“通督调神”针联合补阳还五汤对中风偏瘫患者的影响  

Impact of"Tongdu Tiaoshen"Acupuncture Combined with Buyang Huanwu Decoction on Patients with Post-stroke Hemiplegia

作　　者：徐福年 辛明珠 宋晓飞 XU Funian;XIN Mingzhu;SONG Xiaofei(Ganyu District Traditional Chinese Medicine Hospital in Lianyungang City,Lianyungang 222100,China;不详)

机构地区：[1]连云港市赣榆区中医院,江苏连云港222100

出　　处：《中外医学研究》2025年第7期97-100,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨“通督调神”针联合补阳还五汤对中风偏瘫患者的影响。方法:选取2021年1月—2023年12月连云港市赣榆区中医院接收的80例中风偏瘫患者作为研究对象,采用摸球法分组,奇数为对照组(n=40),偶数为观察组(n=40)。对照组给予“通督调神”针刺治疗,观察组在对照组基础上给予补阳还五汤,比较两组神经功能、中医症候积分、肢体功能及临床疗效。结果:治疗后,两组神经生长因子(NGF)、脑源性神经营养因子(BDNF)水平、Fugl-Meyer运动功能评分量表(FMA)评分升高,且观察组高于对照组,两组改良Ashworth量表(MAS)评分、中医症候积分降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:“通督调神”针刺法联合补阳还五汤可提升中风偏瘫患者神经功能,改善中医症候积分和肢体功能,效果显著。Objective:To explore the impact of"Tongdu Tiaoshen"acupuncture combined with Buyang Huanwu Decoction on patients with post-stroke hemiplegia.Method:A total of 80 patients with post-stroke hemiplegia who treated in Ganyu District Traditional Chinese Medicine Hospital in Lianyungang City from January 2021 to December 2023 were selected as the research objects.The patients were divided by touch ball method,with odd numbers as control group(n=40)and even numbers as observation group(n=40).The control group was given"Tongdu Tiaoshen"acupuncture,and the observation group was given Buyang Huanwu Decoction on the basis of the control group.The neurological function,traditional Chinese medicine symptom score,limb function and clinical efficacy of two groups were compared.Result:After treatment,the levels of nerve growth factor(NGF)and brain-derived neurotrophic factor(BDNF),Fugl-Meyer motor function scale(FMA)scores in the two groups were increased,and those in the observation group were higher than the control group,the modified Ashworth scale(MAS)scores,traditional Chinese medicine symptom scores in two groups were decreased,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:"Tongdu Tiaoshen"acupuncture combined with Buyang Huanwu Decoction can improve the neurological function of patients with post-stroke hemiplegia,improve the traditional Chinese medicine symptom score and limb function,and the effect is significant.

关 键 词：“通督调神”针 补阳还五汤 中风偏瘫 神经功能 肢体功能 

分 类 号：R255.2[医药卫生—中医内科学]