自拟加味化痰通络汤联合温和灸对气虚血瘀型脑梗死恢复期患者肌张力水平及肢体运动功能的影响  

Study on the Influence of Self-prepared Modified Huatan Tongluo Decoction Combined with Mild Moxibustion on Muscle Tension and Limb Motor Function in Patients with Cerebral Infarction of Qi Deficiency and Blood Stasis Type

作　　者：张木娇 ZHANG Mujiao(Department of Rehabilitation Medicine,Huangpu People's Hospital of Zhongshan,Zhongshan 528429,China)

机构地区：[1]中山市黄圃人民医院康复医学科,广东中山528429

出　　处：《中国医学创新》2025年第7期68-72,共5页Medical Innovation of China

基　　金：中山市医学科研项目(2022A020332)。

摘　　要：目的:探讨自拟加味化痰通络汤联合温和灸对气虚血瘀型脑梗死恢复期患者肌张力水平及肢体运动功能的影响。方法:选取2022年5月—2023年12月中山市黄圃人民医院收治的80例气虚血瘀型脑梗死恢复期患者,按照随机数字表法分为两组,各40例。对照组采用西医结合电针治疗,试验组在此基础上给予自拟加味化痰通络汤联合温和灸治疗,两组连续治疗3周。比较两组临床疗效、FuglMeyer运动功能评分(FMA)、改良Barthel指数(MBI)、脑卒中专用生活质量量表(SS-QOL)及改良Ashworth量表(MAS)评分。结果:试验组总有效率较对照组高(P<0.05)。治疗前,两组FMA、MBI、SS-QOL及MAS评分比较,差异均无统计学意义(P>0.05);治疗后,试验组FMA、MBI、SS-QOL评分均高于对照组,MAS评分低于对照组,差异均有统计学意义(P<0.05)。结论:自拟加味化痰通络汤联合温和灸可提高气虚血瘀型脑梗死恢复期患者临床疗效,保护患者脑神经,改善肌张力和肢体运动功能,提高生活能力和生活质量。Objective:To investigate the effects of self-prepared modified Huatan Tongluo Decoction combined with mild moxibustion on muscle tension and limb motor function of patients with cerebral infarction of Qi deficiency and blood stasis type.Method:A total of 80 patients with cerebral infarction of Qi deficiency and blood stasis type admitted to Huangpu People's Hospital of Zhongshan from May 2022 to December 2023 were selected and divided into two groups according to random number table method,with 40 cases in each group.The control group was treated with western medicine combined with electroacupuncture,and the experimental group was treated with self-prepared modified Huatan Tongluo Decoction combined with mild moxibustion on this basis.The two groups were treated continuously for 3 weeks.The clinical efficacy,Fugl-Meyer motor function assessment score(FMA),modified Barthel index(MBI),stroke specific quality of life scale(SS-QOL)and modified Ashworth scale(MAS)scores of the two groups were compared.Result:The total effective rate of experimental group was higher than that of control group(P<0.05).Before treatment,there were no significant differences in FMA,MBI,SS-QOL and MAS scores between the two groups(P>0.05).After treatment,FMA,MBI and SS-QOL scores in experimental group were higher than those in control group,and MAS scores were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion:Self-prepared modified Huatan Tongluo Decoction combined with mild moxibustion can improve the clinical efficacy of patients with cerebral infarction of Qi deficiency and blood stasis type,protect their cerebral nerves,improve muscle tension and limb motor function,and improve their life ability and quality of life.

关 键 词：自拟加味化痰通络汤 温和灸 气虚血瘀型 脑梗死恢复期 肌张力 肢体运动功能 

分 类 号：R277.7[医药卫生—中医学]