| 引用本文:蔡燕，桂树虹，陈桂珠，竺嘉敏.浅刺法联合补阳还五汤治疗中风偏瘫的疗效及对肢体功能恢复影响[J].世界中医药,2019,(10):. |
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| 浅刺法联合补阳还五汤治疗中风偏瘫的疗效及对肢体功能恢复影响 |
| Effects of Shallow Acupuncture Combined with Buyang Huanwu Decoction in Treatment of Hemiplegia and the Effects on Limb Function Recovery |
| 投稿时间：2019-03-20 |
| DOI：10.3969/j.issn.1673-7202.2019.10.050 |
| 中文关键词: 浅刺法 补阳还五汤 中风偏瘫 肢体功能恢复 生命质量 临床疗效 |
| English Keywords:Shallow acupuncture method Buyang Huanwu Decoction Stroke hemiplegia Limb function recovery |
| 基金项目:海南省卫生计生行业科研项目(15A200057) |
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| 中文摘要: |
| 目的:探讨浅刺法联合补阳还五汤治疗中风偏瘫的疗效及对肢体功能恢复的影响。方法:选取2017年9月至2018年9月海南省人民医院收治的中风偏瘫患者100例作为研究对象,按照治疗方法不同分为对照组和观察组,每组50例,对照组口服补阳还五汤治疗,观察组进行浅刺法联合补阳还五汤治疗。比较2组患者临床疗效、日常生活能力(ADL)、生命质量和肢体功能评价。结果:对照组基本痊愈7例,显著进步15例,进步17例,无变化11例;观察组基本痊愈10例,显著进步165例,进步20例,无变化4例;观察组和对照组总有效率分别为(92.00%)和(78.00%),观察组显著高于对照组(P<0.05)。在治疗前,2组患者QLI和LSIA评分差异无统计学意义(P>0.05);治疗后,2组患者QLI和LSIA评分升高(P<0.05);观察组QLI和LSIA评分升高更明显(P<0.05)。在治疗前,2组患者MBI评分差异无统计学意义(P>0.05);治疗后,2组患者MBI评分升高(P<0.05);观察组MBI评分升高更明显(P<0.05)。在治疗前,2组患者Fugl-Meyer评分差异无统计学意义(P>0.05);治疗后,2组患者Fugl-Meyer评分升高(P<0.05);观察组Fugl-Meyer评分升高更明显(P<0.05),2组患者不良反应发生率差异无统计学意义(P>0.05)。结论:中风偏瘫采用浅刺法联合补阳还五汤进行治疗,具有较好的治疗效果,能够促进中风偏瘫患者肢体功能恢复,并且提高患者生命质量及生活能力,值得在临床上推广应用。 |
| English Summary: |
| To study the effects of shallow acupuncture combined with Buyang Huanwu Decoction in treatment of hemiplegia and the effects on limb function recovery.Methods:From September 2017 to September 2018,100 cases of stroke hemiplegia patients treated in Hainan General Hospital were randomly divided into an observation group and a control group,with 50 cases in each group.The control group was given oral administration of Buyang Huanwu Decoction,and the observation group was given shallow acupuncture combined with Buyang Huanwu Decoction.The clinical efficacy,ability of daily life(ADL)and quality of life and limb function evaluation of the 2 groups were compared.Results:There were 7 cases of basically recovery,15 cases of remarkable progress,17 cases of progress,and 11 cases of no change in the control group.There were 10 cases of basically recovery,165 cases of remarkable progress,20 cases of progress,and 4 cases of no change.The total effective rates of the observation group and the control group were(92.00%)and(78.00%),respectively,and the observation group was significantly higher than the control group(P<0.05).Before treatment,there was no significant difference in QLI and LSIA scores between the 2 groups(P>0.05).After treatment,the QLI and LSIA scores of the 2 groups were increased(P<0.05); the QLI and LSIA scores of the observation group were significantly higher(P<0.05).Before treatment,there was no significant difference in MBI score between the 2 groups(P>0.05).After treatment,the MBI scores of the 2 groups were increased(P<0.05); the MBI scores of the observation group were significantly increased(P<0.05).Before treatment,there was no significant difference in Fugl-Meyer score between the 2 groups(P>0.05).After treatment,the Fugl-Meyer scores of the 2 groups were increased(P<0.05); the Fugl-Meyer score of the observation group was significantly higher(P<0.05),there was no significant difference in the incidence of adverse reactions between the 2 groups(P>0.05).Conclusion:The hemiplegia of stroke is treated with shallow acupuncture method and Buyang Huanwu Decoction,which has a good therapeutic effect,and can promote the recovery of limb function in patients with hemiplegia due to stroke,and improve the quality of life and life ability of patients.It is worthy of clinical application. |
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