针灸联合补阳还五汤加味治疗脑梗死疗效观察.docVIP

针灸联合补阳还五汤加味治疗脑梗死疗效观察 　　[摘要]目的 观察针灸联合补阳还五汤加味治疗脑梗死的临床疗效。方法 对确诊的76例脑梗死患者，随机分为治疗组和对照组各38例，对照组予以西药治疗辅以康复训练，治疗组则在对照组治疗的基础上采用针灸联合补阳还五汤治疗，治疗4周后进行疗效评价。结果 治疗组总有效为92.1%，高于对照组76.3%，差异有统计学意义（P0.05）。 结论 针灸联合补阳还五汤加味治疗脑梗死可明显提高临床疗效，是治疗脑梗死可选择的有效方法。 　　[关键词]脑梗死；针灸；补阳还五汤；疗效 　　[中图分类号] R743.3 [文献标识码] B [文章编号] 2095-0616（2014）07-108-02 　　Observation of efficacy of acupuncture combined with Buyang Huanwu decoction in treatment of cerebral infarction 　　HUANG Weidong 　　The Peoples Hospital of Bobai County， Bobai 537000，China 　　[Abstract] Objective To observe the clinical efficacy of acupuncture combined with Buyang huanwu decoction in the treatment of cerebral infarction. Methods Seventy-six patients diagnosed with cerebral infarction were randomly divided into the treatment group and the control group， with 38 patients in each group. The control group received Western medicine treatment supplemented by rehabilitation training. The treatment group received acupuncture combined with Buyang huanwu decoction on the basis of the control group. The efficacy of the two groups was evaluated after 4 weeks of treatment. Results The total effective rate of the treatment group was 92.1%， which was higher than the 76.3% of the control group， with statistically significant difference（P0.05）. Conclusion Acupuncture combined with Buyang huanwu decoction can significantly improve the clinical efficacy of cerebral infarction and therefore is an optional treatment method for cerebral infarction. 　　[Key words] Cerebral infarction； Acupuncture； Buyang huanwu decoction； Efficacy 　　脑梗死是神经内科的常见病及多发病，约占全部卒中患者数量的80%左右[1]。属中医“中风”范畴，具有发病急骤，病情发展快等特点，治疗及预后多不满意，易留下后遗症，对患者的生活造成严重障碍。近年来，笔者采用针灸联合补阳还五汤加味治疗脑梗死38例，收到较好效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　本组76例均为我院2010年3月～2013年3月收治的住院患者，全部符合脑梗死的诊断标准[2]。按就诊先后随机分为治疗组和对照组各38例，治疗组38例中男24例，女14例，年龄42～68岁，平均52.3岁，病程15～30d；对照组38例中男23例，女15例，年龄43～69岁，平均52.5岁，病程15～30d。两组一般资料无显著差异（P0.05），具有可比性。 　　1.2 治疗方法 　　两组均采用尼膜地平、脑活素及肠溶阿司匹林等西药治疗，同时予以康复训练，内容包括：肢体摆放、翻身、坐起、坐起到起立、步行及上下肢训练等，每日1次，每次