针刺疗法配合中药熏洗治疗中风后偏瘫患肢肿胀疗效观察.docVIP

针刺疗法配合中药熏洗治疗中风后偏瘫患肢肿胀疗效观察 　摘　要：目的：探讨中风偏瘫后患肢水肿的最佳治疗方法。方法：将我科收治的90例中分后偏瘫患肢肿胀的患者随机分为观察组和对照组，观察组采用针灸配合中药熏洗，对照组采用西药口服利尿药，治疗十天后比较临床疗效。结果:观察组总有效率为88.9%，对照组总有效率为62.2%，观察组疗效优于对照组，差异具有统计学意义（P关键词：中风后遗症；水肿；偏瘫；针刺疗法疗法；中药熏洗 针刺疗法配合中药熏洗治疗中风后偏瘫患肢肿胀的疗效观察 彭先和（永顺县中医医院针灸推拿科，湖南 永顺 416700） 摘要：目的：探讨中风偏瘫后患肢水肿的最佳治疗方法。方法：将我科收治的90例中分后偏瘫患肢肿胀的患者随机分为观察组和对照组，观察组采用针灸配合中药熏洗，对照组采用西药口服利尿药，治疗十天后比较临床疗效。结果:观察组总有效率为88.9%，对照组总有效率为62.2%，观察组疗效优于对照组，差异具有统计学意义（Plt;0.05）;两组治疗前后水肿症状积分比较，观察组患者患肢压之凹陷、皮肤湿冷、对肢体功能的影响、 总分值改善情况明显优于对照组，差异具有统计学意义（Plt;0.05）。结论：针刺疗法配合中药熏洗治疗中风后偏瘫患肢肿胀疗效确切，值得临床推广。 关键词：中风后遗症；水肿；偏瘫；针刺疗法疗法；中药熏洗 Observation of Acupuncture combined with fuming and washing with Chinese herb lotion for treatment of edema of the affected limb in patients of hemiplegia after stroke [Abstract] Objective: To search for a therapy for edema of the affected limb in patients of hemiplegia after stroke．Methods :90 patients were randomly divided into a treatment group and a control group，45 cases in each group．The treatment group were treated by Acupuncture combined with fuming and washing with herbal lotion，and the control group were treated by oral administration of diuretic．The therapeutic effect was observed after treatment for 10 days．Results :The total effective rate was 88.9% in the treatment group and 62.2% in the control group with a significant difference between the two groups(Plt; 0．05)．The cumulative score of symptoms of edema，improvement of skin pitting，damp and cool sensation，the function of limbs and the total score in the treatment group were better than the control group(Plt; 0.05)； 论文代写 Conclusion: Acupuncture combined with fuming and washing with Chinese herbal lotion is effective for edema of the affected limb in patients of hemiplegia after stroke Key Words: Poststroke Syndrome; Edema; Hemiplegia; acupuncture; Steaming Washing Therapy 　作为中老年人的常见病、多发病，中风的主要症状之一即是偏瘫，偏瘫是指一侧上下肢瘫痪，不能做随意运动[1].这将严重影响患者的生活质量，其中偏瘫水肿影响康复训练，导致病程延长，因此应当给予足够的重视和积极治疗。我科对2010年1月至2011年12月收治的部分中风偏瘫后患肢水肿患者给予针刺疗法配合中药熏洗治疗，取得了较好疗效，现报告如下：