针药联合治疗气虚络瘀型脑梗死后遗症临床观察  

Clinical Observation on Combined Acupuncture and Medicine in the Treatment of Sequelae of Cerebral Infarction of Qi Deficiency and Collateral Stasis Type

作　　者：郭明菲 GUO Mingfei(Department of Rehabilitation Medicine,the First Affiliated Hospital of Henan Nanyang Medical College,Henan Province,Nanyang 473000,China)

机构地区：[1]河南南阳医学高等专科学校第一附属医院康复医学科,河南南阳473000

出　　处：《光明中医》2023年第3期490-493,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的 观察针药联合治疗气虚络瘀型脑梗死后遗症的临床疗效。方法 通过回顾性研究,将90例患者分为观察组和对照组各45例,对照组采用西医常规治疗,观察组在对照组基础上加用补阳还五汤加味口服及针灸治疗。在治疗14 d、28 d时比较2组NIHSS、ADL、SS-QOL、中医证候积分。结果 观察组在改善脑卒中后遗症患者的神经功能、提高患者的日常生活能力及生活质量、减轻患者的临床症状方面明显优于对照组(P<0.05)。结论 气虚络瘀型脑卒中后遗症患者在常规西医治疗的基础上配合针刺及补阳还五汤治疗,在改善其神经损伤、提高日常生活能力及生活质量、改善其临床症状方面疗效显著,有临床推广价值。Objective To observe the clinical effect of combined acupuncture and medicine in the treatment of sequelae of cerebral infarction of qi deficiency and collateral stasis type.Methods Through a retrospective study,90 patients were divided into an observation group and a control group,with 45 cases in each group.The control group was treated with conventional western medicine,while the observation group was treated with Buyang Huanwu decoction orally and acupuncture on the basis of the control group.The NIHSS,ADL,SS-QOL and TCM syndrome scores were compared between the two groups on the 14th and 28th day of treatment.Results The observation group was significantly better than the control group in improving the neurological function of patients with sequelae of stroke,improving the ability of daily living and quality of life,and alleviating the clinical symptoms of patients(P<0.05).Conclusion On the basis of conventional western medicine treatment for stroke sequelae of qi deficiency and collateral stasis type,combined with acupuncture and oral administration of Buyang Huanwu decoction is effective in improving nerve damage,daily living ability and quality of life,and clinical symptoms.It has clinical promotion value.

关 键 词：脑梗死后遗症 气虚络瘀证 强督通络 针刺疗法 补阳还五汤 生活质量 

分 类 号：R277.7[医药卫生—中医学]