缺损情况及临床疗效。结果:治疗后,两组视觉模拟评分低于治疗前,且观察组低于对照组,两组Fugl-Meyer评定量表评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组Barthel指数评分高于治疗前,且观察组高于对照组,两组美国国立卫生研究院卒中量表评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组临床疗效总有效率高于对照组,差异有统计学意义(P=0.014)。结论:改良复方消胀散熏洗联合抽提透针法治疗脑梗死后遗症躯体疼痛的临床效果显著,可减轻患者的躯体疼痛,改善其肢体功能,并提高自理能力。

Objective:To analyze the clinical effect of the modified compound Xiaozhang powder fumigation and washing combined with extractive needle in the treatment of somatic pain of cerebral infarction sequelae.Methods:A total of one hundred patients with cerebral infarction sequelae and physical pain admitted to Kaiping Shagang Zhang Liqun Hospital from July 2022 to July 2023 were selected as the study objects and divided into observation group and control group by drawing lots,with fifty cases in each group.The control group was treated with rehabilitation exercise,and the observation group was treated with modified compound Xiaozhang powder fumigation combined with extractive needle.The pain degree,limb function,self-care ability,neurological deficits and clinical effect of the two groups were observed.Results:After treatment,the Visual Analog Score of the two groups was lower than before treatment,and the observation group was lower than the control group,and the Fugl-Meyer Rating Scale score of the two groups was higher than before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);the score of Barthel index of the two groups was higher than before treatment,the observation group was higher than the control group,the score of National Institutes of Health Stroke Scale of the two groups was lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);the total effective rate of clinical effect of the observation group was higher than the control group,and the difference was statistically significant(P=0.014).Conclusion:The modified compound Xiaozhang powder fumigation combined with extractive needle method has remarkable clinical effect in treating the somatic pain of cerebral infarction sequelae,which can reduce the somatic pain of patients,improve their limb function and improve their self-care ability.