补阳还五汤配合中医针灸对中风后肢体功能障碍的影响  

Curative Effect of Buyang Huanwu Decoction(补阳还五汤)Combined with Traditional Chinese Acupuncture on Limb Dysfunction after Apoplexy

作　　者：李仁和 LI Renhe(Department of Traditional Chinese Medicine,Staff Hospital of Henan Dayugou Coal Industry Group Co.,Ltd.,Gongyi 451271,Henan,China)

机构地区：[1]河南大峪沟煤业集团有限责任公司职工医院,河南巩义451271

出　　处：《实用中医内科杂志》2021年第8期108-110,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学教育研究项目(2018KY275)。

摘　　要：目的探析补阳还五汤联合中医针灸在中风后肢体功能障碍中的应用。方法结合研究目的对医院2019年11月—2020年11月收治的80例中风后肢体功能障碍患者开展分组实验,分组方法选择随机数字表法,采取常规西医药物治疗的40例患者为对照组;采取补阳还五汤+中医针灸联合治疗的40例患者为观察组。完成治疗后对比组间疗效、肢体功能障碍、神经功能障碍。结果观察组总有效率为97.5%(39/40),对照组总有效率为77.5%(31/40),观察组总有效率高于对照组,差异有统计学意义(P<0.01)。治疗前观察组FMA分值、NIHSS分值依次为(53.80±9.12)分、(16.88±2.40)分,对照组FMA分值、NIHSS分值依次为(53.77±9.25)分、(17.02±2.25)分,组间数据差异不明显,无统计学意义(P>0.05);治疗1个月后观察组FMA分值、NIHSS分值依次为(85.32±3.41)分、(6.51±1.10)分,对照组FMA分值、NIHSS分值依次为(76.21±3.12)分、(8.20±1.26)分,观察组NIHSS分值低于对照组,FMA分值高于对照组,差异有统计学意义(P<0.01)。结论在中风后肢体功能障碍患者治疗中使用补阳还五汤、中医针灸联合方案,可有效改善患者肢体功能以及神经功能,相比西医治疗,临床效果更为显著,具有较高临床应用价值,值得推荐。Objective Objective To explore the application significance of BuyangHuanwu Decoction(补阳还五汤) combined with traditional Chinese acupuncture in limb dysfunction after stroke.Methods In combination with the purpose of the study, a group trial was carried out on 80 patients with limb dysfunction after stroke who were admitted to our hospital from November, 11, 2019 to November, 11,2020. The random number table method was selected as the grouping method, and 40 patients who were treated with conventional Western medicine were as the control group. The observation group included 40 patients treated with BuyangHuanwu Decoction and traditional Chinese acupuncture. After completion of treatment, efficacy, limb dysfunction and neurological dysfunction were compared between groups. Results The total effective rate of the observation group was 97.5%(39/40) and that of the control group was 77.5%(31/40). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.01). Before treatment, FMA score and NIHSS score of the observation group were(53.80±9.12)points and(16.88±2.40)points respectively, while those of the control group were(53.77±9.25)points and(17.02±2.25)points respectively. There was no significant difference between the two groups(P>0.05). After 1 month of treatment, the FMA score and NIHSS score of the observation group were(85.32±3.41)points and(6.51±1.10) points respectively, while those of the control group were(76.21±3.12)points and(8.20±1.26)points respectively. The NIHSS score of the observation group was lower than that of the control group, and the FMA score of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.01). Conclusion In the treatment of patients with limb dysfunction after stroke, the introduction of Buyang Huanwu Decoction and the combination of acupuncture and moxibustion can effectively improve the limb function and neurologi

关 键 词：补阳还五汤 中医针灸 中风 肢体功能障碍 神经功能 中医证候积分 疗效 中药 

分 类 号：R255.2[医药卫生—中医内科学]