壮医莲花针拔罐逐瘀疗法治疗风痰瘀阻型缺血性中风恢复期的临床效果

Clinical effect of zhuangyi lianhua needle cupping and stasis removing therapy in the recovery period of ischemic stroke with blockade of wind-phlegm-static blood type

目的 探讨壮医莲花针拔罐逐瘀疗法治疗风痰瘀阻型缺血性中风恢复期的临床效果。方法 选取2023年1月至10月广西国际壮医医院风痰瘀阻型缺血性中风恢复期的72例患者,按照随机数字表法将其分为治疗组与对照组,每组36例。对照组采用基础治疗,治疗组在对照组基础上,增加壮医莲花针叩刺、刺拔、吸附。两组均治疗28 d。比较两组的临床效果和治疗前、治疗14 d后、治疗28 d后的中医证候积分、日常生活活动(ADL)量表评分、生活质量评分、美国国立卫生研究院卒中量表(NIHSS)评分。结果 治疗组临床疗效优于对照组(P<0.05)。整体分析发现:中医症候评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。NIHSS、ADL、生活质量评分组间比较、时间点比较差异均有统计学意义(P<0.05)。组内比较:治疗14、28 d后两组中医症候、NIHSS评分均低于治疗前,治疗28 d后两组中医症候、NIHSS评分均低于治疗14 d后;治疗14、28 d后两组ADL、生活质量评分均高于治疗前,治疗28 d后两组ADL、生活质量评分均高于治疗14 d后(P<0.05)。组间比较:治疗14、28 d后治疗组中医症候、NIHSS评分低于同期对照组,ADL、生活质量评分均高于同期对照组(P<0.05)。结论 壮医莲花针拔罐逐瘀疗法是治疗风痰瘀阻型缺血性中风恢复期患者的一种有效方法,可改善神经功能缺损、提高日常生活活动能力。

Objective To study the clinical effect of zhuangyi lianhua needle cupping and stasis removing therapy in the recovery period of ischemic stroke with blockade of wind-phlegm-static blood type.Methods A total of 72 patients in the recovery period of ischemic stroke with blockade of wind-phlegm-static blood type were selected from January to October 2023 in Guangxi International Zhuang Medical Hospital and they were divided into treatment group and the control group according to random number table method,with 36 cases in each group.The control group was treated with basic treatment,and treatment group was added with tapping,drawing,and adsorption of zhuangyi lianhua needle on the basis of control group.Both groups were treated for 28 days.The clinical effects of the two groups were compared,as well as the traditional Chinese medicine syndrome scores and activities of daily living(ADL) scale score,quality of life score,and National Institutes of Health stroke scale(NIHSS) score of the two groups were compared before treatment,after 14 and 28 days of treatment.Results The clinical effect of the treatment group was better than that of the control group(P<0.05).The overall analysis showed that there were statistically significant differences among groups,time point comparison,and interaction of traditional Chinese medicine syndrome evaluation(P<0.05).There were significant differences in NIHSS,ADL,quality of life among groups and time points(P<0.05).Intra-group comparison:traditional Chinese medicine symptoms and NIHSS scores of the two groups were lower after 14 and 28 days of treatment than before treatment,and traditional Chinese medicine symptoms and NIHSS scores of the two groups were lower after 28 days of treatment than after 14 days of treatment;the ADL and quality of life scores of the two groups were higher after 14 and 28 days of treatment than before treatment,and the ADL and quality of life scores of the two groups were higher after 28 days of treatment than after 14 days of treatment(P<0.05).Comparison between groups:after 14 and 28 days of treatment,the scores of traditional Chinese medicine syndrome and NIHSS in the treatment group were lower than those in the control group,and the scores of ADL and quality of life in the treatment group were higher than those in the control group(P<0.05).Conclusion The zhuangyi lianhua needle cupping and stasis removing therapy is an effective method for the treatment of patients in the recovery period of ischemic stroke with blockade of wind-phlegm-static blood type,which can improve nerve function defect and enhance the ability of daily living.