中西医结合治疗缺血性中风后肩手综合征风痰瘀阻证临床观察
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R743.3

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ClinicalObservation ofIntegrated Chineseand Western MedicineTherapyfor Shoulder-hand Syndrome of Post-ischemic Stroke with Syndrome of Wind-phlegm Stasis
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    摘要:

    目的:观察中西医结合治疗缺血性中风后肩手综合征风痰瘀阻证患者的疗效。方法:将90例缺血性中风后肩手综合征风痰瘀阻证患者随机分为治疗组和对照组各45例。对照组给予现代医学内科常规治疗及康复干预措施,治疗组在对照组治疗基础上予针刺结合化痰通络汤治疗。2组疗程均为4周。比较2组患者治疗前后的肩手综合征评估量表评分、风痰瘀阻证症状(头晕目眩、痰多、言语謇涩、感觉减退)评分、血清降钙素基因相关肽(CGRP)水平及疗程结束后的临床疗效。结果:治疗后,总有效率治疗组91.11%,对照组71.11%,2组比较,差异有统计学意义(P<0.05)。2组肩手综合征评估量表的感觉、运动及自主神经评分与头晕目眩、痰多、言语謇涩、感觉减退评分均较治疗前下降(P<0.01),治疗组各项评分均低于对照组(P<0.01)。2组血清CGRP水平均较治疗前增加(P<0.01),治疗2周和4周,治疗组血清CGRP水平均高于对照组(P<0.01)。结论:在常规西医治疗及康复训练基础上运用针刺联合化痰通络汤加减的中西医结合治疗,可促进中风后肩手综合征风痰瘀阻证患者康复,调节血清中CGRP水平可能与其疗效有关。

    Abstract:

    ObjectiveTo observe the curative effect of integrated Chinese and western medicine therapy in treating patients with shoulder-hand syndrome of post-ischemic stroke with syndrome of wind-phlegm stasis.MethodsDivided 90 cases of patients with shoulder-hand syndrome of post-ischemic stroke with syndrome of wind-phlegm stasis into the treatment group and the control group randomly,45 cases in each group.The control group was given routine therapy and recovery intervention measures of modern internal medicine,while the treatment group additionally receivedacupuncture combined with oral administration of modified Huatan Tongluo tang.Treatment course of both groups lasted for 4 weeks.Compared the shoulder-hand syndrome scale score,score of wind-phlegm stasis syndrome which includes light-headedness,abundant sputum,dysphasia and hypoesthesia,and calcitonin gene-related peptide(CGRP)level in both groups before and after treatment as well as clinical curative effect at the end of the course.ResultsAfter treatment,the total effective rate was 91.11%in the treatment group and 71.11%in the control group,the difference being significant(P<0.05).Scores of sensory,motor,and autonomic nerve in shoulder-hand syndrome scale,and light-headedness,abundant sputum,dysphasia,and hypoesthesia in both groups were declined when compared with those before treatment(P < 0.01),while scores of the above indexes in the treatment group were lower than those in the control group(P<0.01).CGRP levels in serum in both groups were increased when compared with those before treatment(P<0.01).In the second and fourth week of treatment,CGRP levels in serum of the treatment group were higher than those of the control group(P < 0.01).ConclusionBased on routine western medicine therapy and rehabilitation training,combination of acupuncture and integrated Chinese and western medicine therapy with modified Huatan Tongluo tang can promote rehabilitation of patients withshoulder-hand syndrome of wind-phlegm stasis type,and its function of regulating CGRP level in serum may contribute to the curative effect.

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凌军,陈礼平.中西医结合治疗缺血性中风后肩手综合征风痰瘀阻证临床观察[J].新中医,2018,50(2):21-24

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  • 在线发布日期: 2018-02-08
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