针刺疗法联合补阳还五汤治疗气虚血瘀型脑梗塞恢复期的临床效果探究

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• Title:针刺疗法联合补阳还五汤治疗气虚血瘀型脑梗塞恢复期的临床效果探究

• 卷期:2024年22卷16期

• 作者:龙海成，陈立平， 郭华

• 定南县第一人民医院消化内科，江西定南，341900

• Author(s):Long Haicheng  Chen Liping    Guo Hua

• Ganzhou City, Jiangxi Province Unit: Dingnan First People's Hospital

• 关键词 针刺疗法；补阳还五汤；气虚血瘀型脑梗塞；凝血功能；脑血流循环；中医症候

• Keywords:acupuncture therapy; Buyang Huanwu Decoction; Cerebral infarction of qi deficiency and blood stasis type; Coagulation function; Cerebral blood circulation; TCM Symptoms

• 摘要:目的：观察针刺疗法联合补阳还五汤治疗恢复期气虚血瘀型脑梗塞（ACI）患者的效果。方法：选择2020年1月～2022年1月80例气虚血瘀型ACI患者随机分为观察组与对照组，各40例，分别采取常规治疗+针刺联合补阳还五汤治疗与常规治疗，比较治疗效果。结果：观察组显效、有效总占比较对照组高，P<0.05；两组各凝血功能指标治疗前p>0.05，治疗后观察组改善更明显，P<0.05；两组脑血流循环指标治疗前p>0.05，治疗后观察组优于对照组（P<0.05）；治疗前两组中医症候积分比较p>0.05，治疗后均降低，观察组降低明显，P<0.05；不良反应比较观察组少于对照组（P<0.05）。结论：针刺疗法联合补阳还五汤可提升气虚血瘀型ACI患者恢复效果，改善凝血功能、脑血流循环功能、中医症候，安全有效。                                                                                                                                                                                

• AbstractTo observe the therapeutic effect of acupuncture combined with Buyang Huanwu Decoction on cerebral infarction (ACI) of qi deficiency and blood stasis type in convalescence. Methods: From January 2020 to January 2022, 80 patients with ACI of qi deficiency and blood stasis type were randomly divided into the observation group and the control group, with 40 patients in each group. They were treated with conventional therapy+acupuncture combined with Buyang Huanwu Decoction and conventional therapy respectively, and the therapeutic effects were compared. Results: Compared with the control group, the observation group was significantly effective and the total effective rate was higher (P<0.05); Conclusion: Acupuncture combined with Buyang Huanwu Decoction can improve the recovery effect of ACI patients with qi deficiency and blood stasis, improve the coagulation function, cerebral blood circulation function, and TCM symptoms, which is safe and effective.

  作为临床常见神经内科疾病，脑梗塞（ACI）主要指的是因缺血、缺氧所致的脑部血液循环障碍，局限脑组织缺血坏死、软化是典型表现，其在所有脑血管病中占70%以上，中老年是高发群体。ACI病因机制复杂，考虑与大动脉粥样硬化、心源性栓塞等有关[1]，另外合并高血压、心脏病等慢性病也会增加ACI风险。西医治疗脑梗塞强调改善脑循环、降低颅内压，尽管能够对患者症状起到改善作用，但效果有限，且易产生不良反应，效果不甚理想。