针刺、苏合香丸联合高压氧对高血压脑出血患者的影响

The Combined Effect of Acupuncture,Suhexiang Pill and Hyperbaric Oxygen Therapy on Patients With Hypertensive Intracerebral Hemorrhage

目的探讨针刺、苏合香丸联合高压氧对高血压脑出血(hypertensive intracerebral hemorrhage,HICH)患者的影响。方法随机选择2021年1月—2023年12月南京医科大学附属苏州医院神经康复科收治的60例HICH患者作为研究对象,通过信封法将研究对象分为研究组和对照组,各30例。对照组实施高压氧治疗,研究组在此基础上实施针刺、苏合香丸治疗。比较2组患者的治疗效果。结果干预后2组患者的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)及Rivermead行为记忆评定量表(Rivermead behavioral memory test,RBMT)评分较干预前均有降低,且研究组低于对照组(P<0.05)。干预后2组患者的简易智力状态检查(mini-mental state examination,MMSE)、蒙特利尔认知评估(Montreal cognitive assessment,MoCA)、洛文斯顿认知功能评定测验(Loewenstein occupational therapy cognitive assessment,LOTCA)的水平较干预前均有改善,其中研究组的MMSE、Moca高于对照组,而LOTCA低于对照组(P<0.05)。干预后研究组的日常生活活动能力量表(activity of daily living scale,ADL)中工具性能力为(8.62±2.05)分,躯体生活评分为(7.62±1.38)分,均低于对照组的(11.24±2.28)分、(11.31±1.92)分(P<0.05)。结论对HICH患者实施针刺、苏合香丸联合高压氧可有效改善患者的神经功能、促进认知功能的恢复,从而提高治疗效果,改进日常生活能力。

Objective To explore the effects of acupuncture,Suhexiang pills combined with hyperbaric oxygen therapy on patients with hypertensive intracerebral hemorrhage.Methods A total of 60 HICH patients admitted department of neurorehabilitation,the Affiliated Suzhou Hospital of Nanjing Medical University from January 2021 to December 2023 were randomly selected as the study subjects.The study subjects were divided into a study group and a control group using the envelope method,with 30 cases in each group.The control group received hyperbaric oxygen therapy,while the study group received acupuncture and Suhexiang pills on this basis.The therapeutic effects of two groups of patients the two groups were compared.Rrsults After the intervention,the scores of National Institute of Health Stroke Scale(NIHSS)and Rivermead behavioural memory test(RBMT)of the patients in both groups were lower than those before the intervention(P<0.05).After intervention,the levels of Mini mental state examination(MMSE),Montreal cognitive assessment(MoCA),and Loewenstein occupational therapy cognitive assessment(LOTCA)in both groups of patients improved compared to before intervention.Among them,the MMSE and Moca in the study group were higher than those in the control group,while the LOTCA was lower than that in the control group(P<0.05).The post-intervention levels of the study group′s activity of daily living scale(ADL)in instrumental ability(8.62±2.05)points and somatic life score(7.62±1.38)points,were lower than the control group(11.24±2.28)points,(11.31±1.92)points after the intervention compared to the pre-intervention period(P<0.05).Conclusion Acupuncture,Suhexiang pills combined with hyperbaric oxygen can effectively improve the neurological function and promote the recovery of cognitive function in HICH patients,thereby achieving the goal of improving treatment effectiveness and daily living ability.