早期针灸康复治疗联合丁苯酞氯化钠注射液对急性缺血性脑卒中肢体功能障碍患者的临床效果  

Clinical effect of early acupuncture and moxibustion rehabilitation treatment combined with Butylphthalide and Sodium Chloride Injection in patients with acute ischemic stroke limb dysfunction

作　　者：胡淑云 冷辉林 黄爱平 HU Shuyun;LENG Huilin;HUANG Aiping(Department of Encephalopathy,Yichun Hospital of Traditional Chinese Medicine,Jiangxi Province,Yichun336000,China)

机构地区：[1]江西省宜春市中医院脑病科,江西宜春336000

出　　处：《中国当代医药》2025年第6期70-73,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410943)。

摘　　要：目的探讨早期针灸康复治疗联合丁苯酞氯化钠注射液对急性缺血性脑卒中(AIS)肢体功能障碍患者的临床效果。方法选取2021年11月至2024年6月宜春市中医院进行AIS肢体功能障碍治疗的80例患者作为研究对象,采用信封随机法分为研究组和对照组,每组40例,对照组给予丁苯酞氯化钠注射液及常规治疗,研究组额外给予早期针灸康复治疗,比较两组患者治疗前、治疗7~14 d后证候评分、神经功能及日常活动能力、生活质量,并比较临床疗效、并发症及复发情况。结果研究组治疗后的口舌歪斜、气短乏力、神昏谵语评分以及美国国立卫生研究院卒中量表(NIHSS)、生活质量评分量表(MRS)评分低于对照组,健康调查简表(SF-36)、日常生活活动能力(ADL)评分高于对照组,差异有统计学意义(P<0.05)。研究组总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者的复发率比较,差异无统计学意义(P>0.05)。研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论早期针灸康复治疗联合丁苯酞氯化钠注射液治疗针对AIS肢体功能障碍患者疗效突出,可有效减轻临床症状,提高神经功能及日常活动能力,提高生活质量,降低并发症发生率。Objective To investigate the clinical effect of early acupuncture and moxibustion rehabilitation treatment combined with Butylphthalide and Sodium Chloride Injection in patients with acute ischemic stroke(AIS)limb dysfunction.Methods A total of 80 patients who were treated for AIS limb dysfunction in Yichun Hospital of Traditional Chinese Medicine from November 2021 to June 2024 were selected as research objects,and they were divided into study group and control group by envelope random method,with 40 cases in each group.The control group was given Butylphthalide and Sodium Chloride Injection and conventional treatment,and the study group was given additional early acupuncture and moxibustion rehabilitation treatment.The syndrome score,neurological function,daily activity ability and quality of life of the two groups were compared before treatment and after 7-14 days of treatment,and the clinical efficacy,complications and recurrence were compared.Results The scores of verbal skew,shortness of breath,dizziness and delirium,the National Institutes of Health stroke scale(NIHSS)and menopause rating scale(MRS)of the study group were lower than those of the control group after treatment,and the scores of the MOS item short form health survey(SF-36)and activity of daily living(ADL)were higher than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in recurrence rate between the two groups(P>0.05).The total complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Early acupuncture and moxibustion rehabilitation treatment combined with Butylphthalide and Sodium Chloride Injection is effective in AIS limb dysfunction patients,which can effectively reduce clinical symptoms,improve neurological function and daily activity ability,

关 键 词：急性缺血性脑卒中 肢体功能障碍 针灸 康复治疗 疗效 

分 类 号：R246.6[医药卫生—针灸推拿学]