涤痰汤加味配合穴位埋线治疗颅脑外伤的价值  

Value of Modified Ditan Decoction(涤痰汤加味)Combined with Acupoint Catgut Embedding in Treatment of Craniocerebral Trauma

作　　者：陶开亮 TAO Kailiang(Department of Neurosurgery,Hangzhou Dingqiao Hospital,Hangzhou 310021,Zhejiang,China)

机构地区：[1]杭州市丁桥医院神经外科,浙江杭州310021

出　　处：《辽宁中医杂志》2022年第9期177-180,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2019KY402)

摘　　要：目的评价涤痰汤加味配合穴位埋线在颅脑外伤患者术后神经、认知、运动功能恢复和改善日常生活能力中的应用效果。方法选择2018年1月—2021年4月杭州市丁桥医院收治的颅脑外伤患者60例,采用随机数表法分为对照组(29例)和观察组(31例)。对照组采用常规药物治疗和康复训练配合穴位埋线。观察组在对照组治疗的基础上予以涤痰汤加味配合治疗,治疗2个月后,使用蒙特利尔认知评估量表(MoCA量表)评估患者的认知功能,采用简易精神状态量表(MMSE)和神经功能缺损程度量表(NIHSS)评价患者的神经功能的恢复程度,使用Fugl-Meyer评定量表(FMA)和Barthel指数(BI)评价患者的肢体运动水平和日常生活能力水平,比较两组中医证候疗效。结果(1)认知功能:治疗后,观察组患者MoCA评分较对照组提高,差异具有统计学意义(P<0.05)。(2)神经功能:治疗后观察组患者MMSE和NIHSS评分较对照组提高,差异具有统计学的意义(P<0.05)。(3)运动功能和日常生活能力:治疗后,观察组患者的FMA和Barthel指数得分均较对照组提高,差异具有统计学意义(P<0.05)。(4)中医证候疗效:治疗后,两组中医证候治疗有效率分别为93.55%(29/31)和72.41%(21/29),观察组的治疗有效率较对照组明显升高,差异有统计学的意义(P<0.05)。结论涤痰汤加味配合穴位埋线可以改善颅脑损伤患者术后认知功能、神经功能和运动功能,提高患者的中医证候疗效和患者日常生活能力。Objective To evaluate the application effect of Modified Ditan Decoction(涤痰汤加味)combined with acupoint catgut embedding on the recovery of postoperative neurological function,cognitive function and motor function and improvement of ability of daily living in patients with craniocerebral trauma.Methods Sixty patients with craniocerebral trauma admitted to the hospital were selected between January 2018 and April 2021,and were divided into control group(29 cases)and observation group(31 cases)by using the random number table method.The control group was treated with conventional medication and rehabilitation training combined with acupoint catgut embedding,and the observation group was combined with Modified Ditan decoction on the basis of treatment in the control group.After 2 months of treatment,Montreal Cognitive Assessment Scale(MoCA Scale)was used to evaluate the cognitive function of patients.Mini-Mental State Examination(MMSE)and National Institute of Health Stroke Scale(NIHSS)were applied to evaluate the recovery of neurological function.Fugl-Meyer Assessment(FMA)and Barthel Index(BI)were adopted to evaluate the limb motor and ability of daily living.The curative effect of TCM syndromes was compared between the two groups.Results(1)As for cognitive function,the MoCA score of the observation group after treatment was higher than that of the control group(P<0.05).(2)Comparison of neurological function was shown that the scores of MMSE and NIHSS were higher in the observation group than those in the control group after treatment(P<0.05).(3)In terms of motor function and ability of daily living,the scores of FMA and Barthel index in observation group after treatment were higher compared with those in the control group(P<0.05).(4)After treatment,the treatment effective rates of TCM syndromes in the two groups were 93.55%(29/31)and 72.41%(21/29),respectively.The effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Modified Ditan D

关 键 词：颅脑外伤 涤痰汤加味 穴位埋线 认知功能 日常生活能力 

分 类 号：R246.2[医药卫生—针灸推拿学]