泻阴补阳针刺法联合乌头桂枝汤熏洗对脑卒中弛缓性瘫痪患者的治疗效果观察  

Observation on the Therapeutic Effect of Xieyin Buyang Acupuncture Combined with Wutou Guizhi Decoction Fumigation on Patients with Flaccid Paralysis after Stroke

作　　者：于怀军 YU Huaijun(Department of Traditional Chinese Medicine,Lingcheng District People’s Hospital,Dezhou 253500,China)

机构地区：[1]山东省德州市陵城区人民医院中医科,山东德州253000

出　　处：《中国伤残医学》2025年第7期81-85,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析泻阴补阳针刺法联合乌头桂枝汤熏洗治疗脑卒中弛缓性瘫痪患者的临床效果。方法:选取2022年1月—2023年12月德州市陵城区人民医院收治的60例脑卒中弛缓性瘫痪患者为研究对象,采用随机数字表法将其分为对照组和研究组,各30例。对照组给予乌头桂枝汤熏洗治疗,研究组给予泻阴补阳针刺法联合乌头桂枝汤熏洗治疗。两组均治疗4周。比较两组中医症候积分、肌张力、运动功能、血清指标。结果:治疗后,研究组一侧肢体萎缩无力、口舌歪斜、偏身感觉障碍、共济失调的中医症候积分分别为(1.94±0.19)分、(1.92±0.11)分、(2.24±0.28)分、(1.91±0.12)分,均低于对照组的(2.31±0.21)分、(1.98±0.13)分、(2.46±0.36)分、(1.98±0.16)分,差异均有统计学意义(P<0.05)。治疗后,研究组临床痉挛指数、改良Ashworth痉挛量表评分分别为(4.12±1.21)分、(1.21±0.15)分,均低于对照组的(4.83±1.34)分、(1.30±0.21)分,差异均有统计学意义(P<0.05)。治疗后,研究组Fugl-Meyer运动功能评定量表中上、下肢评分分别为(45.25±5.02)分、(26.09±2.68)分,均高于对照组的(42.97±4.31)分、(24.27±2.44)分,差异均有统计学意义(P<0.05)。治疗后,研究组白细胞介素-1β、同型半胱氨酸分别为(1.22±0.31)ng/mL、(13.19±3.02)μmol/L,均低于对照组的(1.46±0.38)ng/mL、(15.29±3.31)μmol/L,研究组脑源性神经营养因子为(18.27±3.23)ng/mL,高于对照组的(16.68±2.82)ng/mL,差异均有统计学意义(P<0.05)。结论:泻阴补阳针刺法联合乌头桂枝汤熏洗治疗能减轻脑卒中弛缓性瘫痪患者症候,降低肌张力,有助于调节各项血清指标,提高运动功能,有助于患者恢复。Objective:To analyze the clinical effect of Xieyin Buyang acupuncture combined with Wutou Guizhi Decoction fumigation on patients with flaccid paralysis of stroke.Methods:A total of 60 patients with flaccid paralysis of stroke treated in Lingcheng District People’s Hospital of Dezhou City from January 2022 to December 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 30 cases in each group.The control group was given Wutou Guizhi Decoction fumigation treatment,and the study group was given Xieyin Buyang acupuncture combined with Wutou Guizhi Decoction fumigation treatment.Both groups were treated for 4 weeks.The scores of traditional Chinese medicine symptoms,muscle tension,motor function and serum indexes were compared between the two groups.Results:After treatment,the traditional Chinese medicine symptom scores of one limb atrophy and weakness,skew of the mouth,hemisensory disorder and ataxia were(1.94±0.19)points,(1.92±0.11)points,(2.24±0.28)points and(1.91±0.12)points,respectively,which were all lower than(2.31±0.21)points,(1.98±0.13)points,(2.46±0.36)points and(1.98±0.16)points in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of Clinical Spasm Index,Modified Ashworth Spasm scale the study group were(4.12±1.21)points and(1.21±0.15)points,respectively,which were lower than(4.83±1.34)points and(1.30±0.21)points of the control group,the differences were statistically significant(P<0.05).After treatment,the Fugl-Meyer Assessment scale scores of the upper and lower limbs of the study group were(45.25±5.02)points and(26.09±2.68)points,respectively,which were higher than(42.97±4.31)points and(24.27±2.44)points of the control group,the differences were statistically significant(P<0.05).After treatment,interleukin-1β,homocysteine in the study group were(1.22±0.31)ng/mL and(13.19±3.02)μmol/L,respectively,which were lower than in the control group(1.46±0.38)ng/mL a

关 键 词：脑卒中 弛缓性瘫痪 乌头桂枝汤 中药熏洗 泻阴补阳针刺法 中医症候积分 肌张力 运动功能 

分 类 号：R25[医药卫生—中医内科学]