中药熏蒸联合穴位针刺疗法在脑出血后偏瘫患者中的应用效果  

Application Effect of Traditional Chinese Medicine Fumigation Combined with Acupoint Acupuncature Therapy in Patients with Hemiplegia after Cerebral Hemorrhage

作　　者：张淳 ZHANG Chun(Department of Rehabilitation,Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120,China)

机构地区：[1]天津市中医药研究院附属医院康复科,天津300120

出　　处：《中国伤残医学》2024年第18期117-121,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究中药熏蒸联合穴位针刺疗法在脑出血后偏瘫患者中的应用效果。方法:选取2022年1月-2024年1月天津市中医药研究院附属医院收治的97例脑出血后偏瘫患者为研究对象,采用随机数字表法分为研究组(n=49)及对照组(n=48)。对照组采用常规干预,研究组在此基础上采用中药熏蒸联合穴位针刺干预。两组均干预1个月,比较两组患者的步行能力、肢体运动功能、神经传导速度及生活质量。结果:干预后,研究组的功能性步行量表评分、Fugl-Meyer运动功能评定量表评分、脑卒中专用生活质量量表评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,胫神经运动神经传导速度(MCV)、腓总神经MCV均快于对照组,差异均有统计学意义(P<0.05)。结论:中药熏蒸联合穴位针刺干预可加快脑出血后偏瘫患者的患肢神经传导,提高其步行能力,改善其肢体运动能力及生活质量,具有较高的应用价值。Objective:To explore the application effect of traditional Chinese medicine fumigation combined with acupoint cupuncature therapy in patients with hemiplegia after cerebral hemorrhage.Methods:A total of 97 patients with hemiplegia after cerebral hemorrhage admitted to the Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine from January 2022 to January 2024 were selected as the study objects and were divided into a study group(n=49)and a control group(n=48)by random number table method.The control group was treated with routine intervention,and the study group was treated with traditional Chinese medicine fumigation combined with acupoint cupuncature therapy intervention.Both groups were treated for 1 month.The walking ability,limb motor function,nerve conduction velocity and quality of life were compared between the two groups.Results:After intervention,the scores of functional ambulation category scale,Fugl-Meyer assessment and stroke specific quality of life scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the motor nerve conduction velocity(MCV)of tibial nerve and common peroneal nerve in the study group were faster than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese medicine fumigation combined with acupoint a cupuncature therapy intervention can accelerate nerve conduction in patients with hemiplegia after cerebral hemorrhage,improve their walking ability,limb movement ability and quality of life,and have high application value.

关 键 词：脑出血 偏瘫 中药熏蒸 穴位针刺 胫神经 腓总神经 

分 类 号：R277[医药卫生—中医学]