电针拮抗肌运动点联合血府逐瘀汤治疗脑梗死后痉挛性瘫痪的疗效观察及对血浆D-二聚体的影响  

The effects of electroacupuncture at antagonistic muscle movement points with the Xuefu Zhuyu decoction on spastic paralysis after cerebral infarction and plasma D-dimer

作　　者：蒙康龙 贺晓菊 石全 Meng Kanglong

机构地区：[1]广州中医药大学金沙洲医院,广东广州510168

出　　处：《中医临床研究》2021年第5期79-82,共4页Clinical Journal Of Chinese Medicine

基　　金：广东省中医药局科研项目,项目编号:20191417。

摘　　要：目的:研究电针拮抗肌运动点联合血府逐瘀汤治疗脑梗死后痉挛性瘫痪的疗效及对血浆D-二聚体的影响。方法:将80例脑梗死后痉挛性瘫痪的患者随机分为两组,每组40例。治疗组运用电针刺激拮抗肌运动点联合血府逐瘀汤治疗。对照组运用针刺常规腧穴加丹参川芎嗪注射液。两组均留针30 min,每日1次,每周6天治疗,4周后予以评估。结果:治疗后两组痉挛性瘫痪症状皆有明显好转,尤其以治疗组痉挛性瘫痪症状和血浆D-二聚体改善程度较为明显,对比差异性显著(P<0.05)。结论:电针拮抗肌运动点联合血府逐瘀汤治疗脑梗死后痉挛性瘫痪的疗效显著,并能降低血浆D-二聚体。Objective:To study the curative effect of electroacupuncture at antagonistic muscle movement points with the Xuefu Zhuyu decoction(血府逐瘀汤)on spastic paralysis after cerebral infarction and its influence on plasma D-dimer.Methods:80 cases of spastic paralysis after cerebral infarction were randomly divided into two groups,each with 40 cases.The treatment group received electric acupuncture to stimulate the antagonistic muscle movement points plus the Xuefu Zhuyu decoction.The control group received acupuncture on conventional acupoints plus the Danshen Chuanxiongqin injection(丹参川芎嗪注射液).The needles were retained for 30 minutes in both groups,once a day,6 days a week,and clinical efficacy was evaluated after 4 weeks.Results:After treatment,the symptoms of spastic paralysis in the two groups were significantly improved,especially in the treatment group,the degree of improvement in spastic paralysis and plasma D-dimer was more obvious,and the difference was significant(P<0.05).Conclusion:Electroacupuncture at antagonistic muscle movement points with the Xuefu Zhuyu decoction is effective in treating spastic paralysis after cerebral infarction,and can reduce plasma D-dimer.

关 键 词：拮抗肌运动点 血府逐瘀汤 痉挛性瘫痪 D-二聚体 

分 类 号：R743.33[医药卫生—神经病学与精神病学]