[1]王安安,李文娟,谢霞,等.针灸联合补阳还五汤和清脑方治疗脑梗死恢复期气虚血瘀证临床观察[J].西部中医药,2019,32(05):101-104.
　WANG Anan,LI Wenjuan,XIE Xia,et al.Clinical Observation on Acupuncture Combined with BuYang HuanWu Decoction and QingNao Prescription in the Treatment for Cerebral Infarction at Recovery Phase of Qi-deficiency Blood-Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(05):101-104.
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针灸联合补阳还五汤和清脑方治疗脑梗死恢复期气虚血瘀证临床观察

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年05期
页码:
101-104
栏目:
出版日期:
2019-05-15

文章信息/Info

Title:
Clinical Observation on Acupuncture Combined with BuYang HuanWu Decoction and QingNao Prescription in the Treatment for Cerebral Infarction at Recovery Phase of Qi-deficiency Blood-Stasis Pattern
文章编号:
1004-6852(2019)05-0101-04
作者:
王安安，李文娟，谢霞，黄文琦，潘燕君，孙靖
静安区中医医院脑病科，上海 200072
Author(s):
WANG An′an, LI Wenjuan, XIE Xia, HUANG Wenqi, PAN Yanjun, SUN Jing
Department of Encephalopathy, Jing′an District TCM Hospital, Shanghai 200072, China
关键词:
脑梗死恢复期; 气虚血瘀证; 补阳还五汤; 清脑方; 针灸
Keywords:
cerebral infarction at recovery phase;  Qi deficiency and blood stasis pattern;  BuYang HuanWu decoction;  QingNao prescription;  acupuncture
分类号:
R711.6
摘要:
目的：观察针灸联合补阳还五汤加清脑方治疗脑梗死恢复期气虚血瘀证临床疗效。方法：将脑梗死恢复期气虚血瘀证患者90例随机分为西药组、中药组、针药结合组各30例；西药组口服阿司匹林肠溶片；中药组在西药组基础上加补阳还五汤及清脑方；针药结合组在中药组基础上加针灸治疗，3组治疗时间均为12周，评价中医证候疗效及NIHSS积分、Barthel指数、血液流变学变化情况。结果：3组治疗后中医证候疗效、NIHSS积分、Barthel积分、血液流变学与治疗前相比差异均有统计学意义(P＜0.01)；针药结合组在中医证候疗效及提高Barthel指数方面优于西药组(P＜0.01)，与中药组疗效相当(P＞0.05)；针药结合组在NIHSS积分方面优于西药组与中药组(P＜0.05)；针药结合组在改善高切黏度、低切黏度、血浆黏度方面优于西药组(P＜0.01)及中药组(P＜0.05)；在改善红细胞聚集方面3组疗效相当(P＞0.05)；3组均未见严重不良反应。结论：针灸联合补阳还五汤和清脑方能提高脑梗死恢复期气虚血瘀证患者生活质量，改善血流变，促进神经功能恢复，且安全性高。
Abstract:
Objective: To investigate clinical effects of acupuncture combined with BuYang HuanWu decoction and QingNao prescription in the treatment for cerebral infarction at recovery phase of Qi deficiency and blood stasis pattern. Methods: Ninety patients were randomized into Western medicine group, herbal group, the combination group, 30 cases each group; Western medicine group were given aspirin enteric-coated tablets conventionally; herbal group took BuYang HuanWu decoction and QingNao prescription on the foundation of Western medicine group; and the combination group accepted acupuncture, the course was 12 weeks, to assess clinical effects of TCM syndrome, NIHSS scores, Barthel index and hemorheology. Results: There is a significant difference when clinical effects of TCM syndrome, NIHSS scores, Barthel index, hemorheology of three groups after treating were compared with before treating (P＜0.01); the combination group was superior to Western medicine group in the aspects of clinical effects of TCM syndrome and raising Barthel index(P＜0.01); its effects were equivalent to these of herbal group (P＞0.05); the combination group was better than Western medicine group and herbal group in NIHSS scores (P＜0.05); the combination group was superior to Western medicine group in improving high shear viscosity, low shear viscosity and plasma viscosity(P＜0.01), and herbal group(P＜0.05), clinical effects of three groups were equivalent in improving erythrocyte aggregation(P＞0.05), no severe adverse reaction happened in three groups. Conclusion: Acupuncture combined with BuYang HuanWu decoction and QingNao prescription in the treatment for cerebral infarction at recovery phase of Qi deficiency and blood stasis pattern could improve quality of life and hemorheology, promote the recovery of neurological function with high safety.

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备注/Memo

备注/Memo:
收稿日期：2018-12-27 *基金项目：上海市闸北区卫生局科委青年课题资助项目(编号2015QN04)。 作者简介：王安安(1986—)，女，硕士学位，主治医师。研究方向：脑血管疾病的中西医结合治疗。
更新日期/Last Update: 2019-05-15