通窍活血汤联合夹脊穴治疗中风后痉挛性偏瘫  

Research of Tongqiao Huoxue Decoction(通窍活血汤)Combined with Jiaji (EX-B2) in Treatment of Spastic Hemiplegia After Stroke

作　　者：李庆哲[1] 刘峻[1] 孟子惠 LI Qingzhe;LIU Jun;MENG Zihui(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2021年第3期127-130,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省教育厅计划项目(L201910)。

摘　　要：目的探析通窍活血汤联合夹脊穴治疗中风后痉挛性偏瘫的临床疗效。方法将筛选出的69例患者纳入临床观察,根据随机数字表法分为对照组、中药组、观察组,每组23例。对照组予常规对症治疗并配合康复训练,中药组在对照组基础上加用通窍活血汤,观察组在对照组基础上加通窍活血汤联合针刺夹脊穴治疗。治疗时间均为4周,治疗前后运用改良Barthel指数评分(MBI)比较其日常生活能力,改良Ashworth痉挛分级量表评分(MAS)比较其患肢肌张力状况,Fugl-Meyer运动功能评分(FMA)比较其运动功能情况,且比较各组之间临床疗效,记录各组患者不良反应状况。结果观察组的治疗总有效率为91.3%,高于中药组的73.9%及对照组的56.5%,差异具有统计学意义(P<0.05)。治疗前各组MBI、MAS、FMA评分比较,差异无统计学意义(P>0.05);治疗后,中药组和观察组MBI、FMA评分均高于对照组,且观察组高于中药组,差异具有统计学意义(P<0.05);治疗后,中药组和观察组MAS评分低于对照组,且观察组低于中药组,差异具有统计学意义(P<0.05)。各组患者不良反应情况对比,差异无统计学意义(P>0.05)。结论通窍活血汤联合夹脊穴能够有效改善中风后痉挛性偏瘫情况,提高患者肢体行动能力以及生活自理能力。Objective To observe the clinical effect of Tongqiao Huoxue Decoction(通窍活血汤)combined with Jiaji(EX-B2)on spastic hemiplegia after stroke. Methods The 75 patients selected were included in clinical observation. The patients were divided into a control group,a traditional Chinese medicine group,and an observation group according to a random number table,with 25 people in each group. The control group was given conventional symptomatic treatment and rehabilitation training. In the traditional Chinese medicine group,Tongqiao Huoxue Decoction was added to the control group. The observation group was treated with Tongqiao Huoxue Decoction combined with acupuncture at Jiaji(EX-B2)on the basis of the control group. The treatment time was 4 weeks. Observed the Modified Barthel Index(MBI)of the patients before and after treatment to compare their activities of daily living;observed the Modified Ashworth Spasticity Rating Scale(MAS)of the patients to compare their muscle tension status;Observed the Fugl-Meyer motor function score(FMA)of the patients and compared their motor function. Compared the clinical efficacy between the groups and recorded the adverse reaction status of the patients in each group. Results The total effective rate of treatment in the observation group was 91.3%,which was higher than 73.9% in the traditional Chinese medicine group and 56.5% in the control group. The difference was statistically significant(P<0.05). Before treatment,the MBI,MAS and FMA scores of each group were not significantly different and not statistically significant(P>0.05);after treatment,the MBI and FMA scores of the traditional Chinese medicine group and the observation group were higher than those of the control group,and the observation group was higher in the traditional Chinese medicine group,the difference was statistically significant(P<0.05);after treatment,the MAS scores of the traditional Chinese medicine group and the observation group were lower than the control group,and the observation group was lower than

关 键 词：通窍活血汤 夹脊穴 痉挛性偏瘫 

分 类 号：R285.6[医药卫生—中药学]