老年医学与保健2024，Vol.30Issue(4)：1023-1026,4.
黄芪药膏刮痧疗法治疗老年出血性中风上肢痉挛性偏瘫患者的临床观察
Clinical observation of astragalus ointment combined with scraping therapy in treatment of upper limb spasmodic hemiplegia in elderly patients with hemorrhagic stroke
摘要
Abstract
Objective To observe the clinical effects of astragalus ointment combined with scraping therapy on elderly patients with upper limb spastic hemiplegia caused by hemorrhagic stroke.Methods Eighty elderly patients with upper limb spastic hemiplegia caused by hemorrhagic stroke admitted to Integrated Traditional Chinese and Western Medicine Hospital of Suzhou City from January 2023 to June 2024 were selected and randomly divided into observation group and control group,with 40 patients in each group.The control group received conventional medication treatment and rehabilitation care,while the observation group received astragalus ointment combined with scraping therapy on the basis of the same treatment as the control group.Both groups were treated for one month.The clinical efficacy of the two groups was compared.The changes in Modi-fied Ashworth Scale(MAS)score,upper limb Fugl-Meyer Motor Function Scale(FMA)score,Modified Barthel Index(MBI)score,traditional Chinese medicine(TCM)syndrome score and the levels of serum high sensitivity C-reactive protein(hs-CRP)and homocysteine(Hcy)before and after treatment were observed and compared between the two groups.Results The clinical efficacy of the observation group was higher than that of the control group(P＜0.05).After treatment,the MAS score and TCM syndrome score in both groups were lower than those in the same group before treatment,while the FMA score and MBI score were higher than those in the same group before treatment(both P＜0.05);the MAS score and TCM syndrome score of the observation group were lower than those of the control group,while the FMA score and MBI score were higher than those of the control group(both P＜0.05).The levels of serum hs-CRP and Hcy in both groups were lower than those in the same group before treatment,and the levels of serum hs-CRP and Hcy in the observation group were lower than those in the control group(both P＜0.05).Conclusion The astragalus ointment combined with scraping therapy based on the theory of"collateral dis-ease"has a significant therapeutic effect on elderly patients with upper limb spastic hemiplegia during the recovery period of cere-bral hemorrhage.It can effectively alleviate the clinical symptoms of patients and improve their prognosis and quality of life.关键词
老年/出血性中风/上肢痉挛性偏瘫/络病理论/黄芪药膏/刮痧Key words
elderly/hemorrhagic stroke/upper limb spastic hemiplegia/theory of"collateral disease"/astragalus oint-ment/scraping therapy引用本文复制引用
宋艳梅,史秀丽,贝令娜,于娟,杨文忠,李香娥..黄芪药膏刮痧疗法治疗老年出血性中风上肢痉挛性偏瘫患者的临床观察[J].老年医学与保健,2024,30(4):1023-1026,4.基金项目
江苏省中医药管理局高层次人才项目(苏中医科教[2022]18号) （苏中医科教[2022]18号）
苏州市科技局社会发展科技创新重点项目(2022SS05) （2022SS05）
苏州市科技发展计划(基础研究-医学应用基础研究)指导性项目(SKYD2023211) （基础研究-医学应用基础研究）
