活血通络化瘀汤联合艾灸治疗气虚血瘀型脑梗死恢复期临床研究  

Clinical Study on Huoxue Tongluo Huayu Decoction Combined with Moxibustion for Cerebral Infarction of Qi Deficiency and Blood Stasis Type in Convalescence Phase

作　　者：潘思思 刘春花 PAN Sisi;LIU Chunhua(Rehabilitation Department,Lishui Hospital of Traditional Chinese Medicine,Lishui Zhejiang 323000,China)

机构地区：[1]丽水市中医院康复科,浙江丽水323000

出　　处：《新中医》2024年第21期55-59,共5页New Chinese Medicine

基　　金：丽水市科技计划项目(2022GYX48)。

摘　　要：目的:观察活血通络化瘀汤联合艾灸对气虚血瘀型脑梗死恢复期患者的影响。方法:选取82例脑梗死恢复期患者,按随机数字表法分为对照组与治疗组各41例。对照组采用常规治疗,治疗组在对照组基础上采用活血通络化瘀汤联合艾灸治疗。2组疗程均为8周。比较2组临床疗效,比较2组治疗前后中医证候积分、Barthel指数(BI)、Fugl-Meyer运动量表(FMA)、神经功能缺损程度(NIHSS)评分、脑血流动力学指标值[阻力指数(RI)、血管搏动指数(PI)、收缩期最大峰值流速(Vs)]、脑卒中专用生活质量量表(SS-QOL)评分的变化。结果:治疗组临床疗效总有效率为92.68%,对照组为73.17%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组口舌歪斜、半身不遂、言语謇涩、偏身麻木中医证候积分均较治疗前下降(P<0.05);治疗组上述4项中医证候积分均低于对照组(P<0.05)。治疗后,2组BI、FMA评分均较治疗前升高(P<0.05),NIHSS评分均较治疗前下降低(P<0.05);治疗组BI、FMA评分均高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。治疗后,2组RI、PI指标值均较治疗前下降(P<0.05),Vs指标值均较治疗前上升(P<0.05);治疗组RI、PI指标值均低于对照组(P<0.05),Vs指标值高于对照组(P<0.05)。治疗后,2组SS-QOL评分均较治疗前升高(P<0.05);治疗组SS-QOL评分高于对照组(P<0.05)。结论:活血通络化瘀汤联合艾灸治疗气虚血瘀型脑梗死恢复期效果较好,可提升临床疗效,缓解症状,改善脑血流动力学,提升生活质量。Objective:To observe the effect of Huoxue Tongluo Huayu Decoction combined with moxibustion on cerebral infarction of qi deficiency and blood stasis type in convalescence phase.Methods:A total of 82 cases of patients with cerebral infarction in convalescence phase were selected and divided into the control group and the treatment group according to the random number table method,with 41 cases in each group.The control group received conventional treatment,and the treatment group received a combination of Huoxue Tongluo Huayu Decoction and moxibustion on the basis of the treatment of the control group.The treatment course for both groups is eight weeks.Compared the clinical efficacy of the two groups and compared the changes in traditional Chinese medicine syndrome scores,Barthel index(BI),Fugl-Meyer Assessment(FMA),National Institutes of Health Stroke Scale(NIHSS),cerebral hemodynamic index values[resistance index(RI),pulsatility index(PI),maximum peak flow velocity(Vs)],and Stroke Specific Quality of Life scale(SS-QOL)scores before and after treatment.Results:The total effective rate of clinical efficacy was 92.68%in the treatment group,and that of 73.17%in the control group,the difference being significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores of tongue and mouth deviation,hemiplegia,awkward speech,and partial numbness in both groups were declined when compared with those before treatment(P<0.05);the scores of the four traditional Chinese medicine syndromes mentioned above in the treatment group were lower than those in the control group(P<0.05).After treatment,both groups showed an increase in BI and FMA scores when compared with those before treatment(P<0.05),and a decrease in NIHSS scores when compared with those before treatment(P<0.05);the BI and FMA scores in the treatment group were higher than those in the control group(P<0.05),and the NIHSS score was lower than that in the control group(P<0.05).After treatment,both groups showed a decrease in RI and PI index values wh

关 键 词：脑梗死 恢复期 气虚血瘀型 活血通络化瘀汤 艾灸 

分 类 号：R743.33[医药卫生—神经病学与精神病学]