颅内消瘀汤联合针灸治疗急性脑梗死偏瘫对患者脑血灌注及日常生活活动能力的影响观察  

Observation Oneffects Ofintracranial Xiaoyudecoction Combined With Acupunctureand Moxibustion on Cerebral Blood Perfusion and Activities of Daily Living of Patients With Acute Cerebral Infarction Hemiplegia

作　　者：张孝磊[1] Zhang Xiaolei(Department of Neurology,Zhengzhou People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院神经内科,河南郑州450000

出　　处：《哈尔滨医药》2021年第6期123-125,共3页Harbin Medical Journal

摘　　要：目的观察颅内消瘀汤联合针灸治疗急性脑梗死(ACI)偏瘫对患者脑血灌注及日常生活能力的影响。方法选取108例ACI偏瘫患者作为研究对象,依据随机数字表法分为研究组(n=54)和对照组(n=54),对照组给予针灸治疗,研究组在对照组基础上联合应用颅内消瘀汤治疗。于治疗1个月后,观察比较两组患者治疗前后脑血灌注情况(大脑前动脉(ACA)、中动脉(MCA)、后动脉(PCA)的平均血流速度(Vm))、日常生活活动能力(Barthei指数)、运动功能评分(FMA)以及脑卒中生命质量评分(SS-QOL)。结果治疗1个月后,两组ACA、MCA、PCA的Vm均较治疗前降低(P<0.05),且研究组显著低于对照组(P<0.05);两组BI、FMA、SS-QOL评分均较治疗前升高(P<0.05),且研究组显著高于对照组(P<0.05)。结论颅内消瘀汤联合针灸治疗ACI偏瘫可有效改善患者脑血灌注情况以及日常生活动能力,同时可提高其患肢运动功能以及生命质量,值得临床进一步推广。Objective To observe the effects of intracranialXiaoyudecoction combined with acupuncture and moxibustion on cerebral blood perfusion and activities of daily living of patients with acute cerebral infarction(ACI)hemiplegia.Methods A total of108 patients with ACI hemiplegia were selected as the research subjects,and they were divided into the study group(n=54)and the control group(n=54)according to the random number table method.The control group was given acupuncture and moxibustion,whereas the study group was combined with intracranialXiaoyu Decoction on the basis of the control group.After 1 month of treatment,the cerebral blood perfusion status[average blood flow velocity(Vm)of anterior cerebral artery(ACA),middlecerebral artery(MCA)and posterior cerebralartery(PCA)],activities of daily living(Barthei index),motor function score(FMA)and stroke specific quality of life score(SS-QOL)were observed and compared between the two groups before and after treatment.Results After 1 month of treatment,the Vm values of ACA,MCA,and PCA of the two groupswere lower than those before treatment(P<0.05),and the values in the study group were significantly lower than those in the control group(P<0.05).The scores of BI,FMA and SS-QOL in the two groups were higher than those before treatment(P<0.05),and the scores in study group were significantly higher than those in control group(P<0.05).Conclusion IntracranialXiaoyudecoction combined with acupuncture and moxibustion in the treatment of ACI hemiplegia can effectively improve the cerebral blood perfusion and activities of daily living,and can improve the motor functionof affected limb and quality of life.Therefore,it is worthy of further clinical promotion.

关 键 词：颅内消瘀汤 针灸 急性脑梗死 偏瘫 脑血灌注 日常生活活动能力 

分 类 号：R245[医药卫生—针灸推拿学]