小活络散穴位贴敷对痰瘀互阻型中风康复期肢体功能障碍的临床疗效观察及对血浆D-二聚体的影响  

Observation on the Clinical Efficacy of Acupoint Application of Xiaohuoluo Powder on Limb Dysfunction During the Rehabilitation Period of Phlegm and Blood Stasis Mutual Obstruction Type Stroke and Its Effect on Plasma D-Dimer

作　　者：许秀影 许敬玲 李星 XU Xiuying;XU Jingling;LI Xing(Department of Encephalology and Geriatrics,Fuzhou Hospital of Traditional Chinese Medicine,Fuzhou,Fujian 350001,China)

机构地区：[1]福州市中医院脑病科老年病科,福建福州350001

出　　处：《中国医药指南》2025年第4期132-135,共4页Guide of China Medicine

基　　金：福州市科学技术局福州市级科技计划项目(2022年)(2022-S-014)。

摘　　要：目的探讨小活络散穴位贴敷治疗痰瘀互阻型中风康复期肢体功能障碍的临床疗效及对患者血浆D-二聚体的影响。方法选择2022年7月至2024年6月就诊于福州市中医院脑病科老年病科的110例痰瘀互阻型中风康复期肢体功能障碍患者,应用随机数字表法分为对照组和观察组,每组55例;对照组接受了中风康复期的常规治疗,观察组在此基础上给予小活络散穴位贴敷治疗,研究两种治疗方法对患者治疗前、治疗后第8天、治疗后第15天的生活自理能力评分、上下肢运动功能Fugl-Meyer评分及D-二聚体水平的影响。结果治疗前两组生活自理能力评分、Fugl-Meyer评分、D-二聚体水平差异无统计学意义(P>0.05);治疗后8 d两组患者的生活自理能力评分、Fugl-Meyer评分、D-二聚体水平三项指标差异无统计学意义(P>0.05);治疗后15 d观察组生活自理能力评分、上下肢运动Fugl-Meyer评分高于对照组,D-二聚体水平低于对照组(P<0.05)。结论小活络散穴位贴敷能促进痰瘀互阻型中风康复期上下肢体的功能恢复,促使患者基本生活能力更为独立,帮助患者尽早回归社会生活,同时降低D-二聚体水平,降低或预防患者中风复发。Objective To investigate the therapeutic effect of Xiaohuoluo Powder meridian point implementation in the therapy of limb dysfunction during the recovery period of phlegm and blood stasis mutual obstruction type stroke and its effect on patients plasma D-dimer.Methods Selected 110 sufferers with sputum stasis mutual stroke rehabilitation limb dysfunction from July 2022 to Brain disease department and Geriatric department of Fuzhou Hospital in June 2024,divided into the control group and observation group by random number method,55 patients each.The control group obtained standard treatment throughout the rehabilitation period of stroke,and the observation group obtained Xiaohuoluo acupoint application on the basis of standard treatment,To study the effects of the two treatment methods on the self-care ability score,Fugl-Meyer score of upper and lower limb motor function and D-dimer level before treatment,the 8th day posttreatment,and the 15th day post-treatment.Results There was no significant difference in self-care ability score,Fugl-Meyer score and D-dimer level between the two groups before treatment(P>0.05).There was no significant difference in self-care ability score,Fugl-Meyer score and D-dimer level between two groups on day 8 after treatment(P>0.05).The score of self-care ability and Fugl-Meyer score of upper and lower limb movement in observation group were higher than those in control group 15 days after treatment,and the level of D-dimer was lower than that in control group(P<0.05).Conclusions Xiaohuoluo Powder meridian point implementation in the therapy can ameliorate the functional recovery of the upper and lower limbs during the rehabilitation period of phlegm and blood stasis mutual obstruction stroke,ameliorate patients ability to take care of themselves,be beneficial to patients get back to society as quickly as possible,and at the same time reduce D-dimer levels,reducing or preventing the recurrence of stroke.

关 键 词：小活络散 穴位贴敷 中风康复期 肢体功能障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]