补阳还五汤配合针灸治疗脑中风后遗症的疗效分析

陈锐

摘要：目的：探析脑中风后遗症患者联合采用补阳还五汤与针灸治疗的效果。方法：选择2018年11月到2020年3月本院84例脑中风后遗症患者为研究对象，采用随机数表法分成常规组和治疗组，每组各42例。常规组予补阳还五汤治疗，治疗组在常规组基础上予针灸治疗。对比两组治疗效果。结果：常规组总有效率80.95%低于治疗组97.62%，差异有统计学意义（χ2=3.896，P<0.05）。结论：补阳还五汤与针灸联合治疗脑中风后遗症疗效确切，值得推广。

关键词：后遗症;针灸;脑中风;补阳还五汤;生活活动能力

分类号：R-4

Abstract：Objective： To explore the effect of combined use of Buyang Huanwu Decoction and acupuncture on patients with cerebral apoplexy sequelae. Methods： 84 patients with stroke sequelae in our hospital from November 2018 to March 2020 were selected as the research objects and randomly divided into the conventional group and the treatment group， 42 cases in each group. The conventional group was treated with Buyang Huanwu Decoction， and the treatment group was treated with acupuncture on the basis of the conventional group. The therapeutic effects of the two groups were compared. Results： The total effective rate of the routine group was 80.95%， which was lower than 97.62% of the treatment group （χ 2 = 3.896， P < 0.05）. Conclusion： Buyang Huanwu Decoction combined with acupuncture and moxibustion is effective in treating sequela of cerebral apoplexy and worthy of promotion.

Key words：Sequela; Acupuncture; Stroke; Buyang also five soup; Life activity ability

腦中风是一种脑血管疾病，其临床表现与西医所称脑血管意外疾病相似（包括脑出血、脑栓塞、脑梗死和蛛网膜下腔出血等）。本病发病前多有头晕、头痛、肢体麻木等先兆症状，多见于中老年人。具有发病率高、致死、致残率高及复发率高等特点。脑中风患者临床表现主要为眩晕、偏瘫、意识障碍、呕吐和口角流涎等，经过救治后常留下不同程度躯体及语言功能障碍后遗症，如半身不遂、偏瘫、口眼歪斜、言语不利等。严重影响患者正常的生活[1]。目前临床主要采用降血脂、抗凝等方法治疗脑卒中后遗症，但疗效并不理想，大部分患者神经功能缺损改善不明显[2]。祖国医学认为[3]，脑中风的病机在于阴阳失调，促使气血逆乱、得气无力、血行不畅而致瘀及经络不通，最终诱发肢体偏瘫、麻木症状，故治疗的原则在于补气活血、化瘀通络和平衡阴阳。针灸是中医学的重要组成部分，具有平阴阳、调气血和通经络之功效。为进一步提高脑中风后遗症的临床疗效，现将本院2018年11月至2020年3月84例脑中风后遗症患者纳为研究样本进行研究，汇总如下。……