[1]苏珏,向建军,廖家权,等.降脂活血片结合针刺对缺血性脑卒中后遗症风痰瘀阻证患者的影响[J].西部中医药,2025,38(05):158-161.[doi:10.12174/j.issn.2096-9600.2025.05.31]
　SU Jue,XIANG Jianjun,LIAO Jiaquan,et al.Effects of Lipid-lowering Blood-activating Tablets Joined with Acupuncture on Ischemic Stroke Sequela of Wind-phlegm and Blood Stasis Obstruction Pattern[J].Western Journal of Traditional Chinese Medicine,2025,38(05):158-161.[doi:10.12174/j.issn.2096-9600.2025.05.31]
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降脂活血片结合针刺对缺血性脑卒中后遗症风痰瘀阻证患者的影响()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年05期
页码:
158-161
栏目:
特色医疗
出版日期:
2025-05-15

文章信息/Info

Title:
Effects of Lipid-lowering Blood-activating Tablets Joined with Acupuncture on Ischemic Stroke Sequela of Wind-phlegm and Blood Stasis Obstruction Pattern
作者:
苏珏, 向建军, 廖家权, 温庆, 郑国尧
恩施土家族苗族自治州中心医院，湖北 恩施 445000
Author(s):
SU Jue, XIANG Jianjun, LIAO Jiaquan, WEN Qing, ZHENG Guoyao
The Central Hospital of Enshi Tujia and Miao Autonomous Perfecture/Enshi Clinical College of Wuhan University, Enshi 445000, China
关键词:
中风; 风痰瘀阻证; 肢体运动功能; 降脂活血片; 针刺
Keywords:
stroke; wind-phlegm and blood stasis obstruction pattern; motor function of the limbs; lipid-lowering blood-activating tablets; acupuncture
分类号:
R277.7
DOI:
10.12174/j.issn.2096-9600.2025.05.31
文献标志码:
B
摘要:
目的观察降脂活血片结合针刺对缺血性脑卒中（ischemic stroke，IS）后遗症风痰瘀阻证患者肢体运动功能的影响。 方法将风痰瘀阻型IS后遗症患者60例随机分为对照组和观察组各30例。对照组在常规内科综合干预措施下口服洛伐他汀胶囊，观察组在对照组基础上口服降脂活血片结合针刺治疗，两组均连续治疗4周。采用美国国立卫生院神经功能缺损评分（National Institute of Health stroke scale，NIHSS）评价两组患者神经功能缺损情况；采用Fugl-Meyer评分（Fugl-Meyer assessment，FMA）评价肢体运动功能；采用改良Barthel指数评分评价日常生活能力，并比较临床疗效。 结果治疗后两组患者NIHSS评分均降低（P＜0.01），观察组低于对照组（P＜0.01）；上下肢FMA评分及Barthel指数评分均升高（P＜0.01），观察组高于对照组（P＜0.01）；总有效率观察组［96.67%（29/30）］高于对照组［73.33%（22/30）］（P＜0.05）。 结论降脂活血片结合针刺治疗风痰瘀阻型IS后遗症效果优于常规内科综合干预加洛伐他汀胶囊，能有效改善患者神经功能缺损、肢体运动功能以及生活质量。
Abstract:
ObjectiveTo observe the influence of lipid-lowering blood-activating (Jiangzhi Huoxue) tablets combined with acupuncture on motor function in ischemic stroke (IS) sequela of wind-phlegm and blood stasis obstruction pattern. MethodsSixty cases of IS sequela of wind-phlegm and blood stasis obstruction pattern were randomized into the control group and the observation group (n=30 cases). The control group took lovastatin capsules orally on the foundation of conventional comprehensive medical intervention measures, the observation group took the tablets and accepted the needling based on the therapy of the control group, and both groups were treated for four consecutive weeks. NIHSS was applied to assess neurological deficits of the patients between the two groups; FMA was adopted to evaluate motor function of the limbs; modified Barthel index (BI) scales were used to evaluate activity of daily living (ADL), and compare clinical effects. ResultsAfter the treatment, NIHSS scores were reduced in the two groups (P<0.01), the observation group was lower than the control group (P<0.01); FMA scores and BI scores of the upper and lower extremities were elevated (P<0.01), the observation group was higher than the control group (P<0.01); total effective rate of the observation group was [96.67%(29/30)], higher than [73.33%(22/30)] of the control group (P<0.05). ConclusionLipid-lowering blood-activating tablets combined with acupuncture in the treatment of sequela of IS is superior to conventional comprehensive medical intervention measures and lovastatin capsules, which could effectively improve the patients’ neurological deficits, motor function of the limbs and quality of life.

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备注/Memo

备注/Memo:
苏珏（1992—），男，主管康复治疗师。研究方向：疼痛神经病的针灸治疗。国家自然科学基金（81573883）；广东省省级科技计划项目（2014A020221119）；广东省基础与应用基础研究基金项目（2023A1515011213）。 国家自然科学基金青年科学基金（81873277）。
更新日期/Last Update: 2025-05-15