[1]黄学言.芪蛭通络胶囊联合针刺治疗缺血性脑卒中偏瘫的疗效[J].医学信息,2021,34(08):159-161.[doi:10.3969/j.issn.1006-1959.2021.08.043]
　HUANG Xue-yan.Curative Effect of Qizhitongluo Capsule Combined with Acupuncture on Hemiplegia After Ischemic Stroke[J].Medical Information,2021,34(08):159-161.[doi:10.3969/j.issn.1006-1959.2021.08.043]
点击复制

芪蛭通络胶囊联合针刺治疗缺血性脑卒中偏瘫的疗效()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年08期
页码:
159-161
栏目:
中医中药
出版日期:
2021-04-15

文章信息/Info

Title:
Curative Effect of Qizhitongluo Capsule Combined with Acupuncture on Hemiplegia After Ischemic Stroke
文章编号:
1006-1959（2021）08-0159-03
作者:
黄学言
（广西钦州市中医医院脑病科，广西 钦州 535099）
Author(s):
HUANG Xue-yan
(Department of Brain Disease,Guangxi Qinzhou Traditional Chinese Medicine Hospital,Qinzhou 535099,Guangxi,China)
关键词:
脑梗死; 偏瘫; 芪蛭通络胶囊; 针刺
Keywords:
Cerebral infarction; Hemiplegia; Qizhitongluo capsule; Acupuncture
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.08.043
文献标志码:
A
摘要:
目的 探讨芪蛭通络胶囊联合针刺治疗缺血性脑卒中恢复期（气虚血瘀证）的临床疗效。方法 选取本院2018年10月~2020年9月中医辨证分型属于气虚血瘀证缺血性脑卒中偏瘫恢复期的患者60例，随机分为对照组30例，治疗组30例。对照组给予二级预防及针刺治疗，治疗组在对照组基础上加用芪蛭通络胶囊治疗，比较两组神经功能缺损评分、中医证候积分、临床疗效及用药安全性。结果 两组患者神经功能缺损评分均下降，且治疗组低于对照组，差异有统计学意义（P＜0.05）；两组中医证候积分均降低，且治疗组低于对照组，差异有统计学意义（P＜0.05）；治疗组的总有效率为93.33%，高于对照组的40.00%，差异有统计学意义（P＜0.05）；用药过程中，检测患者血常规、肝肾功能及肌酶谱等均未见异常，亦未见药物过敏反应。结论 芪蛭通络胶囊联合针刺治疗能明显改善缺血性卒中偏瘫患者的气虚血瘀证候，患者神经功能缺损症状明显改善。
Abstract:
Objective To explore the clinical effect of Qizhitongluo capsule combined with acupuncture in the treatment of ischemic stroke in the recovery period (qi deficiency and blood stasis syndrome).Methods From October 2018 to September 2020 in our hospital, 60 patients who belonged to the recovery period of ischemic stroke hemiplegia due to Qi deficiency and blood stasis syndrome were selected from the TCM syndrome classification in our hospital. They were randomly divided into 30 cases in the control group and 30 cases in the treatment group.The control group was given secondary prevention and acupuncture treatment, and the treatment group was treated with Qizhitongluo capsule on the basis of the control group. The neurological deficit score, TCM syndrome score, clinical efficacy and medication safety were compared between the two groups.Results The neurological deficit scores of the two groups of patients decreased, and the treatment group was lower than the control group, the difference was statistically significant (P＜0.05);The TCM syndrome scores of the two groups were reduced, and the treatment group was lower than the control group, the difference was statistically significant (P＜0.05);The total effective rate of the treatment group was 93.33%, which was higher than 40.00% of the control group,the difference was statistically significant (P＜0.05);During the medication, there was no abnormality in the blood routine, liver and kidney function and muscle enzyme spectrum of the patient, and no drug allergic reaction was found.Conclusion Qizhitongluo capsule combined with acupuncture treatment can significantly improve the syndrome of deficiency of Qi and blood stasis in patients with hemiplegia after ischemic stroke, and the symptoms of neurological deficits in patients are significantly improved.

参考文献/References:

[1]王班,关天嘉,尤莉莉,等.我国缺血性脑卒中残疾情况及其影响因素分析[J].中国全科医学,2016,19(2):216-219. [2]孙佳艺,赵冬,刘静,等.中国缺血性脑卒中住院患者颈动脉粥样硬化病变性别差异的分析[J].心肺血管病杂志,2016,35(2):81-86. [3]武晓伟,刘聪,李佳,等.芪蛭通络胶囊及其9味活血化瘀药拆方对脑缺血再灌注损伤模型大鼠的保护作用[J].中国药房,2019,30(19):2674-2678. [4]李祥.芪蛭通络胶囊中补益气血类药药效学评价及血清药化初步研究[D].山西省中医药研究院,2020. [5]郭达云.营养神经药物辅助治疗脑梗死的临床效果研究[J].北方药学,2017(3):56-57. [6]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682. [7]罗丹.中风病缺血性中风急性期证候要素与NIHSS评分的相关性探讨[D].长春中医药大学,2019. [8]Jaehak Y,Sejin P,Lee HS,et al.An Elderly Health Monitoring System Using Machine Learning and In-Depth Analysis Techniques on the NIH Stroke Scale[J].Mathematics,2020,8(7):1115-1130. [9]樊留博,江毅卿,田瑛,等.强制性运动联合高压氧疗法在痉挛性偏瘫患者神经功能恢复中的应用[J].中国中医急症,2015,24(5):866-869. [10]黄丹霞.脑卒中后肌痉挛的发生率及危险因素调查研究[D].福建中医药大学,2016. [11]孙芮芮.芪蛭通络胶囊改善东莨菪碱致小鼠记忆障碍的研究[D].山西中医药大学,2020. [12]兰鹏,苏锦勋,潘凤仙.芪蛭通络胶囊治疗血管性轻度认知障碍的疗效观察[J].辽宁中医杂志,2016,43(4):752-753 [13]陶琳,傅勤慧,裴建.针刺治疗脑卒中后上肢运动功能障碍的配穴规律研究[J].上海中医药大学学报,2019,33(4):23-27,47. [14]张晴.针刺联合康复训练对缺血性脑卒中偏瘫患者步行能力及凝血、纤溶指标的影响[J].血栓与止血学,2020,26(4):576-578. [15]景福权,秦虎,刘欢,等.针灸联合康复疗法对缺血性脑卒中偏瘫患者肢体运动功能及血清cAMP、cGMP的影响[J].中国针灸,2020,40(6):581-585.

