开窍醒神针法联合加味补阳还五汤对脑出血恢复期患者(气虚血瘀证)IL-2、MMP-9、BDNF及脑血流量的影响  

Effect of Kaiqiao Xingshen acupuncture combined with Buyang Huanwu decoction on IL⁃2,MMP⁃9,BDNF,and cerebral blood flow in patients with cerebral hemorrhage during recovery period(Qi deficiency and blood stasis syndrome)

作　　者：彭天忠[1] 黄学娣 林星镇 袁娟[1] 周峰 刘浪辉 占琦楠 朱满华[1] PENG Tianzhong;HUANG Xuedi;LIN Xingzhen;YUAN Juan;ZHOU Feng;LIU Langhui;ZHAN Qi'nan;ZHU Manhua(Department of Rehabilitation Medicine,Hongdu Traditional Chinese Medicine Hospital,Nanchang City,Nanchang 330008,Jiangxi,China;不详)

机构地区：[1]南昌市洪都中医院康复医学科,江西南昌330008 [2]江西省中西医结合医院药剂科,江西南昌330003

出　　处：《实用医学杂志》2025年第3期428-433,共6页The Journal of Practical Medicine

基　　金：江西省中医药中青年骨干人才培养项目(编号:赣中医药科教字(2020)5号);江西省卫生计生委科技计划(编号:20187062)。

摘　　要：目的探讨开窍醒神针法联合补阳还五汤在脑出血恢复期患者(气虚血瘀证)治疗中的应用价值,观察其对炎性指标、神经因子的影响。方法166例脑出血恢复期患者(气虚血瘀证)患者均于2021年9月至2023年10月在南昌市洪都中医院就诊,纳入研究前均随机分组。对照组83例采用常规西医治疗,观察组83例联合开窍醒神针法及补阳还五汤治疗,治疗8周后比较疗效。结果治疗后两组血清基质金属蛋白酶-9(MMP-9)、内皮素-1(endothelin,ET-1)、白细胞介素-2(interleukin-2,IL-2)、同型半胱氨酸(homocysteine,Hcy)、Bcl-2相关X蛋白(the Bcl-2-associated X protein,bax)降低,脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)升高,观察组改善更显著,差异有统计学意义(P<0.05);治疗后观察组脑血管平均流量、脑血管平均流速升高,血管外周阻力降低,观察组改善更显著(P<0.05);治疗后观察组中医总症状积分降低,Fuel-Meyer功能评分(FMA评分)升高,观察组改善更显著(P<0.05);观察组总有效率93.98%(78/83),高于对照组的80.72%(67/83),差异有统计学意义(P<0.05)。结论对于脑出血恢复期患者(气虚血瘀证)而言应用开窍醒神针法及加味补阳还五汤有助于减轻炎症反应,促进血脑屏障恢复,改善脑血流量,促进神经功能恢复,提高临床疗效。Objective To explore the application value of Kaiqiao Xingshen acupuncture combined with Buyang Huanwu decoction in the treatment of patients with cerebral hemorrhage in the recovery period(Qi deficiency and blood stasis syndrome),and to observe its impact on inflammatory indicators and neurokines.Method A total of 166 patients with cerebral hemorrhage in the recovery period(Qi deficiency and blood stasis syndrome)treated in Hongdu Traditional Chinese Medicine Hospital from September 2021 to October 2023,were randomly divided into control group(83 cases treated with conventional western medicine),and observation group(83 cases treated with a combination of Kaiqiao Xingshen acupuncture and Buyang Huanwu decoction).The therapeutic effect in the two groups was compared after 8 weeks of treatment.Results After treatment,the serum levels of matrix metalloproteinase-9(MMP-9),endothelin-1(ET-1),interleukin-2(IL-2),homocysteine(Hcy),and Bcl-2-associated X protein(bax)decreased in both groups,while brain-derived neurotrophic factor(BDNF)increased,and the improvement was more significant in the observation group,showing statistical significance(P<0.05);the average cerebral vascular flow and flow velocity in the observation group increased,while peripheral vascular resistance decreased,and the improvement in the observation group was more significant(P<0.05);the total symptom score of traditional Chinese medicine in the observation group decreased,while the Fuel Meyer functional score(FMA score)increased,and the improvement in the observation group was more significant(P<0.05);The total effective rate of the observation group was 93.98%(78/83),which was higher than that of the control group(80.72%,67/83)(P<0.05).Conclusion For patients with cerebral hemorrhage in the recovery period(Qi deficiency and blood stasis syndrome),Kaiqiao Xingshen acupuncture and Buyang Huanwu decoction help alleviate inflammatory reactions,promote the recovery of the blood-brain barrier,improve cerebral blood flow,promote neurological function rec

关 键 词：开窍醒神针法 加味补阳还五汤 炎性因子 脑出血恢复期 气虚血瘀 基质金属蛋白酶-9 脑源性神经营养因子 脑血流量 

分 类 号：R318.08[医药卫生—生物医学工程]