[1]杨晓鸿.针灸联合身痛逐淤汤加减对中风恢复期丘脑痛疼痛程度及血液流变学指标的影响[J].医学信息,2022,35(11):177-179.[doi:10.3969/j.issn.1006-1959.2022.11.047]
　YANG Xiao-hong.Effect of Acupuncture Combined with Shentong Zhuyu Decoction on the Degree of Thalamus Pain and Hemorheology Index in Stroke Recovery Period[J].Medical Information,2022,35(11):177-179.[doi:10.3969/j.issn.1006-1959.2022.11.047]
点击复制

针灸联合身痛逐淤汤加减对中风恢复期丘脑痛疼痛程度及血液流变学指标的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年11期
页码:
177-179
栏目:
中医中药
出版日期:
2022-06-01

文章信息/Info

Title:
Effect of Acupuncture Combined with Shentong Zhuyu Decoction on the Degree of Thalamus Pain and Hemorheology Index in Stroke Recovery Period
文章编号:
1006-1959（2022）11-0177-03
作者:
杨晓鸿
（赣州市人民医院康复医学科，江西 赣州 341000）
Author(s):
YANG Xiao-hong
(Department of Rehabilitation Medicine,Ganzhou People’s Hospital,Ganzhou 341000,Jiangxi,China)
关键词:
丘脑痛; 中风恢复期; 针灸; 身痛逐淤汤; 血液流变学
Keywords:
Thalamic pain; Stroke recovery period; Acupuncture; Shentong Zhuyu decoction; Hemorheology
分类号:
R743
DOI:
10.3969/j.issn.1006-1959.2022.11.047
文献标志码:
A
摘要:
目的 研究针灸联合身痛逐淤汤加减对中风恢复期丘脑痛疼痛程度及血液流变学指标的影响。方法 选取2019年6月-2021年6月我院收治的60例中风恢复期丘脑痛患者，采用随机数字表法分为对照组和观察组，各30例。对照组口服卡马西平治疗，观察组在其基础上应用针灸联合身痛逐淤汤加减治疗，比较两组简化版McGill疼痛问卷（SF-MPQ）评分、临床疗效、血浆-内啡肽（β-EP）、血清P物质（SP）、血液流变学指标（全血低切粘度、全血高切粘度、红细胞聚集指数）。结果 两组SF-MPQ评分均低于治疗前，且观察组低于对照组（P＜0.05）；观察组总有效率为96.67%，高于对照组的80.00%（P＜0.05）；观察组β-EP高于对照组，SP低于对照组（P＜0.05）；两组全血低切粘度、全血高切粘度、血小板聚集率均低于治疗前，且观察组低于对照组（P＜0.05）。结论 针灸联合身痛逐淤汤加减治疗中风恢复期丘脑痛疗效确切，可有效降低患者的疼痛程度，抑制致痛物质的释放，改善其血液流变学水平。
Abstract:
Objective To study the effect of acupuncture combined with Shentong Zhuyu decoction on the degree of thalamic pain and hemorheology indexes in stroke recovery period.Methods A total of 60 patients with thalamic pain in the recovery period of stroke admitted to our hospital from June 2019 to June 2021 were selected and randomly divided into control group and observation group, with 30 cases in each group. The control group was treated with carbamazepine, and the observation group was treated with acupuncture combined with Shentong Zhuyu decoction on the basis of carbamazepine. The scores of simplified McGill pain questionnaire (SF-MPQ), clinical efficacy, plasma-endorphin (β-EP), serum substance P (SP), and hemorheology indexes whole blood low shear viscosity, whole blood high shear viscosity, and erythrocyte aggregation index) were compared between the two groups.Results The SF-MPQ scores of the two groups were lower than those before treatment, and the observation group was lower than the control group (P<0.05). The total effective rate of the observation group was 96.67%, which was higher than 80.00% of the control group (P<0.05). β-EP in observation group was higher than that in control group, SP was lower than that in control group (P<0.05). The whole blood low shear viscosity, whole blood high shear viscosity and platelet aggregation rate of the two groups were lower than those before treatment, and those of the observation group were lower than the control group (P<0.05).Conclusion Acupuncture combined with Shentong Zhuyu decoction is effective in the treatment of thalamic pain in the recovery period of stroke, which can effectively reduce the pain degree, inhibit the release of pain-causing substances, and improve the level of hemorheology.

