摘要
目的:探讨通督调神针法治疗阴虚动风型脑梗死偏瘫患者疗效及对患者血清同型半胱氨酸(Hcy)、C反应蛋白(CRP)水平的影响。方法:选取脑梗死偏瘫患者76例,1∶1随机分为观察组(西医治疗+通督调神针法)与对照组(常规西医治疗)各38例。持续治疗1个月后,评估两组临床疗效,比较两组治疗前后中医证候积分、血清炎症因子(Hcy、CRP)水平、运动功能[Fugl-Meyer评定量表(FMA)]、平衡功能[Berg平衡量表(BBS)]和移动功能[功能性步态评价表(FGA)]变化情况,并记录两组不良事件发生率。结果:观察组总有效率更高(P<0.05);观察组治疗后中医证候积分降低程度比对照组更明显(P<0.05)。观察组治疗后FMA、FGA和BBS评分升高水平均比对照组更明显(P<0.05),观察组治疗后Hcy、CRP水平下降程度均比对照组更明显(P<0.05)。治疗期间两组均无不良事件发生。结论:阴虚动风型脑梗死偏瘫患者应用通督调神针法联合常规西医治疗具有较好的增益效果,可有效提高临床疗效,缓解患者临床症状,提高运动、平衡和移动能力,降低炎症反应。
Objective:To explore the curative effect of Tongdu Tiaoshen acupuncture and its influences on serum homocysteine(Hcy)and C-reactive protein(CRP)in patients with cerebral infarction hemiplegia of yin-deficiency wind blowing type.Methods:A total of 76 patients were randomly divided into the observation group(western medicine treatment+Tongdu Tiaoshen acupuncture)and the control group(conventional western medicine treatment),38 cases in each group.All patients were treated for 1 month.The changes in scores of TCM syndromes,levels of serum inflammatory factors(Hcy,CRP),motor function[Fugl-Meyer Assessment Scale(FMA)],balance function[Berg Balance Scale(BBS)]and mobility function[Functional Gait Assessment(FGA)]before and after treatment were compared between the two groups.The incidence of adverse events in both groups was recorded.Results:The total response rate of observation group was significantly higher than that of control group(94.74%vs 78.95%,P<0.05).After treatment,scores of TCM syndromes in both groups were decreased,which were lower in observation group than control group(P<0.05).After treatment,FMA,FGA and BBS scores in both groups were increased,which were higher in observation group than control group(P<0.05).After treatment,levels of Hcy,CRP in both groups were decreased,which were lower in observation group than control group(P<0.05).There were no adverse events in either group during treatment.Conclusion:Tongdu Tiaoshen acupuncture combined with conventional western medicine has a good enhancement effect in the treatment of patients with cerebral infarction hemiplegia of Yin deficiency and wind movement,which can effectively improve the clinical efficacy,relieve the clinical symptoms of patients,improve the ability of movement,balance and mobility,and reduce inflammatory response.
作者
齐涛
张闻东
李佩芳
刘辉
QI Tao;ZHANG Wendong;LI Peifang;LIU Hui(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230001,China)
出处
《陕西中医》
CAS
2024年第5期696-699,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
安徽省卫生和计划生育委员会-中医药发展课题[(2018)23号]。
关键词
脑梗死偏瘫
通督调神针法
阴虚动风型
血清同型半胱氨酸
C反应蛋白
运动功能
Cerebral infarction hemiplegia
Tongdu Tiaoshen acupuncture
Yin-deficiency wind blowing type
Serum homocysteine
C-reactive protein
Motor function
