混元灸辅助治疗气虚血瘀型前循环脑梗死后遗症患者的临床观察  

Clinical observation of Hunyuan moxibustion in the adjuvant treatment of patients with sequelae of anterior circulation cerebral infarction with qi deficiency and blood stasis

作　　者：刘航 李航 李字卿 LIU Hang;LI Hang;LI Ziqing(Department of Acupuncture and Moxibustion,Nanchang Hongdu Hospital of TCM,Jiangxi Clinical Research Center of Acupuncture Medicine,Jiangxi Province,Nanchang 330038,China)

机构地区：[1]南昌市洪都中医院针灸科,江西省针灸医学临床研究中心,江西南昌330038

出　　处：《中国当代医药》2025年第7期113-117,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211670)。

摘　　要：目的探讨混元灸配合中医综合疗法对气虚血瘀型前循环脑梗死后遗症患者日常生活活动能力量表(ADL)评分、中医证候积分及颈动脉血流相关指数的影响。方法选取2022年1月至2023年12月南昌市洪都中医院收治的60例气虚血瘀型前循环脑梗死后遗症患者作为研究对象,按照随机数字表法分为试验组和对照组,每组30例。其中对照组脱落3例,最终纳入27例。试验组采用混元灸配合中医综合治疗方法,对照组采用中医综合治疗方法,比较两组患者治疗前和3个疗程后的ADL评分、偏瘫侧颈动脉内中膜厚度(CIMT)、平均流速(TAV)、阻力指数(RI),评价临床疗效。结果治疗后,两组患者的ADL评分、TAV高于本组治疗前,CIMT、RI及中医症状积分低于本组治疗前,且试验组的ADL评分、TAV高于对照组,CIMT、RI及中医症状积分低于对照组,差异有统计学意义(P<0.05);治疗后,试验组总有效率高于对照组,差异有统计学意义(P<0.05)。结论混元灸配合中医综合疗法治疗气虚血瘀型前循环脑梗死后遗症具有较好的效果和优势。Objective To investigate the effects of Hunyuan moxibustion combined with traditional Chinese medicine comprehensive treatment on the activities of daily living(ADL)score,traditional Chinese medicine syndrome scores and carotid blood flow related indexes in patients with qi deficiency and blood stasis sequelae of anterior circulation cerebral infarction.Methods A total of 60 patients with qi deficiency and blood stasis sequelae of anterior circulation cerebral infarction from January 2022 to December 2023 admitted to Nanchang Hongdu Hospital of TCM were selected as the research objects,and they were divided into experimental group and control group according to random number table method,with 30 cases in each group.Among them,3 cases fell out in the control group,and 27 cases were eventually included.The experimental group was treated with Hunyuan moxibustion combined with traditional Chinese medicine comprehensive treatment,and the control group was treated with traditional Chinese medicine comprehensive treatment.The ADL scores,hemiplegic carotid intima-media thickness(CIMT),time-averaged velocity(TAV)and resistance index(RI)of the two groups were compared before and after 3 courses of treatment to evaluate the clinical efficacy.Results After treatment,the ADL scores and TAV of the two groups were higher than those before treatment,and the CIMT,RI and traditional Chinese medicine symptom scores were lower than those before treatment,the ADL score and TAV of the experimental group were higher than those of the control group,and the CIMT,RI and traditional Chinese medicine symptom score were lower than those of the control group,with statistical significances(P<0.05).After treatment,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Hunyuan moxibustion combined with traditional Chinese medicine comprehensive treatment has better effect and advantage in treating qi deficiency and blood stasis sequelae of a

关 键 词：气虚血瘀 前循环脑梗死后遗症 混元灸 

分 类 号：R277.7[医药卫生—中医学]