摘要
目的分析血栓通脉汤联合针刺治疗脑卒中的临床效果。方法选择医院2019年3月—2020年3月收治的94例脑卒中患者,所有患者给予常规西药治疗,通过利用随机数字表法的方式分为对照组(47例,实施针刺治疗),观察组(47例,实施血栓通脉汤联合针刺治疗),对比两组的治疗总有效率、治疗前后的神经缺损评分(NIHSS)评分、血清一氧化氮(NO)及内皮素(ET-1)水平。结果治疗前,两组NIHSS评分、NO水平及ET-1水平差异无统计学意义(P> 0.05);治疗后,观察组治疗总有效率高于对照组,NIHSS评分要低于对照组,同时观察组的NO水平要高于对照组,ET-1水平要低于对照组,将观察组与对照组的多个结果进行对比,发现两组的结果差异有统计学意义(P<0.05)。结论对于发生脑卒中的患者,常规西药治疗的同时给予其血栓通脉汤联合针刺治疗,能有效提高患者的治疗效果,值得大力推广应用。
Objective To analyze the clinical effect of Xueshuantongmai Decoction(血栓通脉汤) combined with acupuncture in the treatment of stroke.Methods 94 cases of stroke patients in our hospital from March 2019 to March 2020 were selected. All patients in this study were given conventional western medicine treatment. They were randomly divided into control group(47 cases, treated with acupuncture) and observation group(47 cases, treated with xueshuantongmai decoction combined with acupuncture). The total effective rate and nerve defect score before and after treatment were compared between the two groups(NIHSS) score, serum nitric oxide(no) and endothelin-1(ET-1) levels.Results Before treatment, there wasno significant difference in NIHSS score, no level and ET-1 level between the two groups(P> 0. 05);after treatment, thetotal effective rate of the observation group treated with xueshuantongmai decoction combined with acupuncture was higher thanthat of the control group treated with acupuncture, the NIHSS score was lower than that of the control group, and the no levelof the observation group was higher than that of the control group, the ET-1 level was lower than that of the control groupCompared the results of the observation group and the control group, it was found that the difference between the two groupswas significant(P< 0.05).Conclusion For patients with cerebral apoplexy, xueshuantongmai decoction combined with acupuncture can effectively improve the treatment effect of patients, which is worthy of promotion and application.
作者
焦志恒
JIAO Zhiheng(Ruzhou People’s Hospital,Ruzhou 467599,Henan,China)
出处
《实用中医内科杂志》
2021年第6期85-87,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
河南省医学科技攻关计划联合共建项目(LHGJ20180629)。