[1]眭兰,王晓霞△.针药合用治疗脑卒中后痉挛性偏瘫32例[J].西部中医药,2017,30(12):91-93.
　SUI Lan,WANG Xiaoxia.Treating 32 Patients with Post-stroke Spastic Hemiplegia by the Combination of Needles and Herbs[J].Western Journal of Traditional Chinese Medicine,2017,30(12):91-93.
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针药合用治疗脑卒中后痉挛性偏瘫32例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年12期
页码:
91-93
栏目:
出版日期:
2017-12-15

文章信息/Info

Title:
Treating 32 Patients with Post-stroke Spastic Hemiplegia by the Combination of Needles and Herbs
文章编号:
1004-6852(2017)12-0091-03
作者:
眭兰，王晓霞△
陕西省中医院，陕西 西安 710003
Author(s):
SUI Lan, WANG Xiaoxia△
Shaanxi Provincial TCM Hospital, Xi′an 710003, China
关键词:
脑卒中; 痉挛性偏瘫; 针刺; 中药
Keywords:
stroke;  spastic hemiplegia;  acupuncture;  herbs
分类号:
R255.2
文献标志码:
B
摘要:
目的：观察针药合用治疗脑卒中后痉挛性偏瘫的临床疗效。方法：将62例患者随机分为2组。对照组30例采用中药汤剂治疗，观察组32例以针药合用方法治疗，2组均连续治疗1个月。观察2组临床疗效、治疗前后肢体运动功能（Fugl-Meyer评分)、日常生活能力（Barthel指数评分)、生活质量（PRO量表评分)以及治疗安全性。结果：总有效率观察组为96.88%，对照组为86.67%，2组比较差异有统计学意义(P＜0.05)。Fugl-Meyer及Barthel指数评分治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较，差异也有统计学意义(P＜0.05)。PRO量表评分治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较，差异也有统计学意义(P＜0.05)。治疗期间，2组均未发生不良反应。结论：针药合用治疗脑卒中后痉挛性偏瘫具有良好的临床疗效，利于患者恢复，安全性较高。
Abstract:
Objective: To survey curative effects of the combination of needles and herbs in treating post-stroke spastic hemiplegia. Methods: Sixty-two patients were randomized into two groups. Thirty patients in the control group took herbal decoction, and thirty-two patients in the observation group were treated by the combination of needles and herbs, both groups were treated for one month consecutively. Clinical effects, Fugl Meyer scales, Barthel index scales, Pro scales and therapeutic safety of both groups were observed. Results:Total effective rate of the observation group was 96.88%, higher than 86.67% of the control group, and the difference had statistical meaning (P＜0.05). The difference was statistically significant in the comparisons of Fugl-Meyer and Barthel index scales before and after treating within two groups (P＜0.05), there was a significant difference in the comparison between both groups after treating (P＜0.05). The difference had statistical meaning in the comparisons of PRO scales before and after treating within two groups (P＜0.05), and there was a significant difference in the comparisons after treating between both groups (P＜0.05). No adverse reaction happened during therapeutic period. Conclusion: The combination of needles and herbs show good clinical effects in treating post-stroke spastic hemiplegia, which is helpful to the recovery of the patients with high safety.

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备注/Memo

备注/Memo:
收稿日期：2017-05-23 作者简介：眭兰(1980—)，女，硕士学位，主治医师。研究方向：针刺治疗脑血管病及其发病机制研究。 △通讯作者：王晓霞(1983—)，女，硕士学位，主治医师。研究方向：针刺治疗脑血管病及其发病机制研究。
更新日期/Last Update: 2017-12-15