参考文献/References:

[1]乔慧子,闫瑾.调神抑痛法针刺联合重复经颅磁刺激对脑梗死后中枢神经痛的疗效分析[J].沈阳医学院学报,2019,21(6):505-508,513.[2]Hon AJ,Altschuler EL.Central Post-Stroke Pain (Thalamic Pain Syndrome)[M]//Frontera WR,Silver JK,Rizzo TD.Essentials of Physical Medicine and Rehabilitation,Fourth Edition.Amsterdam:Elsevier,2020:629-632.[3]刘奇.醒脑止痛汤联合氟西汀治疗脑卒中后丘脑痛的疗效及安全性分析[J].四川中医,2020,38(4):137-140.[4]李岩,田彩芳,吴咚咚.少阴经排刺法配合头针治疗中风后丘脑痛的临床疗效观察[J].中华中医药杂志,2018,33(2):582-584.[5]毕文科,刘元标,汪荦荦,等.加减身痛逐瘀汤联合神经妥乐平治疗丘脑痛疗效观察[J].实用中医药杂志,2016,32(1):39-40.[6]Liao C,Yang M,Liu P,et al.Thalamic pain alleviated by stellate ganglion block[J].Medicine,2017,96(5):e6058.[7]屈沂.中西医结合治疗丘脑痛临床研究[J].中医学报,2016,31(8):1192-1194.[8]孔莹,王瑜萌欣,王迪,等.“龙虎交战”针法治疗中风后丘脑痛的临床观察[J].中医药导报,2018,24(14):52-54.[9]王淑敏.经筋皮部排点刺法配合针刺星状神经节治疗中风后丘脑痛疗效观察[J].中医药学报,2018,46(4):81-84.[10]李晓霞,张建泉.通督针刺法治疗卒中后丘脑痛15例临床观察[J].湖南中医杂志,2020,36(3):68-69.[11]路明,罗苓芝,蒙璐.醒脑开窍针法结合头皮针电刺激治疗卒中后丘脑痛40例临床观察[J].中医杂志,2018,59(10):861-865.[12]李雅洁,田浩,安丽,等.醒脑开窍针刺法治疗丘脑痛:随机对照研究[J].中国针灸,2017,37(1):14-18.[13]梁源,丁浩浩.身痛逐瘀汤加减联合神经妥乐平片治疗丘脑痛效果观察[J].实用中医药杂志,2020,36(12):1604-1605.[14]王瑛,李绍旦,张印,等.身痛逐瘀汤对一次性力竭运动DOMS大鼠模型血清CK-MM、IL-6的影响[J].成都中医药大学学报,2016,39(4):18-22.[15]张琦鑫,卢颖.针药并用治疗缺血性中风恢复期丘脑痛的临床观察[J].世界中西医结合杂志,2021,16(6):1119-1122,1127.[16]巢钰,王敏.针药治疗缺血性中风后恢复期丘脑痛33例疗效观察[J].湖南中医杂志,2021,37(3):72-74.[17]蒋慧,王鸿度.活血通络联合醒脑开窍针法对脑梗死后丘脑痛的临床疗效探究[J].中华中医药学刊,2020,38(3):89-91.[18]徐秀梅,周城林,肖朝阳.灸药并用治疗缺血性脑卒中后丘脑痛的临床观察[J].江西中医药大学学报,2016,28(6):33-34,61.[19]王广,罗超,彭形,等.脑出血与蛛网膜下腔出血后β-内啡肽和促性腺激素释放激素水平变化研究[J].中国全科医学,2017,20(6):673-677.[20]黄志雄,李晶,吴爱花,等.三氧大自体血联合普瑞巴林治疗脑卒中后中枢神经痛的临床研究[J].中外医学研究,2019,17(18):24-26.

更新日期/Last Update: 1900-01-01