[1]欧喜智,洪苹,邓钦文,等.循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中疗效观察[J].西部中医药,2022,35(08):124-128.[doi:10.12174/j.issn.2096-9600.2022.08.30]
　OU Xizhi,HONG Ping,DENG Qinwen,et al.Clinical Observation on Moxibustion along the Meridians and Stasis-eliminating Collateral-dredging Resuscitation Decoction in the Treatment of Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2022,35(08):124-128.[doi:10.12174/j.issn.2096-9600.2022.08.30]
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循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年08期
页码:
124-128
栏目:
出版日期:
2022-08-15

文章信息/Info

Title:
Clinical Observation on Moxibustion along the Meridians and Stasis-eliminating Collateral-dredging Resuscitation Decoction in the Treatment of Ischemic Stroke
作者:
欧喜智, 洪苹, 邓钦文, 蒋云, 周叶梅, 余红花, 李流妍
广东省核工业四一九医院，广东 韶关 512028
Author(s):
OU Xizhi, HONG Ping, DENG Qinwen, JIANG Yun, ZHOU Yemei, YU Honghua, LI Liuyan
Guangdong Provincial 419 Hospital of the China National Nuclear Corporation, Shaoguan 512028, China
关键词:
脑卒中; 缺血性; 循经灸; 祛瘀通络开窍汤; 脑动脉血流动力学; 同型半胱氨酸; 超敏C反应蛋白
Keywords:
stroke;  ischemic; moxibustion along the meridians; stasis-eliminating collateral-dredging resuscitation decoction; cerebral artery hemodynamics; Hcy; hs-CRP
分类号:
R255.2
DOI:
10.12174/j.issn.2096-9600.2022.08.30
摘要:
目的探讨循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中患者的临床疗效。 方法选取97例缺血性脑卒中患者，按照随机数字表法分为对照组（48例）和观察组（49例）。对照组采用基础对症治疗方案，观察组在此基础上另行循经灸联合祛瘀通络开窍汤治疗。1周为1疗程，两组均连续治疗4个疗程。比较两组临床疗效、证候积分、脑动脉最大峰值血流速度（systolic peak flow velocity，Vs）、平均血液流速（mean flow velocity，Vm）和脉动指数（perfusion Index，PI）、血清同型半胱氨酸（homocysteine，Hcy）、超敏C反应蛋白（hypersensitive C-reactive protein，hs-CRP）含量和mRS评分。 结果观察组临床总有效率［97.95%（48/49）］明显优于对照组［87.50%（42/48）］（P＜0.05）。治疗后两组证候积分均下降（P＜0.05），且观察组明显低于对照组（P＜0.05）。治疗后两组脑动脉Vs、Vm均升高（P＜0.05），PI降低（P＜0.05），且观察组改善程度优于对照组（P＜0.05）；治疗后两组血清Hcy和hs-CRP含量及mRS评分均较治疗前降低（P＜0.05），且观察组明显低于对照组（P＜0.05）。 结论循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中疗效较好，可显著改善患者临床症状和脑动脉血流动力学指标，降低血清Hcy和hs-CRP含量，降低致残程度，促进康复。
Abstract:
ObjectiveTo explore clinical effects of moxibustion along the meridians and stasis-eliminating collateral-dredging resuscitation decoction in the treatment of ischemic stroke. MethodsA total of 97 patients were chosen, and divided into the control group (48 cases) and the observation group (49 cases) in light of random number table method. The control group adopted basic symptomatic therapeutic regimen, and the observation group was treated by moxibustion along the meridians and stasis-eliminating collateral-dredging resuscitation decoction. One week was one course, both groups were treated for four courses consecutively. To compare clinical effects, syndrome integrals, Vs, Vm and PI of cerebral artery, the contents of Hcy, hs-CRP and mRS scores between both groups. ResultsTotal effective rate of the observation group was [97.95% (48/49)], notably better than [87.50%(42/48)] of the control group (P<0.05). After the treatment, syndrome integrals of both groups were reduced (P<0.05), and the observation group was remarkably lower than the control group (P<0.05). After the treatment, Vs and Vm of cerebral artery of both groups were increased (P<0.05), PI was decreased (P<0.05), and the improvements of the observation group were better than these of the control group (P<0.05); after the treatment, the contents of Hcy and hs-CRP, and mRS scores of both groups were reduced than these before the treatment (P<0.05), and the observation group was lower than the control group obviously (P<0.05). ConclusionMoxibustion along the meridians and stasis-eliminating collateral-dredging resuscitation decoction could obtain better clinical effects in the treatment of ischemic stroke, it could notably improve clinical symptoms and cerebral artery hemodynamics, reduce the contents of Hcy and hs-CRP, decrease disability, and promote the recovery.

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备注/Memo

备注/Memo:
欧喜智（1972—），男，副主任中医师。研究方向：中风后遗症的中医药结合针灸治疗。韶关市卫生计生科研项目（Y19154）。
更新日期/Last Update: 2022-08-15