芒针阴阳透刺法联合温阳通络汤治疗中风后痉挛性偏瘫临床研究  

Clinical Study on Yin-Yang Point-Penetrating Method with Awn Needle Combined with Wenyang Tongluo Tang for Spastic Hemiplegia After Stroke

作　　者：曾超[1] 李霞 张淑青[1] 徐海波 洪珍梅[1] 鲁商波 章水晶 ZENG Chao;LI Xia;ZHANG Shuqing;XU Haibo;HONG Zhenmei;LU Shangbo;ZHANG Shuijing

机构地区：[1]浙江中医药大学附属第三医院康复医学科,浙江杭州310005 [2]浙江中医药大学第三临床医学院康复医学院,浙江杭州310053 [3]浙江康复医疗中心康复科,浙江杭州310052

出　　处：《新中医》2022年第17期210-214,共5页New Chinese Medicine

基　　金：浙江中医药管理局项目(2020ZB131);浙江省自然科学基金项目(LGF20H170004)。

摘　　要：目的:观察芒针阴阳透刺法联合温阳通络汤治疗中风后痉挛性偏瘫的临床疗效及对平衡能力的影响。方法:选取110例中风后痉挛性偏瘫患者作为研究对象,随机分为对照组、研究组各55例。对照组给予常规治疗联合温阳通络汤治疗,研究组在对照组治疗基础上给予芒针阴阳透刺法治疗。比较2组临床疗效及治疗前后中医证候积分、Fugl-Meyer运动功能评定量表(FMA)评分、Berg平衡功能(BBS)评分、神经递质、血液循环相关指标。结果:治疗后,研究组总有效率高于对照组(P<0.05)。治疗后,2组舌质紫暗、肢体麻木、脉络瘀血、感觉障碍评分及谷氨酸(Glu)、同型半胱氨酸(Hcy)、三酰甘油(TG)、血管紧张素Ⅱ(ANGⅡ)水平均较治疗前降低(P<0.05),且研究组上述指标低于对照组(P<0.05)。治疗后,2组FMA评分、BBS评分、γ-氨基丁酸(GABA)水平均较治疗前上升(P<0.05),且研究组上述指标高于对照组(P<0.05)。结论:芒针阴阳透刺法联合温阳通络汤治疗中风后痉挛性偏瘫疗效确切,能够改善患者运动功能及平衡功能,恢复兴奋、抑制神经递质的平衡。Objective:To observe the clinical effect of yin-yang point-penetrating method with awn needle combined with Wenyang Tongluo tang for spastic hemiplegia after stroke and its effect on balance ability.Methods:A total of 110 cases of patients with spastic hemiplegia after stroke were selected as the study subjects,and randomly divided into the control group and the study group,with 55 cases in each group.The control group was given routine treatment combined with Wenyang Tongluo tang,and the study group was additionally treated with yin-yang point-penetrating method with awn needle based on the treatment of the control group.The Chinese medicine syndrome scores,Fugl-Meyer Assessment(FMA)scores,Berg Balance Scale(BBS)scores,neurotransmitters and related indexes of blood circulation before and after treatment and the clinical effects in the two groups were compared.Results:After treatment,the total effective rate in the study group was higher than that in the control group(P<0.05).After treatment,the scores of purple and dusky tongue,limb numbness,blood stasis in the collaterals and sensory disturbance,and the levels of glutamate(Glu),homocysteine(Hcy),triglyceride(TG),and angiotensin-Ⅱ(Ang-Ⅱ)in the two groups were decreased when compared with those before treatment(P<0.05),and the above indexes in the study group were lower than those in the control group(P<0.05).After treatment,the scores of FMA and BBS and the levels ofγ-aminobutyric acid(GABA)in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the study group were higher than those in the control group(P<0.05).Conclusion:Yin-yang point-penetrating method with awn needle combined with Wenyang Tongluo tang has a definite curative effect in treating spastic hemiplegia after stroke,and can improve motor function and balance ability,and restore the balance of excitation and inhibition of neurotransmitters.

关 键 词：中风后痉挛性偏瘫 芒针阴阳透刺法 温阳通络汤 平衡能力 Γ-氨基丁酸 

分 类 号：R743.3[医药卫生—神经病学与精神病学]