补阳还五汤配合针灸治疗中风后肢体功能障碍的临床效果

文章信息/Info

• Title:补阳还五汤配合针灸治疗中风后肢体功能障碍的临床效果

• 卷期:2024年22卷16期

• 作者:赖宏清 邓志建 罗凯

• 遂川县中医院针灸康复科，江西遂川，343900

• Author(s):Lai Hongqing,  Deng Zhijian,  Luo Kai

• Acupuncture Rehabilitation Department of Suichuan County Hospital of Traditional Chinese Medicine

• 关键词中风；肢体功能障碍；补阳还五汤

• Keywords: Stroke; Limb dysfunction; Buyang Huanwu Decoction

• 摘要:目的：探究中风后肢体功能障碍患者以针灸、补阳还五汤联合治疗的效果。方法：选取108例中风后肢体功能障碍患者随机分组。参照组常规治疗，在此基础上，实验组采用针灸结合补阳还五汤治疗，对比两组治疗前后各指标情况情况及治疗总有效率。结果：治疗前，两组患者CRP、IL-6水平、Barthel指数、BN分期评分、中医证候积分、FMA评分统计差异不明显（P>0.05），治疗后，实验组CRP、IL-6水平，中医症候积分与参照组相比较低，Barthel指数、FMA评分、BN分期评分和治疗总有效率则比参照组高（P<0.05）。结论：补阳还五汤结合针灸治疗中风后肢体功能障碍疾病，能使患者炎症反应得到缓解，改善肢体运动功能，效果显著，值得推广。                                                                                                                                                                                

• Abstract  To explore the effect of acupuncture combined with Buyang Huanwu Decoction on patients with limb dysfunction after stroke. Methods: 108 patients with limb dysfunction after moderate wind were randomly divided into two groups. According to the routine treatment of the reference group, on this basis, the experimental group was treated with acupuncture and moxibustion combined with Buyang Huanwu Decoction, and the indicators before and after treatment and the total effective rate of the two groups were compared. Results: Before treatment, there was no significant difference between the two groups in CRP, IL-6 level, Barthel index, BN staging score, TCM syndrome score and FMA score (P>0.05). After treatment, the levels of CRP, IL-6, TCM syndrome score in the experimental group were lower than those in the reference group, while Barthel index, FMA score, BN staging score and the total effective rate of treatment were higher than those in the reference group (P<0.05). Conclusion: Buyang Huanwu Decoction combined with acupuncture can relieve inflammatory reaction and improve motor function of limbs in patients with post stroke limb dysfunction diseases. It has significant effect and is worth popularizing.

  中风在临床上又被称为脑卒中，是脑血管疾病中发病率较高的常见病，而导致患者中风的原因较多，主要是脑血管狭窄堵塞或破裂[1]。通常情况下，中风患者伴随有不同程度的肢体功能障碍，一般为一侧肢体运动或感觉障碍，易引发患者残疾，对其正常的工作和生活造成严重不便[2]。当前，治疗中风后肢体功能障碍常用的方法为西药治疗，但西医治疗的效果有限，对患者的肢体运动功能改善作用不大。而随着中医的发展，中药汤剂和针灸等也逐渐广泛应用于临床治疗中。目前，中医上认为中风可分为内风和外风两种类型，其发病机理为情志郁结、饮食不节和气滞血瘀等，发病后可表现为气血逆乱、血瘀于脑，从而影响患者的神经功能和肢体运动功能[3]。因此，中医上治疗中风后肢体功能障碍的关键在于促进患者脑血管血流恢复正常，改善患者脑神经控制的运动神经。