温针灸对气虚血瘀型中风后遗症患者的疗效及安全性分析(1)

http://www.100md.com 2017年5月15日 《世界中医药》 201710

     摘要 目的：研究温针灸治疗气虚血瘀型中风后遗症患者的疗效及安全性。方法：选取2014年2月至2015年1月海口市人民医院收治的气虚血瘀型中风后遗症患者90例。按照随机数字表法随机分为观察组及对照组各45例。对照组给予电针法治疗，观察组则给予温针灸治疗。分别比较2组治疗效果。结果：观察组治疗总有效率为93.33%(42/45)，显著高于对照组的73.33%(33/45)(P<0.05)；治疗后2组ADL评分均显著高于治疗前，而观察组又明显高于对照组(P<0.05)；治疗后2组中医症状评分均显著低于治疗前，而观察组中医症状评分又显著低于对照组(P<0.05)；治疗后2组神经功能缺损评分显著低于治疗前，而观察组又显著低于对照组(P<0.05)。结论：温针灸治疗气虚血瘀型中风后遗症患者的疗效显著，可显著改善患者生命质量、临床症状以及神经功能缺损情况。

    关键詞 温针灸；气虚血瘀；中风后遗症；疗效；神经功能缺损

    Abstract Objective：To study the curative effect of warm acupuncture in the treatment of patients with stroke sequel of qi deficiency and blood stasis pattern and its safety.Methods：A total of 90 cases of qi deficiency and blood stasis type with stroke sequel who were admitted and treated in our hospital from February 2014 to January 2015 were selected.By using the digital method，all patients were randomly divided into observation group and control group，with 45 patients in each group.The patients of control group were given electric acupuncture treatment，and that of observation group was given warm acupuncture treatment.Therapeutic effects of two groups were compared respectively.Results：The total effective rate of the patients in the observation group was 93.33% (42/45)，which was significantly higher than that of control group 73.33% (33/45)，and these differences were statistically significant (P<0.05).The ADL scores of both groups after treatment were significantly higher than before the treatment.The observation group was significantly higher than the control group，and these differences were statistically significant (P<0.05).TCM symptom scores of both groups after treatment were significantly lower than that before the treatment.TCM symptom score of the observation group was significantly lower than that of the control group，and these differences were statistically significant (P<0.05).The nerve function defect score of both groups after treatment were significantly lower than before the treatment.The observation group was significantly lower than the control group，and these differences were statistically significant (P<0.05).Conclusion：The curative effect of warm acupuncture in the treatment of patients with stroke sequel of qi deficiency and blood stasis pattern is significant，which can significantly improve patients′ quality of life，clinical symptoms and nervous function defect.

    Key Words Warm acupuncture； Qi deficiency and blood stasis； Stroke sequela； Curative effect； Neurologic deficits

    中图分类号：R255.2；R245文献标识码：Adoi：10.3969/j.issn.1673-7202.2017.10.043, http://www.100md.com(贺小卉 张少明)

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