柔肝通络汤联合针刺跷脉治疗中风后下肢痉挛性瘫痪临床研究  

Clinical Study on Rougan Tongluo Tang Combined with Acupuncture at Heel Vessel for Spastic Paralysis of Lower Limbs After Stroke

作　　者：胡悦怡 陈文斌 吴梦媛[1] 王芬 董小群 HU Yueyi;CHEN Wenbin;WU Mengyuan;WANG Fen;DONG Xiaoqun

机构地区：[1]金华市中心医院康复科,浙江金华321000

出　　处：《新中医》2022年第21期67-70,共4页New Chinese Medicine

摘　　要：目的:观察柔肝通络汤联合针刺跷脉治疗中风后下肢痉挛性瘫痪的临床疗效。方法:选取74例中风后下肢痉挛性瘫痪患者,按随机数字表法分为观察组及对照组各37例,对照组采取抗血小板聚集、降压、降脂、康复治疗等现代医学常规疗法,观察组在对照组基础上给予口服柔肝通络汤联合针刺跷脉治疗。2组均以2周为1个疗程,治疗2个疗程后比较2组临床疗效,比较2组治疗前后肌张力、肢体运动功能[FuglMeyer评定法(FMA)]、美国国立卫生研究院卒中量表(NIHSS)评分、平衡功能[Berg平衡量表(BBS)]评分的变化。结果:观察组临床疗效总有效率为94.59%,对照组临床疗效总有效率为75.68%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组肌张力分级情况均优于治疗前,观察组肌张力分级情况优于对照组(P<0.05)。治疗后,2组FMA、BBS评分均较治疗前升高,NIHSS评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗后,观察组FMA、BBS评分高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。结论:柔肝通络汤联合针刺跷脉治疗中风后下肢痉挛性瘫痪疗效较好,可有效改善肌张力和神经缺损严重程度,提升下肢肢体运动功能及平衡功能。Objective:To observe the curative effect of the therapy of Rougan Tongluo Tang combined with acupuncture at heel vessel on spastic paralysis of lower limbs after stroke.Methods:A total of74 patients with spastic paralysis of lower limbs after stroke were selected and divided into the observation group and the control group according to the random number table method,with 37 cases in each group.The control group was treated with routine treatment of modern medicine,such as anti-platelet aggregation,lowering blood pressure and lipid and rehabilitation therapy,and the observation group was additionally treated with Rougan Tongluo Tang orally combined with acupuncture at heel vessel based on the treatment of the control group.Both groups were treated for two courses,two weeks being a course.After treatment,the clinical effects were compared between the two groups.Before and after treatment,the changes of muscle tension,limb motor function which was evaluated by Fugl-Meyer Assessment(FMA),scores of National Institutes of Health Stroke Scale(NIHSS),and scores of balance function,which was evaluated by Berg Balance Scale(BBS),were compared between the two groups.Results:The total clinical effective rate was 94.59% in the observation group and 75.68% in the control group,the difference being significant(P<0.05).After treatment,the grading of muscle tension in the two groups was superior to that before treatment,and the grading of the muscle tension in the observation group was superisr to that in the control group(P<0.05).After treatment,the scores of FMA and BBS in the two groups were increased when compared with those before treatment and the scores of NIHSS were decreased(P<0.05);after treatment,the scores of FMA and BBS in the observation group were higher than those in the control group,and the score of NIHSS in the observation group was lower,the differences being significant(P<0.05).Conclusion:The therapy of Rougan Tongluo Tang combined with acupuncture at heel vessel has a good curative effect on spastic paralysi

关 键 词：中风 下肢痉挛性瘫痪 柔肝通络汤 针刺 跷脉 

分 类 号：R255.2[医药卫生—中医内科学]