补阳还五汤联合微创穴位埋线治疗缺血性中风偏瘫随机平行对照研究

Buyanghuanwu Soup Combined Catgut Embedding Minimally Invasive Treatment of Ischemic Stroke Hemiplegia Randomized Controlled Study

[目的]观察补阳还五汤联合微创穴位埋线治疗缺血性中风偏瘫疗效。[方法]使用随机平行对照方法,将60例住院患者按抽签法随机分为两组。对照组30例常规治疗,调节血压、血糖、血脂,改善脑部代谢,抗血小板聚集、抗凝,抗感染防治并发症等。治疗组30例补阳还五汤联合微创穴位埋线治疗。补阳还五汤加减(黄芪120g,地龙、赤芍各15g,当归20g,桃仁、红花、川芎各10g),1剂/d,水煎200mL,早晚口服。微创穴位埋线,手足阳明穴为主,辅以太阳、少阳经穴。一次性埋线针,直径0.7～0.9 mm,针长4～5cm;材料为PGLA生物可吸收线体,规格1/0～3/0,长度1～2cm。用75%乙醇或碘伏消毒局部皮肤,迅速用腕力将针刺入皮下,并逐渐到达适宜深度。右手食指轻轻推动针芯至底部,将线体完全推入穴位,同时拇指和中指捏持针柄轻轻退出针体,重复压下针芯2～3次,确保线体完全推出。常规治疗同对照组。连续治疗14d为1疗程。观测临床症状、CSS评分、Barthel指数评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组基本痊愈0例,显著进步8例,进步19例,无变化2例,恶化2例,总有效率90.00%。对照组基本痊愈0例,显著进步5例,进步14例,无变化8例,恶化3例,总有效率63.33%。治疗组疗效优于对照组(P<0.05)。CSS评分、Barthel评分治疗组改善优于对照组(P<0.05)。[结论]补阳还五汤联合微创穴位埋线治疗缺血性中风偏瘫效果显著,值得推广。

[Objective]observed Buyanghuanwu Soup catgut embedding combined minimally invasive treatment of ischemic stroke hemiplegia.[Methods]Using randomized controlled method,60 cases of hospitalized patients were randomly divided into two groups.Control group,30 cases of conventional treatment,regulating blood pressure,blood sugar,blood lipids,improve brain metabolism,anti-platelet aggregation,anticoagulant,anti-infection prevention and control complications.Treatment group,30 cases of minimally invasive joint Buyanghuanwu Soup catgut embedding therapy.Buyanghuanwu Soup subtraction(Huangqi 120g,Dilong,Chishao 15g,Danggui 20g,Taoren,Honghua,Chuanxiong 10g),1 does / d,decoction 200mL,sooner or later orally.Minimally invasive catgut implantation,foot Yangming points,supplemented by the sun,Shaoyang Meridian.Disposable embedding needle diameter 0.7 ～ 0.9 mm,pin length 4 ～ 5cm;bioabsorbable material PGLA line body,size 1/0 to 3/0,length 1 ～ 2cm.With 75% ethanol or povidone-iodine disinfection local skin quickly with a wrist needle into the skin,and gradually reach the appropriate depth.Right index finger,gently push the plunger to the bottom line of the body will be pushed into the points,while pinching the thumb and middle finger gently withdraw the needle handle needle,repeat pressing the needle core 2 or 3 times to ensure that line body fully launched.Conventional treatment with the control group.14d is a course of continuous treatment.Observation of clinical symptoms,CSS score,Barthel Index score,adverse reactions.2 courses of continuous treatment,to determine efficacy.[Results]treatment group basically recovered 0 cases,significant progress in eight cases,progress in 19 cases,no change in two cases,deterioration in 2 cases,the total effective rate 90.00%.Basic recovery 0 cases in control group,significant progress in five cases,progress in 14 cases,no change in eight cases,deterioration in 3 cases,the total effective rate 63.33%.Treatment group than the control group(P<0.05).CSS score,Barthel score improvement in the treatment group than the control group(P<0.05).[Conclusion]Buyanghuanwu Soup catgut embedding combined minimally invasive treatment of ischemic stroke,paralysis effect is significant,worthy of promotion.