血府逐瘀汤联合针灸治疗缺血性脑卒中偏瘫患者的临床研究  

Clinical study of Xuefu Zhuyu Decoction combined with acupuncture in the treatment of hemiplegia after ischemic stroke

作　　者：李昕阳[1] 刘素萍[1] 王佳良 张跃其[2] LI Xinyang;LIU Suping;WANG Jialiang;ZHANG Yueqi(Department of Rehabilitation,Weifang People′s Hospital,Shandong Province,Weifang261000,China;Department of Neurology,Weifang People′s Hospital,Shandong Province,Weifang261000,China)

机构地区：[1]山东省潍坊市人民医院康复科,山东潍坊261000 [2]山东省潍坊市人民医院神经内科,山东潍坊261000

出　　处：《中国医药导报》2020年第5期137-140,共4页China Medical Herald

基　　金：山东省医药卫生科技发展计划项目（2017WS018）

摘　　要：目的探讨血府逐瘀汤联合针灸治疗缺血性脑卒中偏瘫患者的临床效果。方法选取2018年4月~2019年4月山东省潍坊市人民医院收治的缺血性脑卒中偏瘫患者100例。根据随机数字表法将患者分为对照组(50例)和观察组(50例),其中对照组在常规对症干预的基础上给予康复训练,观察组在对照组的基础上给予血府逐瘀汤联合针灸治疗。比较两组临床疗效、中医症状积分、颅内动脉血流情况以及下肢运动功能、生命质量,记录两组治疗期间不良反应情况。结果观察组治疗后的临床总有效率高于对照组(P<0.05)。两组治疗后大脑前动脉、中动脉及后动脉平均血流速度均较治疗前增快,且观察组快于对照组(P<0.05)。两组治疗后中医症状积分均低于治疗前,且观察组低于对照组(P<0.05)。两组治疗后简化Fugl-Meyer运动功能量表、脑卒中专门化生命质量量表评分均较治疗前升高,且观察组高于对照组(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论血府逐瘀汤联合针灸治疗缺血性脑卒中偏瘫患者,可迅速改善患者临床症状、颅内血流状况、下肢运动功能及生命质量,疗效显著,同时不增加不良反应发生率,临床应用价值较高。Objective To explore clinical effect of Xuefu Zhuyu Decoction combined with acupuncture in the treatment of hemiplegia after ischemic stroke.Methods One hundred patients with hemiplegia due to ischemic stroke admitted to Weifang People′s Hospital of Shandong Province were selected from April 2018 to April 2019.The patients were randomly divided into control group(50 cases)and observation group(50 cases),in which,control group was given rehabilitation training on the basis of routine symptomatic intervention,while observation group was treated with Xuefu Zhuyu Decoction combined with acupuncture on the basis of control group.The clinical efficacy,Chinese medicine symptom score,intracranial artery blood flow,lower limb motor function and quality of life were compared between two groups,and adverse reactions during treatment were recorded.Results After treatment,total effective rate of observation group was significantly higher than that of control group(P<0.05).After treatment,the average blood flow velocity of anterior cerebral artery,middle cerebral artery and posterior cerebral artery in two groups was faster than that before treatment,and that in observation group was faster than that in control group(P<0.05).After treatment,the scores of Chinese medicine symptoms in two groups were lower than those before treatment,and the scores in observation group were lower than those in control group(P<0.05).The scores of Fugl-Meyer assessment and stroke specific quality of life in two groups were higher than those before treatment,and those in observation group were higher than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion Xuefu Zhuyu Decoction combined with acupuncture can rapidly improve the clinical symptoms,intracranial blood flow,lower limb motor function and quality of life of patients with hemiplegia after ischemic stroke.The curative effect is remarkable,without increasing the incidence of adverse reactions,and the

关 键 词：血府逐瘀汤 针灸 缺血性脑卒中 偏瘫 临床研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学]