[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]
点击复制

循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中疗效观察
分享到:

《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 ischemicmoxibustion along the meridiansstasis-eliminating collateral-dredging resuscitation decoctioncerebral artery hemodynamicsHcyhs-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.

相似文献/References:

[1]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
 LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(08):100.
[2]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
 LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(08):107.
[3]王莉,唐春莲,杨冬梅△.脑卒中患者多重耐药菌感染调查与护理干预[J].西部中医药,2014,27(11):138.
[4]陆霞,石志敏.顺时养生护理措施对脑卒中患者日常生活活动能力的影响[J].西部中医药,2015,28(02):113.
[5]杨春林,巩婷,李清花,等.基于子午流注研究时间护理模式在缺血性脑卒中偏瘫患者康复中的应用[J].西部中医药,2015,28(05):124.
[6]赵红梅,李宝娥,贺艳霞,等.护理干预在脑卒中后吞咽障碍治疗中的应用价值[J].西部中医药,2015,28(06):133.[doi:2015/6/16 0:00:00]
[7]陶玲,杜涛,缪金龙,等.芪苈强心胶囊对老年缺血性心肌病伴心力衰竭患者血浆NT-proBNP水平的影响[J].西部中医药,2015,28(08):75.
[8]张晓凌,毛忠南.脑卒中后肩手综合征中西医治疗现状[J].西部中医药,2015,28(08):180.
[9]张成新,艾则孜·木沙江.中西医结合卒中单元模式对维、汉两民族急性脑卒中患者血脂、血清内脂素和脂联素的影响[J].西部中医药,2015,28(10):1.
[10]张中华.正交实验优选归芪无糖颗粒剂的水提工艺[J].西部中医药,2015,28(10):56.
[11]刘超,李成山,李妍怡△.中风膏对缺血性脑卒中患者血小板聚集率的影响[J].西部中医药,2013,26(12):5.
 LIU Chao,LI Chengshan,LI Yanyi.Effects of ZhongFeng Ointment on Platelet Aggregation Rate of the Patients with Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2013,26(08):5.
[12]魏晓辉,杨小飞,黄煜,等.DWI在急性缺血性脑卒中的临床应用[J].西部中医药,2015,28(06):152.[doi:2015/6/16 0:00:00]
[13]杨琦先,梁程,黄学宽.强肾活血疗法联合拜阿司匹林治疗急性缺血性脑卒中40例[J].西部中医药,2015,28(08):106.
[14]彭妤婕,周小琴.中西医结合疗法对缺血性脑卒中患者血液流变学和神经功能的影响[J].西部中医药,2015,28(12):99.
[15]庄平,陈凤梅,易玲,等.基于子午流注理论的腕踝针技术在急性缺血性脑卒中偏瘫患者中的应用效果[J].西部中医药,2022,35(02):111.[doi:10.12174/j.issn.2096-9600.2022.02.28]
 ZHUANG Ping,CHEN Fengmei,YI Ling,et al.Application Effects of Wrist-ankle Acupuncture Based on Midnight-noon Ebb-flow Theory in Patients with Acute Ischemic Stroke and Hemiplegia[J].Western Journal of Traditional Chinese Medicine,2022,35(08):111.[doi:10.12174/j.issn.2096-9600.2022.02.28]
[16]贾壮壮,陈红阳,袁庆,等.基于网络药理学探究芪参益气滴丸治疗缺血性脑卒中的药理学作用机制[J].西部中医药,2022,35(09):14.[doi:10.12174/j.issn.2096-9600.2022.09.04]
 JIA Zhuangzhuang,CHEN Hongyang,YUAN Qing,et al.Pharmacological Mechanism of Qishen Benefiting-Qi Dripping Pills for Treatment of Ischemic Stroke Based on Network Pharmacology[J].Western Journal of Traditional Chinese Medicine,2022,35(08):14.[doi:10.12174/j.issn.2096-9600.2022.09.04]
[17]庞婷婷,陈梓焜,李婧,等.血清检测值对急性缺血性脑卒中伴吞咽障碍患者并发卒中相关性肺炎的预测价值[J].西部中医药,2024,37(02):157.[doi:10.12174/j.issn.2096-9600.2024.02.31]
 PANG Tingting,CHEN Zikun,LI Jing,et al.Predictive Values of Serum Test Values in Stroke Associated Pneumonia in Acute Ischemic Stroke Patients with Swallowing Disorder[J].Western Journal of Traditional Chinese Medicine,2024,37(08):157.[doi:10.12174/j.issn.2096-9600.2024.02.31]

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