摘要
目的探讨不同针灸方法对气虚血瘀型中风后遗症的疗效。方法选取2016年2月—2017年10月于北京朝阳中西医结合急诊抢救中心治疗的166例气虚血瘀型中风后遗症病人,根据针灸方法的不同分为温针灸组(55例)、电针组(55例)和温针灸加电针组(56例)。按照第7版《针灸学》取穴,3组病人均针灸3个疗程,隔天针灸1次,10次为1个疗程。采用病情轻重诊断标准量表、日常生活能力量表、神经功能缺损评分量表评估3组病人治疗后的疗效。结果治疗后,温针灸组总有效率为87.27%,电针组为76.36%,温针灸加电针组为94.64%;与温针灸组相比,温针灸加电针组总有效率高于温针灸组,差异有统计学意义(P<0.05);与电针组相比,温针灸加电针组的总有效率高于电针组,差异有统计学意义(P<0.05)。经过治疗,3组病人的病情轻重诊断标准量表评分均有所下降,与温针灸组相比,温针灸加电针组的评分低于温针灸组,差异有统计学意义(P<0.05);与电针组相比,温针灸加电针组的评分低于电针组,差异有统计学意义(P<0.05);治疗后3组生活能力量表评分均有所降低,温针灸加电针组的评分明显低于温针灸组和电针组,差异有统计学意义(P<0.05);治疗后3组神经功能缺损量表评分均有所降低,温针灸组与电针组相比,温针灸组低于电针组,差异有统计学意义(P<0.05),温针灸组加电针组又低于温针灸组,差异有统计学意义(P<0.05)。结论温针灸、电针、温针灸加电针3种针灸方法对气虚血瘀型中风后遗症均有疗效,还可缓解病情,提高病人生活能力,改善神经功能缺损,但温针灸加电针联合治疗效果均优于单用温针灸及电针治疗效果。
Objective To explore the effects of different acupuncture and moxibustion methods on stroke sequelae patients with qi deficiency and blood stasis syndrome.Methods A total of 166 patients with stroke sequelae and qi deficiency and blood stasis syndrome were divided into warm acupuncture group(n=55),electroacupuncture group(n=55),and warm acupuncture plus electroacupuncture group(n=56).Acupoints were taken according to the 7th edition of Acupuncture and Moxibustion.The patients in three groups were treated with acupuncture for 3 courses.Acupuncture was performed once every other day,and 10 sessions was a course of treatment.The efficacy of patients was evaluated by the severity of the disease,the standard of daily living ability scale,and the neurological deficit score scale.Results After treatment,the total effective rate was 87.27%in the warm acupuncture group,76.36%in the electroacupuncture group,and 94.64%in the warm acupuncture plus electroacupuncture group.The total effective rate of warm acupuncture plus electroacupuncture group was higher than that of warm acupuncture group(P<0.05).The effective rate of warm acupuncture plus electroacupuncture group was higher than that of the electroacupuncture group(P<0.05).After treatment,the scores of the Severity Diagnostic Criteria Scale decreased in the three groups.The score in the warm acupuncture plus electroacupuncture group was lower than that in the warm acupuncture group(P<0.05).The score in the warm acupuncture plus electroacupuncture group was lower than that in the electroacupuncture group(P<0.05).After treatment,the scores of the life ability scales were improved in the three groups.The score in the warm acupuncture plus the electroacupuncture group was significantly higher than those of the warm acupuncture group and the electroacupuncture group(P<0.05).After treatment,the neurological deficit scale scores were reduced in the three groups.The score in the warm acupuncture group was lower than that in the electroacupuncture group(P<0.05).The score in warm acupuncture plus the electroacupuncture was lower than that in the warm acupuncture group(P<0.05).Conclusion Warm acupuncture,electroacupuncture,warm acupuncture plus electroacupuncture can alleviate the condition,improve living ability,and improve neurological deficits in patients with stroke sequelae and qi deficiency and blood stasis syndrome.The therapeutic effect of warm acupuncture plus electroacupuncture is better than warm acupuncture and electroacupuncture alone.
作者
韩墨洋
HAN Moyang(Beijing Chaoyang Chinese and Western Medicine Combined Emergency Rescue Center,Beijing 100023,China)
出处
《中西医结合心脑血管病杂志》
2020年第3期403-406,共4页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
基于“心脑同治”理论采用化痰通络汤治疗心源性脑梗死的临床疗效观察(No.CYSF1827)。
关键词
中风
后遗症
温针灸
电针
气虚血瘀型
临床疗效
stroke
sequelae
warm acupuncture
electroacupuncture
qi deficiency and blood stasis syndrome
clinical efficacy
