针药法干预气虚血瘀型中风先兆证的临床对比研究  

Clinical Comparative Study of Acupuncture Combined with Medication in the Treatment of Apoplexy Aura of Qi Deficiency and Blood Stasis Pattern

作　　者：周海纯[1] 俞沛文 郭蕊珠[3] 杨圆圆 ZHOU Haichun;YU Peiwen;GUO Ruizhu;YANG Yuanyuan(Harnan Branch, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China;Heilongjiang University of Chinese Medicine, Harbin 150040, China;Harbin First Aid Center, Harbin 150001, China)

机构地区：[1]黑龙江中医药大学附属第二医院哈南分院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]哈尔滨市急救中心,黑龙江哈尔滨150001

出　　处：《针灸临床杂志》2020年第8期28-32,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省卫生计生委科研课题,编号:2017-252。

摘　　要：目的:基于治未病理论,对比分析针药法干预气虚血瘀型中风先兆证的临床作用。方法:选取符合纳入标准的气虚血瘀型中风先兆证患者90例,随机分为对照组、针刺组、针药组,各30例。各组均按照指南采取西医预防治疗,针刺组于基础治疗上采用头穴丛刺长留针法,针药组于基础治疗上采用头穴丛刺长留针法结合补阳还五汤,连续治疗4周后,对比3组患者血液流变学指标、颈动脉IMT值、中医证候积分的前后变化情况以及治疗过程中TIA的发生情况和治疗结束半年后随访的缺血性卒中发生情况。结果:比较3组治疗前后中医证候积分变化、血液流变学指标、颈动脉IMT值及治疗疗效,3组均有改善,且针药组优于针刺组,针刺组优于对照组,差异均有统计学意义(P<0.05)。比较半年后随访缺血性卒中发生情况,针药组发生率最低,差异具有统计学意义(P<0.05)。结论:针药法对气虚血瘀型中风先兆证干预作用最佳。Objective:To analyze the clinical effect of acupuncture combined with traditional Chinese medication on apoplexy aura of qi deficiency and blood stasis pattern based on the theory of preventive treatment of disease.Methods:90 patients with apoplexy aura of qi deficiency and blood stasis pattern were randomly divided into the control group,the acupuncture group and the combination group(acupuncture combined with medication),with 30 cases in each group.Each group was treated with western medication according to the guidelines;on which basis,the acupuncture group was treated with scalp cluster needling;the combination group was also treated with Buyang Huanwu Decoction on the treatment basis of the acupuncture group.After four weeks of continuous treatment,the changes of hemorheology indexes,IMT value of carotid artery,TCM syndrome scores and TIA during the treatment were compared among the three groups.The incidence of ischemic stroke during the follow-up was traced.Results:TCM syndrome scores,hemorheology indexes and IMT value of carotid artery were imrpoved after the treatment;the improvements in the combination group were more significant than those in the acupuncture group(P<0.05).The incidence of ischemic stroke was the lowest in the combination group during the follow-up(P<0.05).Conclusion:The combination of acupuncture and traditional Chinese medication has the best effect on apoplexy aura of qi deficiency and blood stasis pattern.

关 键 词：治未病 中风 先兆证 针刺 气虚血瘀 

分 类 号：R246.6[医药卫生—针灸推拿学]