血府逐瘀汤联合醒脑开窍针刺法治疗中风后遗症临床研究
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R246.6

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Clinical Study on Xuefu Zhuyu Tang Combined with Xingnao Kaiqiao Acupuncture Method for Stroke Sequela
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    摘要:

    目的:观察在常规疗法基础上加用血府逐瘀汤联合醒脑开窍针刺法对中风后遗症患者疗效及生活质量的影响。方法:将110 例气虚血瘀型中风后遗症患者按随机数字表法分为研究组和对照组各55 例。对照组给予血府逐瘀汤治疗,研究组给予血府逐瘀汤联合醒脑开窍针刺法治疗,2 组均治疗1 个月。比较2 组的临床疗效及治疗安全性,观察2 组治疗前、治疗1 个月后的血液流变学指标、血清炎症因子、日常生活能力及生活质量的变化情况。结果:治疗后,研究组总有效率为98.18%,对照组总有效率为85.45%,2 组比较,差异有统计学意义(P<0.05)。2 组红细胞聚集指数、血浆黏度、全血低切黏度及全血高切黏度、纤维蛋白原浓度、红细胞压积均较治疗前降低,研究组6 项指标值均低于对照组,差异均有统计学意义(P<0.05)。2 组肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6) 水平均较治疗前降低,白细胞介素-10 (IL-10) 较治疗前升高,研究组TNF-α、IL-6 水平均低于对照组,而IL-10 水平则高于对照组,差异均有统计学意义(P<0.05)。2 组Barthel 指数及世界卫生组织生存质量测定简表(WHOQOL-BREF) 评分均较治疗前升高(P<0.05),研究组Barthel 指数及WHOQOL-BREF 评分均高于对照组(P<0.05)。在治疗过程中,2 组患者生命体征均正常,肝肾功能、血常规及尿常规结果均正常。结论:采用血府逐瘀汤联合醒脑开窍针刺法治疗中风后遗症患者效果确切,安全性高,可有效改善血液循环,减轻炎症反应,提高患者的日常生活能力及生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of given conventional therapy and Xuefu Zhuyu tang combined with Xingnao Kaiqiao acupuncture method on curative effect and quality of life in patients with stroke sequela. Methods : A total of 110 cases of stroke sequela with deficiency of Qi and Blood stasis were divided into the study group and the control group according to the random number table method, 55 cases in each group. The control group was treated with Xuefu Zhuyu tang, and the study group was treated with Xuefu Zhuyu tang combined with Xingnao Kaiqiao acupuncture method. Both groups were treated for one month. The clinical effect and safety in the two groups were compared. Before treatment and after one-month treatment,the changes in hemorrheology,serum inflammatory factors,activities of daily living and quality of life in the two groups were observed. Results:After treatment,the total effective rate was 98.18% in the study group and 85.45% in the control group, the difference being significant(P<0.05). The indexes of red cell aggregation, plasma viscosity, low- cut viscosity, whole blood high shear viscosity, fibrinogen concentration, hematocrit in the two groups were decreased when compared with those before treatment,and the above indexes in the study group were lower than those in the control group, differences being significant(P<0.05). The levels of TNF- α, IL- 6 in the two groups were decreased and IL-10 were increased when compared with those before treatment,the levels of TNF-α and IL-6 in the study group were lower than those in the control group,and the levels of IL-10 was higher,differences being significant(P<0.05). The Barthel indexes and WHOQOL- BREF scores in the two groups were increased when compared with those before treatment(P<0.05), and the above two indexes in the study group were higher than those in the control group(P<0.05). During treatment, the vital signs in the two groups were normal, the liver and kidney function, blood routine and urine routine in the two groups were normal. Conclusion:Xuefu Zhuyu tang combined with Xingnao Kaiqiao acupuncture method is effective and safe for patients with stroke sequela. It can effectively improve blood circulation, activities of daily living and quality of life,and reduce inflammatory reaction.

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黄鞠通.血府逐瘀汤联合醒脑开窍针刺法治疗中风后遗症临床研究[J].新中医,2021,53(13):43-47

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  • 在线发布日期: 2021-07-11
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