培元固本针刺对脑梗死恢复期气虚血瘀证患者运动功能的影响  

Clinical efficacy of Peiyuan Guben acupuncture on motor dysfunction in reconvalescents with cerebral infarction of Qi deficiency and blood stasis syndrome

作　　者：曹二梅[1] 王颖[2] 孙善斌[1] CAO Ermei;WANG Ying;SUN Shanbin(Department of Rehabilitation,Acupuncture Hospital of Anhui University of TCM,Anhui,Hefei 230001;Department of Encephalopathy,Acupuncture Hospital of Anhui University of TCM,Anhui,Hefei 230001)

机构地区：[1]安徽中医药大学第二附属医院康复科,安徽合肥230001 [2]安徽中医药大学第二附属医院脑病科,安徽合肥230001

出　　处：《河北中医》2024年第2期292-295,300,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：安徽省第十三批“115”产业创新团队“针药结合防治脑病产业创新团队”(皖人才办[2020]4号)。

摘　　要：目的 观察培元固本针刺对脑梗死恢复期气虚血瘀证患者运动功能的影响。方法 将80例脑梗死恢复期气虚血瘀证患者按照随机数字表法分为2组,对照组40例予基础康复和常规针刺治疗,针刺组40例在对照组基础上予固本培元针刺治疗。2组均治疗4周。比较2组治疗前后简化Fugl-Meyer评估表(FMA)评分、改良Barthel指数(MBI)评分、中医证候评分,并统计2组疗效。结果 针刺组临床总有效率82.50%(33/40),对照组总有效率60.00%(24/40),针刺组临床疗效优于对照组(P<0.05)。针刺组总有效率87.50%(35/40),对照组总有效率57.50%(23/40),针刺组中医证候疗效优于对照组(P<0.05)。2组治疗后FMA、MBI评分均较本组治疗前升高(P<0.05),且针刺组治疗后均高于对照组(P<0.05)。2组治疗后中医证候各项评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。结论 培元固本针刺治疗可有效提高脑梗死恢复期气虚血瘀证患者肢体活动能力、日常生活能力,改善生活质量,临床疗效显著,安全可靠,可推广。Objective To observe the clinical efficacy of Peiyuan Guben acupuncture on motor dysfunction in reconvalescents with cerebral infarction(CI)of Qi deficiency and blood stasis syndrome.Methods A total of 80 CI reconvalescents of Qi deficiency and blood stasis syndrome were randomly assigned into acupuncture group(n=40)and control group(n=40).All patients were managed by base rehabilitation and conventional acupuncture,and those in acupuncture group were additionally treated with Peiyuan Guben acupuncture.Treated for 4 weeks,the aim was to compare simplified Fugl-Meyer assessment scale(FMA),modified Barthel Index(MBI)score,traditional Chinese medicine(TCM)syndrome score.The curative effect was assessed.Results The clinical and TCM overall effective rate in the acupuncture group were better than those in the control group(82.50%[33/40]vs 60.00%[24/40],87.50%[35/40]vs 57.50%[23/40],[all P<0.05],respectively).After treatment,FMA and MBI scores in the both groups were significantly increased(P<0.05),which were significantly higher in the acupuncture group than in the control group(P<0.05).TCM symptom scores in the both groups were significantly decreased(P<0.05),which decreased notably in the acupuncture group compared with the control group(P<0.05).Conclusion Peiyuan Guben acupuncture has significant clinical efficacy,which can effectively improve patients'limb mobility,daily living ability,and quality of life.It is safe and reliable and worthy of promotion.

关 键 词：卒中 运动功能障碍 针刺疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R245.31[医药卫生—临床医学]