补阳还五汤配合针灸治疗脑梗死偏瘫患者的效果及影响

The Effect and Influence of Buyang Huanwu Decoction Combined with Acupuncture in the Treatment of Patients with Cerebral Infarction Hemiplegia

目的探讨补阳还五汤配合针灸对脑梗死偏瘫患者的影响。方法选取于2022年1月至2023年12月在河南科技大学第二附属医院康复医学科就诊的60例脑梗死偏瘫患者,采用随机排列表法将所有入选患者分为对照组(仅予补阳还五汤治疗)及针药组(予补阳还五汤配合针灸治疗),各30例,比较两组神经功能、中医症候积分、血液流变学指标及肢体功能恢复情况。结果治疗前,两组神经功能评分与中医症候积分比较,差异无统计学意义(P>0.05);治疗后,针药组神经功能评分与中医证候积分均低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组全血黏度、全血还原黏度、红细胞聚集指数相比,差异无统计学意义(P>0.05);治疗后,针药组这三项指标均低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组运动功能评分与Barthel指数相比,差异无统计学意义(P>0.05);治疗后,针药组这两项指标均高于对照组,差异具有统计学意义(P<0.05)。结论阳还五汤配合针灸治疗脑梗死偏瘫,可促使患者神经功能恢复,减轻机体不适症状,降低血液黏度,促进患者康复期肢体功能恢复。

Objective To explore the effect of Buyang Huanwu Decoction combined with acupuncture on patients with cerebral infarction hemiplegia.Methods 60 patients with cerebral infarction hemiplegia who visited the Department of Rehabilitation Medicine of The Second Affiliated Hospital of Henan University of Science and Technology from January 2022 to December 2023 were selected.All selected patients were divided into a control group(only treated with Buyang Huanwu Decoction)and a needle-drug group(treated with Buyang Huanwu Decoction combined with acupuncture)by random permutation method,with 30 cases in each group.The neurological function,traditional Chinese medicine syndrome score,hemorheology index,and limb function recovery of the two groups were compared.Results Before treatment,there was no statistical significance in the comparison of neurological function scores and traditional Chinese medicine syndrome scores between the two groups(P>0.05).After treatment,the neurological function score and traditional Chinese medicine syndrome score of the needle-drug group were both lower than those of the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistical significance in the comparison of whole blood viscosity,whole blood reduction viscosity,and red blood cell aggregation index between the two groups(P>0.05).After treatment,these three indicators in the needle-drug group were all lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistical significance in the comparison of motor function score and Barthel index between the two groups(P>0.05).After treatment,both of these indicators in the needle-drug group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Buyang Huanwu Decoction combined with acupuncture in the treatment of cerebral infarction hemiplegia can promote the recovery of patients’neurological function,alleviate the discomfort symptoms of the body,reduce blood viscosity,and promote the recovery of limb function during the recovery period of patients.