梅花针循经叩刺联合阿替普酶治疗脑梗死后痉挛性偏瘫的临床效果  

Clinical Effect of Plum-blossom Needle Tapping along Meridians Combined with Alteplase in the Treatment of Spastic Hemiplegia after Cerebral Infarction

作　　者：谢玉环 刘玲 XIE Yuhuan;LIU Ling(Macheng Traditional Chinese Medicine Hospital,Macheng 438300,China;不详)

机构地区：[1]麻城市中医医院,湖北麻城438300

出　　处：《中外医学研究》2025年第7期12-16,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察梅花针循经叩刺联合阿替普酶治疗脑梗死后痉挛性偏瘫的临床效果。方法:选取2023年1—12月麻城市中医医院针灸科收治的136例脑梗死后痉挛性偏瘫患者作为研究对象,按随机数表法将患者分为单一治疗组和联合治疗组,各68例。单一治疗组接受阿替普酶治疗,联合治疗组接受梅花针循经叩刺联合阿替普酶治疗,两均持续治疗2周。比较两组临床疗效、中医症候积分、日常生活能力[Fugl-Meyer评估表(Fugl-Meyer assessment scale,FMA)、Barthel指数(Barthel index,BI)]及神经功能缺损情况[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]。结果:治疗后,联合治疗组临床总有效率高于单一治疗组,差异有统计学意义(P<0.05);治疗后,两组中医症候积分、NIHSS评分较治疗前均降低,且联合治疗组较单一治疗组更低,两组FMA评分、BI评分较治疗前均升高,且联合治疗组较单一治疗组更高,差异有统计学意义(P<0.05)。结论:脑梗死后痉挛性偏瘫患者采取梅花针循经叩刺联合阿替普酶治疗有利于提高临床效果,改善中医症候积分及神经功能缺损情况,提高运动功能及日常生活能力。Objective:To observe the clinical effect of plum-blossom needle tapping along meridians combined with Alteplase in the treatment of spastic hemiplegia after cerebral infarction.Method:A total of 136 patients with spastic hemiplegia after cerebral infarction who admitted to the Department of Acupuncture and Moxibustion of Macheng Traditional Chinese Medicine Hospital from January to December 2023 were selected as the research objects,the patients were divided into the single treatment group and the combined treatment group according to the random number table method,with 68 cases in each group.The single treatment group was treated with Alteplase,and the combined treatment group was treated with plum-blossom needle tapping along meridians combined with Alteplase,two groups were treated for 2 weeks.The clinical efficacy,traditional Chinese medicine symptom scores,daily living ability[Fugl-Meyer assessment scale(FMA),Barthel index(BI)]and neurological deficits[National Institute of Health stroke scale(NIHSS)]were compared between two groups.Result:After treatment,the total effective rate of the combined treatment group was higher than that of the single treatment group,and the difference was statistically significant(P<0.05);after treatment,the traditional Chinese medicine symptom scores and NIHSS scores of two groups were lower than those before treatment,and those in the combined treatment group were lower than those in the single treatment group,the FMA scores and BI index of two groups were higher than those before treatment,and those in the combined treatment group were higher than those in the single treatment group,the differences were statistically significant(P<0.05).Conclusion:Plum-blossom needle tapping along meridians combined with Alteplase in the treatment of spastic hemiplegia after cerebral infarction is beneficial to improve the clinical effect,improve the traditional Chinese medicine symptom score and neurological deficits,and improve motor function and daily living ability.

关 键 词：脑梗死 痉挛性偏瘫 梅花针 循经叩刺 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]