摘要
Abstract
Objective:To analyze the clinical effect of Xieyin Buyang acupuncture combined with Wutou Guizhi Decoction fumigation on patients with flaccid paralysis of stroke.Methods:A total of 60 patients with flaccid paralysis of stroke treated in Lingcheng District People's Hospital of Dezhou City from January 2022 to December 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 30 cases in each group.The control group was given Wutou Guizhi Decoction fumigation treatment,and the study group was given Xieyin Buyang acupuncture combined with Wutou Guizhi Decoction fumigation treatment.Both groups were treated for 4 weeks.The scores of traditional Chinese medicine symptoms,muscle tension,motor function and serum indexes were compared between the two groups.Results:After treatment,the traditional Chinese medicine symptom scores of one limb atrophy and weakness,skew of the mouth,hemisensory disorder and ataxia were(1.94±0.19)points,(1.92±0.11)points,(2.24±0.28)points and(1.91±0.12)points,respectively,which were all lower than(2.31±0.21)points,(1.98±0.13)points,(2.46±0.36)points and(1.98±0.16)points in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of Clinical Spasm Index,Modified Ashworth Spasm scale the study group were(4.12±1.21)points and(1.21±0.15)points,respectively,which were lower than(4.83±1.34)points and(1.30±0.21)points of the control group,the differences were statistically significant(P<0.05).After treatment,the Fugl-Meyer Assessment scale scores of the upper and lower limbs of the study group were(45.25±5.02)points and(26.09±2.68)points,respectively,which were higher than(42.97±4.31)points and(24.27±2.44)points of the control group,the differences were statistically significant(P<0.05).After treatment,interleukin-1β,homocysteine in the study group were(1.22±0.31)ng/mL and(13.19±3.02)μmol/L,respectively,which were lower than in the control group(1.46±0.38)ng/mL and(15.29±3.31)μmol/L,the brain-derived neurotrophic factor of the study group was(18.27±3.23)ng/mL,which was higher than(16.68±2.82)ng/mL of the control group,the differences were statistically significant(P<0.05).Conclusion:The combination of Xieyin Buyang acupuncture and Wutou Guizhi Decoction fumigation can alleviate the symptoms of flaccid paralysis of stroke patients,reduce muscle tension,help regulate serum indexes,improve motor function,and help patients recover.关键词
脑卒中/弛缓性瘫痪/乌头桂枝汤/中药熏洗/泻阴补阳针刺法/中医症候积分/肌张力/运动功能Key words
Stroke/Flaccid paralysis/Wutou Guizhi Decoction/Chinese herbal fumigation and washing/Xieyin Buyang a cupuncture/Traditional Chinese Medicine Syndrome Score/Muscle tone/Motor function分类
医药卫生
