中国现代医学杂志2026，Vol.36Issue(12)：81-86,6.DOI:10.3969/j.issn.1005-8982.2026.12.012
针刺阳明经联合补阳还五汤对气虚血瘀型脑梗死的影响
Clinical efficacy of Yangming Meridian acupuncture combined with Buyang Huanwu Decoction on cerebral infarction with Qi deficiency and blood stasis syndrome
摘要
Abstract
Objective To evaluate the therapeutic efficacy of Yangming Meridian acupuncture combined with Buyang Huanwu Decoction in the management of cerebral infarction with Qi deficiency and blood stasis syndrome.Methods A total of 82 patients with cerebral infarction with Qi deficiency and blood stasis syndrome admitted to Huainan Dongfang Hospital Group General Hospital from June 2021 to October 2025 were selected and randomly divided into a conventional group(n=41)and a combination group(n=41).The conventional group was treated with Yangming Meridian acupuncture and conventional treatment,while the combination group was additionally treated with Buyang Huanwu Decoction.The clinical efficacy,main symptom scores,neurological function,limb motor function,coagulation function and safety were compared between the two groups.Results The combination group demonstrated a significantly higher overall effective rate than the conventional group(P＜0.05).The differences in hemiplegia,mouth deviation,and dysarthria scores before and after treatment were significantly greater in the combination group than in the conventional group(P＜0.05).The differences in National Institutes of Health Stroke Scale(NIHSS)scores and Brunnstrom stage scores before and after treatment were significantly greater in the combination group than in the conventional group(P＜0.05).The differences in prothrombin time,activated partial thromboplastin time,and fibrinogen levels before and after treatment were significantly greater in the combination group than in the conventional group(P＜0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Yangming Meridian acupuncture combined with Buyang Huanwu Decoction has a good therapeutic effect on cerebral infarction patients with Qi deficiency and blood stasis syndrome.关键词
脑梗死/气虚血瘀型/针刺/补阳还五汤Key words
cerebral infarction/Qi deficiency and blood stasis syndrome/acupuncture/Buyang Huanwu Decoction分类
医药卫生引用本文复制引用
庞泾,李芸,於瑶瑶,蒋敏,王慧..针刺阳明经联合补阳还五汤对气虚血瘀型脑梗死的影响[J].中国现代医学杂志,2026,36(12):81-86,6.基金项目
安徽省卫生健康科研项目(AHWJ2023BAc20108) （AHWJ2023BAc20108）
