针灸、耳穴贴压联合补阳还五汤加味治疗中风后遗症疗效分析(1)
[摘要] 目的 探究針灸、耳穴贴压联合补阳还五汤加味治疗中风后遗症的疗效。方法 方便选取于该院治疗中风后遗症的120例患者，随机分为3组，每组40例。针灸组予以针灸治疗，补阳还五汤组采用补阳还五汤加味治疗，联合组采用针灸、耳穴贴敷结合补阳还五汤加味治疗。对比3组治疗总有效率、NIHSS评分、MoCA量表评分、MMSE量表评分及GQOL-74量表评分。结果 联合组总有效率92.5%，高于针灸组70.0%与补阳还五汤组75.0%(P<0.05);联合组NIHSS评分(6.47±0.56)分，低于针灸组(11.08±0.87)分与补阳还五汤组(10.58±0.37)分，且MoCA评分(27.64±1.13)分及MMSE评分(28.54±1.08)分，高于针灸组[(24.08±1.65)分、(22.64±1.32)分]与补阳还五汤组[(24.98±1.08)分、(23.58±1.12)分](P<0.05);联合组心理功能、躯体功能及社会功能，优于针灸组及补阳还五汤组，差异有统计学意义(P<0.05)。 结论 针灸、耳穴贴压联合补阳还五汤加味治疗可改善中风后遗症的临床症状，促进患者认知功能和精神状态的恢复，提升患者生活质量。
[关键词] 针灸;耳穴贴压;补阳还五汤;中风后遗症
[中图分类号] R25 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0173-03
[Abstract] Objective To explore the curative effect of acupuncture and moxibustion combined with Buyanghuanwu decoction in the treatment of stroke sequelae. Methods 120 patients who were treated with stroke sequelae in our hospital were convenient divided into three groups， 40 in each group. The acupuncture group was treated with acupuncture， and the Buyanghuanwu decoction group was treated with Buyanghuanwu decoction. The combined group was treated with acupuncture， auricular acupoint application and Buyanghuanwu decoction. The total effective rate， NIHSS score， MoCA scale score， MMSE scale score， and GQOL-74 scale score were compared between the three groups. Results The total effective rate of the combined group was 92.5%， which was higher than 70.0% in the acupuncture group and 75.0% in the Buyanghuanwu decoction group (P<0.05). The NIHSS score (6.47±0.56)points in the combined group was lower than that in the acupuncture group (11.08±0.87)points. Divided into Buyang Huanwu Decoction group (10.58±0.37)points， and MoCA score (27.64±1.13)points and MMSE score (28.54±1.08)points， higher than acupuncture group [(24.08±1.65)points， (22.64±1.32)points] and Buyanghuanwu decoction group [(24.98±1.08)points， (23.58±1.12) points] (P<0.05); combined group psychological function， physical function and social function， better than acupuncture group and Buyanghuanwu decoction group，the difference was statistically significant(P<0.05). Conclusion Acupuncture， auricular acupoint pressing combined with Buyanghuanwu Decoction can improve the clinical symptoms of stroke sequelae， promote the recovery of cognitive function and mental state， and improve the quality of life of patients.
[Key words]Acupuncture; Auricular acupoint pressing; Buyanghuanwu decoction; Stroke sequelae, 百拇医药(吕建兴 马赣玉 黄海旋 陈忠荣 李强)
[关键词] 针灸;耳穴贴压;补阳还五汤;中风后遗症
[中图分类号] R25 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0173-03
[Abstract] Objective To explore the curative effect of acupuncture and moxibustion combined with Buyanghuanwu decoction in the treatment of stroke sequelae. Methods 120 patients who were treated with stroke sequelae in our hospital were convenient divided into three groups， 40 in each group. The acupuncture group was treated with acupuncture， and the Buyanghuanwu decoction group was treated with Buyanghuanwu decoction. The combined group was treated with acupuncture， auricular acupoint application and Buyanghuanwu decoction. The total effective rate， NIHSS score， MoCA scale score， MMSE scale score， and GQOL-74 scale score were compared between the three groups. Results The total effective rate of the combined group was 92.5%， which was higher than 70.0% in the acupuncture group and 75.0% in the Buyanghuanwu decoction group (P<0.05). The NIHSS score (6.47±0.56)points in the combined group was lower than that in the acupuncture group (11.08±0.87)points. Divided into Buyang Huanwu Decoction group (10.58±0.37)points， and MoCA score (27.64±1.13)points and MMSE score (28.54±1.08)points， higher than acupuncture group [(24.08±1.65)points， (22.64±1.32)points] and Buyanghuanwu decoction group [(24.98±1.08)points， (23.58±1.12) points] (P<0.05); combined group psychological function， physical function and social function， better than acupuncture group and Buyanghuanwu decoction group，the difference was statistically significant(P<0.05). Conclusion Acupuncture， auricular acupoint pressing combined with Buyanghuanwu Decoction can improve the clinical symptoms of stroke sequelae， promote the recovery of cognitive function and mental state， and improve the quality of life of patients.
[Key words]Acupuncture; Auricular acupoint pressing; Buyanghuanwu decoction; Stroke sequelae, 百拇医药(吕建兴 马赣玉 黄海旋 陈忠荣 李强)