| 引用本文:曹建，谢海洋，秦延昆，邵祥忠，梅花，李林，许小伟.温针灸联合豁痰息痉汤对脑梗死继发癫痫患者生命质量及脑电图的影响[J].世界中医药,2019,(06):. |
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| 温针灸联合豁痰息痉汤对脑梗死继发癫痫患者生命质量及脑电图的影响 |
| Effects of Warm Acupuncture Combined with Huotan Xijing Decoction on Quality of Life and Electroencephalogram in Patients with Epilepsy Secondary to Cerebral Infarction |
| 投稿时间：2018-12-24 |
| DOI：10.3969/j.issn.1673-7202.2019.06.047 |
| 中文关键词: 温针灸 豁痰息痉汤 脑梗死继发癫痫 生命质量 脑电图 |
| English Keywords:Warm acupuncture Huotan Xijing Decoction Epilepsy secondary to cerebral infarction Quality of life Electroencephalogram |
| 基金项目:2016南通市民生科技创新和示范推广项目（N22103） |
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| 中文摘要: |
| 目的：探讨温针灸联合豁痰息痉汤对脑梗死继发癫痫患者生命质量及脑电图的影响。方法:选取2015年8月至2017年7月南通大学附属海安市人民医院收治的脑梗死继发癫痫患者112例作为研究对象，随机分为对照组和观察组，每组56例。对照组采用常规治疗，观察组在对照组基础上加用温针灸联合豁痰息痉汤治疗。比较2组患者治疗前后脑电图情况、明尼苏达生命质量评分（MLHFQ）、蒙特利尔认知评估量表（MoCA）、神经功能缺损量表（NFD）、中医临床症状评分及治疗的总改善率。结果:治疗后，观察组总改善率为7850%，显著高于对照组总改善率（5720%），差异有统计学意义（P<005）。2组患者MLHFQ评分和NFD评分均显著降低，且观察组评分均低于对照组，差异有统计学意义（P<005）。治疗后，2组患者MoCA评分均显著升高，且观察组评分高于对照组，差异有统计学意义（P<005）。与治疗前比较，2组患者中医临床症状评分均显著降低，且观察组评分低于对照组，差异有统计学意义（P<005）。结论:温针灸联合豁痰息痉汤能够改善脑梗死继发癫痫患者脑电图情况，提高患者生命质量及认知水平，有效控制癫痫的发作。 |
| English Summary: |
| To explore the effects of warm acupuncture combined with Huotan Xijing Decoction on quality of life and electroencephalogram in patients with epilepsy secondary to cerebral infarction.Methods:A total of 112 patients with epilepsy secondary to cerebral infarction in Hai'an People's Hospital Affiliated to Nantong University from August 2015 to July 2017 were randomly divided into a control group and an observation group,with 56 cases in each group.The control group was treated with routine treatment,while the observation group was treated with warm acupuncture combined with Huotan Xijing Decoction.The electroencephalogram,the scores of MLHFQ,MoCA and NFD,the total improvement rate and the score of traditional Chinese medicine symptoms were compared between the 2 groups.Results:After treatment,the total improvement rate in the observation group was 7850%,which was significantly higher than 5720% in the control group,and the difference was statistically significant (P<005).The scores of MLHFQ and NFD in the 2 groups decreased significantly (P<005),and those scores in the observation group were lower than those in the control group,and the difference was statistically significant (P<005).After treatment,the scores of MoCA in the 2 groups increased significantly (P<005),and the one in the observation group was higher than that in the control group.The difference was statistically significant (P<005).Compared with before treatment,the scores of traditional Chinese medicine symptoms in the 2 groups decreased significantly (P<005),and the score in the observation group was lower than that in the control group (P<005).The difference was statistically significant (P<005).Conclusion:Warm acupuncture combined with Huotan Xijing Decoction can not only improve the electroencephalogram,quality of life and cognitive level,but also effectively control the onset of epilepsy in the patients with epilepsy secondary to cerebral infarction,which is worthy of clinical application. |
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