熄风调督毫针刺法联合康复训练治疗原发性高血压合并急性缺血性脑卒中临床研究

Clinical Study on Wind-Extinguishing and Du-Regulating Filiform Needle Acupuncture Combined with Rehabilitation Training for Essential Hypertension Complicated with Acute Ischemic Stroke

目的:观察熄风调督毫针刺法联合康复训练治疗原发性高血压(EH)合并急性缺血性脑卒中(AIS)的临床疗效。方法:选取92例EH合并AIS患者,采用双色球法分为对照组和治疗组各46例。2组均给予西药基础治疗,对照组在此基础上给予康复训练治疗,治疗组在对照组基础上予以熄风调督毫针刺法治疗。2组均治疗4周。比较2组临床疗效、中医证候积分、改良Rankin量表(mRs)评分、美国国立卫生研究院卒中量表(NIHSS)评分及改良Barthel指数(MBI)评分。结果:治疗后,治疗组临床疗效总有效率95.65%,与对照组89.13%比较,差异无统计学意义(P>0.05)。经秩和检验,治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,2组感觉减退、偏瘫、口舌歪斜、言语謇涩、恶心呕吐、头晕目眩、痰多积分均较治疗前降低,治疗组上述7项中医证候积分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组mRs、NIHSS评分均较治疗前降低,MBI评分均较治疗前升高,差异均有统计学意义(P<0.05);治疗组mRs、NIHSS评分均低于对照组,MBI评分高于对照组,差异均有统计学意义(P<0.05)。结论:熄风调督毫针刺法联合康复训练治疗EH合并AIS具有较好的临床疗效,能有效改善患者的临床症状及预后。

Objective:To observe the clinical effect of wind-extinguishing and du-regulating filiform needle acupuncture combined with rehabilitation training on essential hypertension(EH)complicated with acute ischemic stroke(AIS).Methods:A total of 92 patients with EH complicated with AIS were selected and divided into the control group and the treatment group by dual color sphere method,with 46 cases in each group.Both groups received basic treatment with western medicine;the control group was additionally treated with rehabilitation training,and the treatment group was additionally treated with windextinguishing and du-regulating filiform needle acupuncture based on the treatment of the control group.Both groups were treated for 4 weeks.The clinical effects,traditional Chinese medicine(TCM)syndrome scores,modified Rankin Scale(mRs)scores,National Institutes of Health Stroke Scale(NIHSS)scores,and modified Barthel Index(MBI)scores were compared between the two groups.Results:After treatment,the total clinical effective rate was 95.65%in the treatment group,and 89.13%in the control group,there being no significance in the difference(P>0.05).After the rank-sum test,the clinical effect in the treatment group was better than that in the control group,the difference being significant(P<0.05).After treatment,the scores of decreased sensation,hemiplegia,crooked mouth and tongue,awkward speech,nausea and vomiting,dizziness,and excessive phlegm in the two groups were decreased when compared with those before treatment,and the scores of the seven TCM syndromes in the treatment group were lower than those in the control group,differences being significant(P<0.05).After treatment,the scores of mRs and NIHSS in the two groups were decreased when compared with those before treatment,and the MBI scores were increased when compared with those before treatment,differences being significant(P<0.05);the scores of mRs and NIHSS in the treatment group were lower than those in the control group,and the MBI score was higher than that in the control group,differences being significant(P<0.05).Conclusion:Wind-extinguishing and du-regulating filiform needle acupuncture combined with rehabilitation training has a good clinical effect in treating EH complicated with AIS,which can effectively improve the clinical symptoms and prognosis of patients.