摘要
【摘 要】目的：研究分析中风恢复期阴虚血淤型偏瘫患者接受育阴通络汤联合针灸治疗的效果，为临床治疗提供参考。 方法： 2018年 1月至 2020年 1月本院对 118例中风恢复期偏瘫患者进行分析研究，均是阴虚血瘀型患者，将患者分成针灸组和对照组，均有 59例患者，两组使用西医治疗，针灸组使用育阴通络汤联合针灸治疗，对比分析治疗效果。 结果：治疗前两组生活能力评分不存在统计学差异性（ P>0.05） ;治疗后，两组的 MBI评分存在统计学差异性（ P<0.05） ;20d和 30d时针灸组生活能力评分比对照组高（ P<0.05）治疗前两组的手功能不存在统计学差异性（ P>0.05） ;治疗后，两组的评分增加， 20d和 30d时，针灸组评分比对照组高（ P<0.05），治疗前两组肢体评分无差异性，（ P>0.05） ;治疗后， FMA评分存在差异性，（ P<0.05） ;20d和 30d时，针灸组患者的上肢功能评分比对照组好（ P<0.05）。经过治疗后，针灸组患者共有 8例痊愈， 27例明显改善， 17例改善， 7例无效，临床中的治疗有效率是 88.14%;对照组患者有 5例痊愈， 17例明显改善， 18例改善， 19例无效，临床中的治疗有效率是 67.80%。针灸组的治疗有效率比对照组高，结果存在统计学差异性（ P<0.05）。 结论：中风恢复期阴虚血淤偏瘫患者接受育阴通络汤联合针灸治疗能够改善患者的上肢功能，提升治疗效果，临床中生活能力得到了显著的改善。
【关键词】
育阴通络汤 ;针灸 ;中风 ;恢复期 ;阴虚血瘀型 ;偏瘫
[Abstract] Objective: To study and analyze the effect of Yuyin Tongluo decoction combined with acupuncture and moxibustion on hemiplegia of yin deficiency and blood stasis type in the recovery period of apoplexy, so as to provide reference for clinical treatment. Methods: from January 2018 to January 2020, 118 hemiplegia patients in the recovery period of apoplexy were analyzed and studied in our hospital. They were all Yin deficiency and blood stasis type patients. The patients were divided into acupuncture group and control group, with 59 patients in both groups. Western medicine was used in the two groups, and Yuyin Tongluo decoction was used in the acupuncture group in combination with acupuncture and moxibustion for comparative analysis of the treatment effect. Results: before treatment, there was no statistical difference between the two groups (P > 0.05); after treatment, there was statistical difference between the two groups in MBI score (P < 0.05); after 20 days and 30 days, the life ability score of acupuncture group was higher than that of the control group (P < 0.05); before treatment, there was no statistical difference between the two groups in hand function (P > 0.05); After treatment, the scores of the two groups increased. At the 20th and 30th day, the scores of the acupuncture group were higher than those of the control group (P < 0.05), there was no difference between the two groups before treatment (P > 0.05); after treatment, there was difference in the FMA scores (P < 0.05); at the 20th and 30th day, the upper limb function scores of the acupuncture group were better than that of the control group (P < 0.05). After treatment, 8 cases in acupuncture group were cured, 27 cases were improved significantly, 17 cases were improved, 7 cases were invalid, the clinical effective rate was 88.14%; 5 cases in control group were cured, 17 cases were improved significantly, 18 cases were improved, 19 cases were invalid, the clinical effective rate was 67.80%. The effective rate of acupuncture group was higher than that of the control group, and there was statistical difference (P < 0.05). Conclusion: the treatment of Yuyin Tongluo decoction combined with acupuncture and moxibustion can improve the upper limb function and the therapeutic effect of hemiplegia patients with Yin deficiency and blood stasis in the recovery period of apoplexy.
出版日期
2020年04月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