相似文献/References:

[1]刘海威.延续性护理对脑梗死运动功能障碍患者生活质量及社会支持的影响[J].医学信息,2018,31(02):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
　LIU Hai-wei.Effect of Continuous Nursing on Quality of Life and Social Support in Patients with Motor Dysfunction of Cerebral Infarction[J].Medical Information,2018,31(08):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
[2]韩艳庆,董 成,徐 玲.脑梗死并发急腹症诊治分析[J].医学信息,2018,31(06):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
　HAN Yan-qing,DONG Cheng,XU Ling.Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease[J].Medical Information,2018,31(08):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
[3]王明远,陈海燕,张延朋,等.颈动脉斑块、血同型半胱氨酸及血尿酸对短暂性脑缺血 发作进程的影响研究[J].医学信息,2018,31(08):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
　WANG Ming-yuan,CHEN Hai-yan,ZHANG Yan-peng,et al.Effects of Carotid Plaque,Homocysteine and Serum Uric Acid on Transient Ischemic Attack[J].Medical Information,2018,31(08):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
[4]甘雪梅.系统护理对脑梗死患者生活质量及满意度的影响[J].医学信息,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
　GAN Xue-mei.Effect of Systematic Nursing on Quality of Life and Satisfaction of Patients with Cerebral Infarction[J].Medical Information,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
[5]单 敏,常燕燕,赵大鹏,等.急性前循环脑梗死患者梗死体积与 血清NSE水平相关性研究[J].医学信息,2018,31(10):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
　SHAN Min,CHANG Yan-yan,ZHAO Da-peng,et al.Correlation between Infarct Volume and Serum NSE Level in Patients with Acute Anterior Circulation Cerebral Infarction[J].Medical Information,2018,31(08):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
[6]陈艳男,徐 劲.脑梗死患者血清SAA、hs-CRP与颅内动脉粥样硬化狭窄程度的相关性[J].医学信息,2022,35(09):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
　CHEN Yan-nan,XU Jin.Correlation Between Serum SAA, hs-CRP and Intracranial Atherosclerotic Stenosis in Patients with Cerebral Infarction[J].Medical Information,2022,35(08):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
[7]李福滔,张素平.单侧颈内动脉夹层致脑梗死1例报道[J].医学信息,2018,31(11):191.[doi:10.3969/j.issn.1006-1959.2018.11.065]
[8]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(08):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[9]柳 星,卢会琴.脑梗死恢复期的临床路径实施效果分析[J].医学信息,2018,31(19):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]
　LIU Xing,LU Hui-qin.Analysis of Clinical Path Implementation in the Recovery Period of Cerebral Infarction[J].Medical Information,2018,31(08):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]
[10]李伟平.早期康复护理干预改善首发脑卒中偏瘫患者肢体功能的效果分析[J].医学信息,2018,31(19):168.[doi:10.3969/j.issn.1006-1959.2018.19.053]
　LI Wei-ping.Effect of Early Rehabilitation Nursing Intervention on Improving Limb Function of Hemiplegic Patients with First Stroke[J].Medical Information,2018,31(08):168.[doi:10.3969/j.issn.1006-1959.2018.19.053]
[11]甄小明,吕小方,杜蒙蒙,等.基于网络信息化护理管理模式在脑梗死偏瘫患者神经功能恢复中的效果[J].医学信息,2022,35(20):177.[doi:10.3969/j.issn.1006-1959.2022.20.049]
　ZHEN Xiao-ming,LYU Xiao-fang,DU Meng-meng,et al.Effect of Nursing Management Mode Based on Network Informatization on Recovery of Neurological Function in Cerebral Infarction Patients with Hemiplegia[J].Medical Information,2022,35(08):177.[doi:10.3969/j.issn.1006-1959.2022.20.049]
[12]陈 晨.强化康复干预联合优质护理对脑梗死偏瘫患者自护能力及肢体运动功能的影响[J].医学信息,2023,36(10):190.[doi:10.3969/j.issn.1006-1959.2023.10.044]
　CHEN Chen.Effect of Intensive Rehabilitation Intervention Combined with High Quality Nursing on Self-care Ability and Limb Motor Function in Patients with Cerebral Infarction Hemiplegia[J].Medical Information,2023,36(08):190.[doi:10.3969/j.issn.1006-1959.2023.10.044]
[13]武瑞森,李树杰.不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响[J].医学信息,2024,37(06):139.[doi:10.3969/j.issn.1006-1959.2024.06.024]
　WU Rui-sen,LI Shu-jie.Effect of Rehabilitation Therapy at Different Time on Neurological Function and Motor Function in Patients with Hemiplegia After Cerebral Infarction[J].Medical Information,2024,37(08):139.[doi:10.3969/j.issn.1006-1959.2024.06.024]

更新日期/Last Update: 1900-01-01