温阳化瘀汤联合醒脑开窍针刺法对脑梗死恢复期患者神经功能及运动功能的影响  

The Influence of Decoction for Warming Yang and Removing Blood Stasis in Combination with Acupuncture for Activating Brain for Resuscitation on Neurological Function and Motor Function in Patients with Cerebral Infarction at Recovery Stage

作　　者：赵俊朝 ZHAO Jun-chao(Zhengzhou Second People′s Hospital,Zhengzhou,Henan,China,450000)

机构地区：[1]郑州市第二人民医院,河南郑州450000

出　　处：《河南中医》2020年第10期1610-1613,共4页Henan Traditional Chinese Medicine

摘　　要：目的:观察温阳化瘀汤联合醒脑开窍针刺法对脑梗死恢复期患者神经功能及运动功能的影响。方法:将112例脑梗死恢复期患者按照随机数字表法分为对照组和观察组,每组各56例。对照组采用醒脑开窍针刺法治疗,观察组采用温阳化瘀汤联合醒脑开窍针刺法治疗。比较两组患者的临床疗效及治疗前后神经因子水平[神经生长因子(nerve growth factor,NGF)、神经元核心抗原(neuronal core antigen,NeuN)、神经元特异性烯醇化酶(neuron specific enolase,NSE)]、神经功能评分及运动功能评分。结果:对照组有效率为78.57%,观察组有效率为94.64%,两组患者有效率比较,差异具有统计学意义(P<0.05)。两组患者治疗后NGF、NeuN水平高于本组治疗前,NSE水平低于本组治疗前,且观察组NGF、NeuN水平高于对照组,NSE水平低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后中国脑卒中临床神经功能缺损程度评分量表(China stroke scale,CSS)评分低于本组治疗前,Fugl-Meyer运动功能评分法(fugel meyer motor function,FMA)评分高于本组治疗前,且观察组CSS评分低于对照组,FMA评分高于对照组,差异具有统计学意义(P<0.05)。结论:温阳化瘀汤联合醒脑开窍针刺法治疗恢复期脑梗死,能够有效改善患者神经因子水平,促进患者神经功能及运动功能恢复。Objective:To observe the influence of Decoction for Warming Yang and Removing Blood Stasis in combination with acupuncture for activating brain for resuscitation on neurological function and motor function in patients with cerebral infarction at recovery stage.Methods:A total of 112 patients with cerebral infarction at recovery stage were randomly divided into the control group and the observation group according to random number table,with 56 cases in each group.The control group was treated with acupuncture for activating brain for resuscitation,while the observation group was treated with Decoction for Warming Yang and Removing Blood Stasis in combination with acupuncture for activating brain for resuscitation.The clinical effects of the two groups,the levels of nerve growth factor[including nerve growth factor(NGF),neuron core antigen(NeuN),neuron specific enolase(NSE)],Neurological function score and motor function score before and after the treatment were compared.Results:The effective rate of the control group was 78.57%,and that of the observation group was 94.64%.The difference was statistically significant(P<0.05).After the treatment,the levels of NGF and NeuN in the two groups were higher than those of the same group before the treatment,while the NSE level was lower than that of the same group before treatment;the levels of NGF and NeuN in the observation group were higher than those in the control group,and the NSE level was lower than that in the control group,and all the differences were statistically significant(P<0.05).After the treatment,the Chinese Stroke Scale(CSS) score of the two groups was lower than that of the same group before the treatment,while the Fugl Meyer motor function(FMA) score was higher than that of the same group before treatment;the CSS score of the observation group was lower than that of the control group,while the FMA score of the observation group was higher than that of the control group and all the differences were statistically significant(P<0.05).Conclusion:In terms

关 键 词：脑梗死 恢复期 温阳化瘀汤 醒脑开窍针刺法 

分 类 号：R277.743.3[医药卫生—中医学]