补阳还五汤配合针刺治疗中风后肢体功能障碍临床观察

Buyang Huanwu Decoction Combined with Acupuncture in the Treatment of Post-stroke Limb Dysfunction

目的探究中风后肢体功能障碍患者以针刺、补阳还五汤联合治疗的效果。方法选取108例中风后肢体功能障碍患者随机分组。参照组常规治疗,在此基础上,试验组采用针刺结合补阳还五汤治疗,对比两组治疗前后各指标及治疗总有效率。结果治疗前,两组患者C反应蛋白(CRP)、白细胞介素-6(IL-6)、Barthel指数评分、Brunnstrom(BN)分期评分、中医证候积分、Fugl-Meyer运动功能评估量表(FMA)评分差异无统计学意义(P>0.05);治疗后,试验组CRP、IL-6、中医证候积分与参照组相比较低,Barthel指数评分、FMA评分和BN分期评分则比参照组高。试验组治疗总有效率96.30%(52/54)高于参照组的83.33%(45/54)(P<0.05)。结论补阳还五汤结合针刺治疗中风后肢体功能障碍,能使患者炎症反应得到缓解,改善患者肢体运动功能,效果显著,值得推广。

Objective To explore the effect of acupuncture combined with Buyang Huanwu decoction on patients with limb dysfunction after stroke.Methods A total of 108 patients with limb dysfunction after stroke were randomly divided into two groups.The control group was treated with routine treatment,and the experimental group was treated with acupuncture combined with Buyang Huanwu De⁃coction.The indexes and the total effective rate before and after treatment were compared between the two groups.Results Before treatment,there were no significant differences in C-reactive protein(CRP),interleukin-6(IL-6),Barthel index score,Brunnstrom(BN)stage score,TCM syndrome score and Fugl-Meyer Motor Function Assessment Scale(FMA)score between 2 groups(P>0.05).Af⁃ter treatment,CRP,IL-6 and TCM syndrome score of experimental group were lower than those of the control group,while Barthel in⁃dex score,FMA score and BN stage score of experimental group were higher than those of the control group.The total effective rate of treatment group was 96.30%(52/54),which was higher than that of control group(83.33%,45/54)(P<0.05).Conclusion Buyang Huanwu decoction combined with acupuncture can relieve inflammatory reaction and improve motor function of limbs in patients with post stroke limb dysfunction diseases.It has significant effect and is worth popularizing.