针灸联合身痛逐淤汤加减对中风恢复期丘脑痛疼痛程度及血液流变学指标的影响  

Effect of Acupuncture Combined with Shentong Zhuyu Decoction on the Degree of Thalamus Pain and Hemorheology Index in Stroke Recovery Period

作　　者：杨晓鸿[1] YANG Xiao-hong(Department of Rehabilitation Medicine,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi,China)

机构地区：[1]赣州市人民医院康复医学科,江西赣州341000

出　　处：《医学信息》2022年第11期177-179,共3页Journal of Medical Information

摘　　要：目的研究针灸联合身痛逐淤汤加减对中风恢复期丘脑痛疼痛程度及血液流变学指标的影响。方法选取2019年6月-2021年6月我院收治的60例中风恢复期丘脑痛患者,采用随机数字表法分为对照组和观察组,各30例。对照组口服卡马西平治疗,观察组在其基础上应用针灸联合身痛逐淤汤加减治疗,比较两组简化版McGill疼痛问卷(SF-MPQ)评分、临床疗效、血浆-内啡肽(β-EP)、血清P物质(SP)、血液流变学指标(全血低切粘度、全血高切粘度、红细胞聚集指数)。结果两组SF-MPQ评分均低于治疗前,且观察组低于对照组(P<0.05);观察组总有效率为96.67%,高于对照组的80.00%(P<0.05);观察组β-EP高于对照组,SP低于对照组(P<0.05);两组全血低切粘度、全血高切粘度、血小板聚集率均低于治疗前,且观察组低于对照组(P<0.05)。结论针灸联合身痛逐淤汤加减治疗中风恢复期丘脑痛疗效确切,可有效降低患者的疼痛程度,抑制致痛物质的释放,改善其血液流变学水平。Objective To study the effect of acupuncture combined with Shentong Zhuyu decoction on the degree of thalamic pain and hemorheology indexes in stroke recovery period.Methods A total of 60 patients with thalamic pain in the recovery period of stroke admitted to our hospital from June 2019 to June 2021 were selected and randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with carbamazepine,and the observation group was treated with acupuncture combined with Shentong Zhuyu decoction on the basis of carbamazepine.The scores of simplified McGill pain questionnaire(SF-MPQ),clinical efficacy,plasma-endorphin(β-EP),serum substance P(SP),and hemorheology indexes whole blood low shear viscosity,whole blood high shear viscosity,and erythrocyte aggregation index were compared between the two groups.Results The SF-MPQ scores of the two groups were lower than those before treatment,and the observation group was lower than the control group(P<0.05).The total effective rate of the observation group was 96.67%,which was higher than 80.00%of the control group(P<0.05).β-EP in observation group was higher than that in control group,SP was lower than that in control group(P<0.05).The whole blood low shear viscosity,whole blood high shear viscosity and platelet aggregation rate of the two groups were lower than those before treatment,and those of the observation group were lower than the control group(P<0.05).Conclusion Acupuncture combined with Shentong Zhuyu decoction is effective in the treatment of thalamic pain in the recovery period of stroke,which can effectively reduce the pain degree,inhibit the release of pain-causing substances,and improve the level of hemorheology.

关 键 词：丘脑痛 中风恢复期 针灸 身痛逐淤汤 血液流变学 

分 类 号：R743[医药卫生—神经病学与精神病学]