益气温阳、活血通络法结合刺络放血疗法治疗脑梗死后Ⅰ期肩手综合征  

Clinical effect of traditional Chinese drugs combined with the blood-letting puncturing therapy in the treatment of stage I shoulder-hand syndrome after cerebral infarction

作　　者：陈颖 甄玉婷 杨海波 徐朝辉[1] 高爱民[1] 任红[1] 李轩[1] CHEN Ying;ZHEN Yuting;YANG Haibo;XU Chaohui;GAO Aimin;REN Hong;LI Xuan(Baoding First Central Hospital,Baoding 071000,China)

机构地区：[1]保定市第一中心医院,河北保定071000

出　　处：《吉林中医药》2022年第7期854-857,共4页Jilin Journal of Chinese Medicine

基　　金：保定市科技计划项目(2041ZF250)。

摘　　要：目的观察益气温阳、活血通络法结合刺络放血疗法治疗脑梗死后Ⅰ期肩手综合征的临床疗效。方法选择脑梗死后Ⅰ期肩手综合征患者200例,随机分为观察组与对照组,各100例。对照组行常规治疗及康复锻炼,观察组在对照组基础上以益气温阳、活血通络法口服中药并结合刺络放血法治疗,比较2组临床疗效、疼痛评分及生活质量。结果观察组治疗2周后及治疗4周后VAS评分均显著低于对照组(P<0.05,P<0.01),且随着治疗时间的增加,优势逐渐加大;观察组治疗后Ashworth评分显著低于对照组,而Fugl-Meyer评分及SSQOL评分均明显优于对照组(P<0.05);观察组总有效率(94%,94/100)显著优于对照组(76%,76/100)(P<0.05)。结论益气温阳、活血通络法结合刺络放血治疗脑梗死后Ⅰ期肩手综合征患者,可有效减轻疼痛和痉挛,改善运动功能与生活质量,值得临床推广。Objective To observe the clinical effect of Yiqi Wenyang,Huoxue Tongluo combined with the blood-letting puncturing therapy in the treatment of stage I shoulder-hand syndrome after cerebral infarction.Methods A total of 200 patients with stage I shoulder-hand syndrome after cerebral infarction were selected and randomly divided into an observation group and a control group,with 100 cases in each group.The control group received a routine treatment and rehabilitation exercises,while the observation group received traditional Chinese medicines for benefiting qi and warming yang,promoting blood circulation for removing obstruction in collaterals,combined with the blood-letting puncturing therapy.The clinical efficacy,pain score and quality of life were compared between the two groups.Results The VAS scores of the observation group after 2 weeks and 4 weeks of treatment were significantly lower than those of the control group(P<0.05,P<0.01),and the advantage gradually increased with the increase of treatment time.After treatment,the Ashworth score of the observation group was significantly lower than that of the control group,while the Fugl-Meyer score and SSQOL score were significantly higher than those of the control group(P<0.05).The total effective rate of the observation group(94%,94/100)was significantly higher than that of the control group(76%,76/100)(P<0.05).Conclusion The traditional Chinese drugs combined with the blood-letting puncturing therapy can effectively relieve pain and spasm,improve the motor function and quality of life in patients with stage I shoulder-hand syndrome after cerebral infarction,which is worthy of clinical promotion.

关 键 词：益气温阳 活血通络 刺络放血 肩手综合征 

分 类 号：R246[医药卫生—针灸推拿学]