通里化瘀醒脑汤联合下肢穴位针刺治疗脑卒中效果分析  

Effect of Tongli Huayu Xingnao Decoction(通里化瘀醒脑汤)Combined with Lower Extremity Acupoint Acupuncture on Stroke

作　　者：王冰 陈秋菊 张梦伟 WANG Bing;CHEN Qiuju;ZHANG Mengwei(Rehabilitation Medicine Department of Hengshui People's Hospital,Hengshui 053099,Hebei,China)

机构地区：[1]衡水市人民医院,河北衡水053099

出　　处：《中华中医药学刊》2025年第3期247-250,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河北省医学科学研究项目(20191775)。

摘　　要：目的探究通里化瘀醒脑汤联合下肢穴位针刺提升脑卒中患者生存质量效果。方法研究纳入113例脑卒中患者,均由医院2021年1月—2022年12月收治,并以随机数字表法分为观察组与对照组,对照组患者(56例)常规临床治疗,观察组患者(57例)在对照组治疗基础上联合通里化瘀醒脑汤及下肢穴位针刺治疗,比较两组患者疗效、并发症、治疗前及治疗后患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)变化及神经功能缺损评分(National Institute of Health stroke scale,NIHSS)变化、Brunel平衡量表(Brunel Balance Assessment,BBA)评分变化、运动功能评分(Fugl-Meyer motor function assessment,FMA)变化、生活质量评分(Barthel index,Barthel)、患者治疗满意度。结果较对照组(71.43%),观察组患者有效率(87.72%)更高,P<0.05;观察组与对照组患者并发症率比较(1.75%vs 12.50%),P<0.05;观察组与对照组治疗前中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分相当,P>0.05,治疗后各组患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均改善,观察组患者治疗后中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均优于对照组,P<0.05;观察组患者治疗满意率(96.49%)高于对照组(82.14%),P<0.05。结论通里化瘀醒脑汤联合下肢穴位针刺可显著提升脑卒中患者临床疗效及生活质量、运动功能,患者并发症率降低,恢复好,满意率高。Objective To explore the effect of Tongli Huayu Xingnao Decoction(通里化瘀醒脑汤)combined with lower ex-tremity acupoint acupuncture on quality of life of stroke patients.Methods The study included 113 stroke patients,all of whom were admitted to the hospital from January 2021 to December 2022,and were divided into observation group and control group by random number table method.The patients in the control group(56 cases)received routine clinical treatment,and those in the observation group(57 cases)received combined treatment with Tongli Huayu Xingnao Decoction and lower limb acupoint acu-puncture on the basis of treatment in the control group.The effects,complications,changes of TCM syndrome scores(dizziness and delirium,skew of mouth,hemiplegia,palpitation and shortness of breath,pale complexion,etc.)and neurological impairment scores were compared between the two groups.The changes in National Institute of Health stroke scale(NIHSS),Brunel Balance Assessment(BBA)score,Fugl-Meyer motor function assessment(FMA),quality of life score(Barthel index)and patient satis-faction with treatment of the two groups were compared.Results Compared with that of the control group(71.43%),the effective rate of the observation group(87.72%)was higher(P<0.05).The complication rate of the observation group and the control group was significant(1.75%vs 12.50%)(P<0.05).The TCM syndrome scores(dizziness and delirium,skew of mouth,hemi-plegia,palpitation and shortness of breath,pale complexion,etc.),NIHSS score,BBA score,FMA score and Barthel index score before treatment in the observation group and the control group were similar(P>0.05).After treatment,TCM syndrome scores(dizziness and delirium,skew of mouth,hemiplegia,palpitation and shortness of breath,pale complexion,etc.),NIHSS score,BBA score,FMA score and Barthel index were all improved in each group.And the indexes above in the observation group were better than those in the control group(P<0.05).The treatment satisfaction rate of the observation group(96.49%)was high

关 键 词：脑卒中 通里化瘀醒脑汤 下肢穴位针刺 中医证候积分 并发症 运动功能 

分 类 号：R255.2[医药卫生—中医内科学] R246.6[医药卫生—中医学]