摘要
目的:探究化痰通络汤联合针刺治疗不同分型急性脑梗死的临床效果。方法:回顾性选取本院2019年8月-2020年10月收治的痰瘀阻络型和风痰瘀阻型急性脑梗死患者各100例,选取其中痰瘀阻络型67例为痰瘀阻络组,风痰瘀阻型67例为风痰瘀阻组,痰瘀阻络型与风痰瘀阻型各33例为对照组,痰瘀阻络组与风痰瘀阻组采用化痰通络汤内服联合针刺治疗,对照组采用常规西医治疗。比较三组治疗前后的美国国立卫生研究院卒中量表(NIHSS)评分、神经功能疗效、治疗前后中医证候疗效,随访3个月比较三组患者改良Rankin评分量表(mRS)情况。结果:治疗前三组患者NIHSS评分比较,差异无统计学意义(P>0.05),治疗后痰瘀阻络组与风痰瘀阻组NIHSS评分均低于对照组,差异有统计学意义(P<0.05);痰瘀阻络组与风痰瘀阻组神经功能总有效率为97.01%、95.52%,明显高于对照组的69.70%,差异有统计学意义(P<0.05)。痰瘀阻络组与风痰瘀阻组中医证候疗效总有效率为98.51%、97.01%,明显高于对照组的66.67%,差异有统计学意义(P<0.05)。痰瘀阻络组与风痰瘀阻组预后良好率为91.04%、88.06%,明显高于对照组的63.64%,差异有统计学意义(P<0.05)。结论:化痰通络汤联合针刺治疗痰瘀阻络型与风痰瘀阻型急性脑梗死可降低患者NIHSS评分,改善神经功能与中医症状,提升预后。
Objective:To explore the clinical effect of Huatan Tongluo Decoction combined with acupuncture on different types of acute cerebral infarction.Method:A retrospective selection of 100 patients with acute cerebral infarction of phlegm-blood-stasis type and wind-phlegm-blood-stasis type admitted to our hospital from August 2019 to October 2020 were selected.Among them,67 cases of phlegm-blood-stasis type were selected as the phlegm-blood-stasis group,67 cases of wind-phlegm-blood-stasis type were in the wind-phlegm-blood-stasis group,33 cases each of phlegm-blood-stasis type and wind-phlegm-blood-stasis type were used as the control group.The phlegm-blood-stasis group and wind-phlegm-blood-stasis group were treated with Huatan Tongluo Decoction combined acupuncture treatment,the control group was treated with conventional western medicine.The national institutes of health stroke scale (NIHSS) scores,neural function effect,curative effect of TCM syndrome before and after the treatment in three groups were compared,all patients were followed up for 3 months,modified Rankin rating scale (mRS) in three groups were compared.Result:The NIHSS scores of the three groups before treatment showed no statistically significant difference (P>0.05).After treatment,the NIHSS scores of the phlegm-blood-stasis group and the wind-phlegm-blood-stasis group were lower than the control group,and the differences were statistically significant (P<0.05).The total effective rates of nerve function in the phlegm-blood-stasis group and the wind-phlegm-blood-stasis group were 97.01% and 95.52%,which were significantly higher than the 69.70% of the control group (P<0.05).The total effective rates of TCM syndromes were 98.51% and 97.01% in the phlegm-blood-stasis group and the wind-phlegm-blood-stasis group,which were significantly higher than 66.67% in the control group (P<0.05).The good prognosis rates of the phlegm-blood-stasis group and the wind-phlegm-blood-stasis group were 91.04% and 88.06%,which were significantly higher than 63.64% of the control group,with statistically significant differences (P<0.05).Conclusion:The treatment of acute cerebral infarction with Huatan Tongluo Decoction combining with acupuncture in phlegm-blood-stasis and wind-phlegm-blood-stasis can reducing patients’ NIHSS score,improving nerve function and TCM symptoms,and improving prognosis.
作者
俞云姣
李云航
YU Yunjiao;LI Yunhang(Yangchun Hospital of Traditional Chinese Medicine,Yangchun 529600,China;不详)
出处
《中外医学研究》
2021年第2期14-16,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
阳江市医疗卫生类科技计划项目(阳科通[2019]50号140)。
关键词
化痰通络汤
针刺
痰瘀阻络型
风痰瘀阻型
急性脑梗死
Huatan Tongluo Decoction
Acupuncture
Phlegm-blood-stasis type
Wind-phlegm-blood-stasis type
Acute cerebral infarction
