巨刺法结合中药治疗缺血性中风偏瘫的研究  

Study on the treatment with macro-needling combined with traditional Chinese medicine for ischemic stroke

作　　者：刘颖[1] 王光义[1] 吕明庄[1] 史江峰 雷衍东[1] 苏荣华[1] 黄少炎 

机构地区：[1]贵州医科大学,贵州贵阳550004 [2]江苏省徐州市中医院,江苏徐州221000

出　　处：《现代中西医结合杂志》2016年第4期351-353,400,共4页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：贵州省中医药管理局中医药;民族医药科学技术研究课题(QZYY2012-65)

摘　　要：目的观察巨刺法结合中药治疗缺血性脑中风偏瘫患者的临床疗效及对血液流变学和神经功能积分的影响。方法将120例缺血性脑中风偏瘫患者随机分为观察组、中药组、巨刺组、巨刺加中药组。所有患者均给予常规西医治疗,在此基础上,中药组给予补阳还五汤随证加减治疗,巨刺组给予针灸治疗,巨刺加中药组给予补阳还五汤随证加减联合针灸治疗。4组均以10 d为1个疗程,治疗2个疗程。观察4组治疗前后血液流变学指标、神经功能积分变化情况,统计4组治疗效果。结果 4组治疗后血液流变学指标均较治疗前明显降低(P均<0.05),且中药组、巨刺组、巨刺加中药组均明显低于观察组(P均<0.05),巨刺加中药组明显低于中药组和巨刺组(P均<0.05),中药组和巨刺组比较差异无统计学意义;4组治疗后神经功能积分均较治疗前明显增高(P均<0.05),且中药组、巨刺组、巨刺加中药组均明显高于观察组(P均<0.05),巨刺加中药组明显高于中药组和巨刺组(P均<0.05),中药组和巨刺组比较差异无统计学意义。结论巨刺法结合中药治疗可有效改善缺血性脑中风偏瘫患者的血液流变学指标,提高患者的神志、语言及运动功能,值得临床推广应用。Objective It is to observe the clinical effect of macro-needling combined with traditional Chinese medicine on ischemic stroke with hemiplegia, and effect on neural function and hemodynamic indexes. Methods 120 cases of ischemic stroke patients with hemiplegia were randomly divided into observation group,Chinese medicine group, macro-needling group, needling plus traditional Chinese medicine group. All the patients were given conventional western medicine therapy, accord- ing to the different groups to give corresponding treatment. 10 days was one treatment course, and all the groups were treated for two groups. The changes of neural function scores and hemodynamic indexes before and after treatment in all the groups were observed and the curative effects were compared. Results After treatment, all the hemodynamic indexes were improved in the four groups（P all 〈 0.05） , and the improvements in Chinese medicine group, macro-needling group, needling plus tradi- tional Chinese medicine group were better than that in observation group （ P all 〈 0.05）, the improvements in needling plus traditional Chinese medicine group were better than that in Chinese medicine group, macro-needling group（ P 〈 0.05 ） , no significant difference was found between Chinese medicine group and macro-needling group. The neural function scores were increased after treatment in all the groups compared with that before treatment, and the scores in Chinese medicine group, macro-needling group, needling plus traditional Chinese medicine group were higher than that in observation group （P all 〈 0. 05）, the scores in needling plus traditional Chinese medicine group were higher than that in Chinese medicine group, macro-needling group（P all 〈 0.05）, no significant difference was found between Chinese medicine group and macro-needling group. Conclusion Macro-needling combined with traditional Chinese medicine can effectively improve hemodynamic indexes consciousness, language and motor function of the ischemic stroke pa

关 键 词：缺血性脑中风偏瘫 巨刺法 中药 血液流变学 神经功能积分 

分 类 号：R743.3[医药卫生—神经病学与精神病学]