蛭蛇通络胶囊联合针刺疗法治疗气虚血瘀型中风临床疗效

刘楠楠 姚岚 赵艺

[摘要] 目的 分析蛭蛇通络胶囊联合针刺疗法治疗气虚血瘀型中风的临床疗效。 方法 选取2017年10月至2019年10月我院收治的气虚血瘀型中风的患者120例，随机分为试验组60例及对照组60例。两组均给予中医针刺疗法，试验组加用蛭蛇通络胶囊进行治疗，两组疗程均为2周。比较两组总有效率、中风症状评分、3个月后康复情况。 结果 试验组总有效率为96.67%，高于对照组的80.00%，差异有统计学意义（P<0.05）;治疗后两组中风症状评分各项得分均高于治疗前，且试验组神志状态、语言表达、上肢肩关节、下肢趾间关节、综合功能、总积分得分均高于对照组，差异有统计学意义（P<0.05）;兩组3个月后中风症状评分各项得分均高于出院时，且试验组神志状态、语言表达、上肢肩关节、下肢髋关节、下肢趾间关节、综合功能、总积分得分均高于对照组，差异有统计学意义（P<0.05）。 结论 蛭蛇通络胶囊联合针刺疗法治疗气虚血瘀型中风疗效显著，且有助于患者肢体语言等功能的恢复，提高患者生活质量，预后效果好，值得在临床中推广使用。

[关键词] 蛭蛇通络胶囊;针刺疗法;气虚血瘀;中风;临床疗效

[中图分类号] R255.2          [文献标识码] B          [文章编号] 1673-9701（2021）08-0115-04

Clinical efficacy of Zhishe Tongluo Capsule combined with acupuncture in treating stroke of Qi deficiency and blood stasis type

LIU Nannan   YAO Lan   ZHAO Yi

Department of Traditional Chinese Medicine， Shenyang Fourth People′s Hospital， Shenyang   110000， China

[Abstract] Objective To analyze the clinical efficacy of Zhishe Tongluo Capsule combined with acupuncture in treating stroke of Qi deficiency and blood stasis type. Methods A total of 120 patients treated in our hospital with the stroke of Qi deficiency and blood stasis type from October 2017 to October 2019 were randomly divided into 60 cases in the test group and 60 cases in the control group. Both groups were treated with traditional Chinese medicine acupuncture. The test group was added with Zhishe Tongluo Capsule. Both groups were treated for two weeks. The total effective rate， stroke symptom scores and patients′ recovery after three months were compared between the two groups. Results The total effective rate of the test group was 96.67%， which was statistically significant higher than 80.00% of the control group（P<0.05）. The score of each section in the stroke symptom scores of the two groups after treatment were statistically significant higher than before， while the scores of mental state， language expression， upper limb shoulder joint， lower limb interdigital joint， comprehensive function， and total points of the test group were significantly higher than those of the control group（P<0.05）. The score of each section in the stroke symptom scores of the two groups recovery after three months were statistically significant higher than the time of discharged， while the scores of mental state， language expression， upper limb shoulder joint， lower limb hip joint， lower limb interdigital joint， comprehensive function， and total points of the test group were significantly higher than those of the control group（P<0.05）. Conclusion Zhishe Tongluo Capsule combined with acupuncture has a significant effect on the treatment of Qi deficiency and blood stasis stroke. It can help patients recover body language functions， improve the quality of life of patients and has a good prognostic effect. It is worth promoting in the clinic.

[Key words] Zhishe Tongluo Capsule; Acupuncture therapy; Qi deficiency and blood stasis; Stroke; Clinical efficacy

中风是指脑血管意外经治疗后遗留的半身不遂、言语不利、口眼歪斜等症状的总称。随着我国社会老龄化的不断加剧，其发病率呈上升趋势[1]。中医辨证属气虚血瘀型的中风患者，平素年老体弱，常年遭受慢性病困扰，其中风发病过程表现为肢体偏枯不用，肢软无力，面色萎黄，舌质淡紫或有瘀斑，舌苔薄白，脉细涩或细弱。对于此类患者，临床通常予针刺疗法，以达到益气活血，舒经通络的目的。蛭蛇通络胶囊由黄芪、川芎、葛根、人参、乌梢蛇、红花、丹参、水蛭、天麻、郁金等组成，具有益气活血，息风通络之功效[2]。本研究选取选取2017年10月至2019年10月我院收治的氣虚血瘀型中风的患者，以探讨蛭蛇通络胶囊联合针刺疗法治疗气虚血瘀型中风的临床疗效，现报道如下。

1资料与方法

1.1一般资料

选取2017年10月至2019年10月我院收治的气虚血瘀型中风的患者120例，随机分为试验组60例及对照组60例。……