[1]贾丽霞,朱明兴,刘东坡.益气活血通络汤联合体针疗法治疗出血性脑卒中偏瘫 及对患者血流动力和运动功能的影响*[J].陕西中医,2019,(5):667-670.
　JIA Lixia,ZHU Mingxing,LIU Dongpo..Effect of Yiqi Huoxue Tongluo decoction combined with TCM acupuncture therapy on hemiplegia patients with hemorrhagic stroke[J].,2019,(5):667-670.
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益气活血通络汤联合体针疗法治疗出血性脑卒中偏瘫 及对患者血流动力和运动功能的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年5期
页码:
667-670
栏目:
针灸经络
出版日期:
2019-05-05

文章信息/Info

Title:
Effect of Yiqi Huoxue Tongluo decoction combined with TCM acupuncture therapy on hemiplegia patients with hemorrhagic stroke
文章编号:
DOI:〖HT5K〗10.3969/j.issn.1000-7369.2019.05.036
作者:
贾丽霞; 朱明兴; 刘东坡
鹤壁煤业（集团）有限公司总医院康复科（鹤壁 458000）
Author(s):
JIA Lixia;  ZHU Mingxing;  LIU Dongpo.
Rehabilitation Department, General Hospital of Hebi Coal Industry (Group) Co., Ltd. (Hebi 458000)
关键词:
益气活血通络汤; 中医体针; 出血性脑卒中; 偏瘫; 血流动力; 运动功能
Keywords:
Yiqi Huoxue Tongluo decoction; TCM body acupuncture; Hemorrhagic stroke; Hemiplegia;  Hemodynamics; Motor function
分类号:
R743.3
文献标志码:
A
摘要:
摘 要 目的： 探讨益气活血通络汤联合中医体针疗法治疗出血性脑卒中偏瘫患者的疗效及对脑血流动力及运动功能的影响。方法：选择出血性脑卒中偏瘫患者86例，随机分为对照组和观察组各43例。对照组给予常规西医对症治疗，观察组在此基础上给予益气活血通络汤联合中医体针疗法治疗。比较两组治疗前后脑血流动力、运动功能变化情况及临床疗效。结果： 治疗后观察组中医证候积分低于对照组，观察组VEGF和Ang-2水平高于对照组，NIHSS评分低于对照组（P<0.05）。治疗后，观察组治疗后R水平低于对照组，DR、Vmin及Fug-Meyer评分均高于对照组（P<0.05）；观察组总有效率为90.70%（39/43）明显高于对照组72.09%（31/43）（P<0.05）。观察组治疗后QLQ-C30评分明显高于对照组（P <0.05）。结论：益气活血通络汤联合中医体针疗法可显著改善出血性脑卒中偏瘫患者脑血流动力、促进运动功能康复。
Abstract:
Abstract Objective: To investigate the curative effect of Yiqi Huoxue Tongluo decoction combined with body acupuncture in treating hemiplegia patients with hemorrhagic stroke and its effect on cerebral hemodynamics and motor function. Methods :86 hemiplegic patients with hemorrhagic stroke admitted were selected as the study subjects. The patients were divided into control group and observation group by random number table method, 43 cases in each group. The control group was given symptomatic treatment of conventional western medicine, while the observation group was given Yiqi Huoxue Tongluo decoction combined with traditional Chinese medicine body acupuncture treatment on the basis of the control group. The changes of cerebral hemodynamics, motor function and clinical efficacy were compared between the two groups before and after treatment. Results:After 2, 3 and 4 weeks of treatment, the scores of TCM syndromes in the two groups were significantly decreased, and the decrease in the observation group was more obvious than that in the control group, the difference was statistically significant (P<0.05). There was no significant difference in the scores of vascular endothelial growth factor, Ang-2 and NIHSS between the two groups before treatment (P>0.05). After treatment, the levels of vascular endothelial growth factor and Ang-2 increased significantly and the scores of NIHSS decreased significantly (P<0.05); after treatment, the levels of vascular endothelial growth factor and Ang-2 in the observation group were significantly higher than those in the control group, and the scores of NIHSS were significantly lower than those in the control group (P<0.05). There was no significant difference in R, DR, Vmin and Fug-Meyer scores between the two groups before treatment (P>0.05); after treatment, the R levels of the two groups decreased, while the DR, Vmin and Fug-Meyer scores increased (P<0.05); after treatment, the R levels of the observation group were lower than those of the control group, while the DR, Vmin and Fug-Meyer scores of the observation group were higher than those of the control group (P<0.05). The total effective rate was 90.70% (39/43) higher than 72.09% (31/43) of the control group (P<0.05). After treatment, the QLQ-C30 scores of the two groups were significantly higher than those before treatment (P<0.05); after treatment, the QLQ-C30 scores of the observation group were significantly higher than〖LM〗 those of the control group (P<0.05). Conclusion:Yiqi Huoxue Tongluo decoction combined with TCM body acupuncture therapy can significantly improve cerebral hemodynamics and promote motor function rehabilitation in hemiplegic patients with hemorrhagic stroke. It has definite clinical effect and can be popularized and applied.

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备注/Memo

备注/Memo:
*河南省科技攻关计划项目（142102310279）
更新日期/Last Update: 2019-05-07