补阳还五汤加减联合针刺治疗缺血性脑卒中后肢体运动功能障碍临床观察

目的 观察补阳还五汤加减联合针刺治疗缺血性脑卒中后肢体运动功能障碍的疗效.方法 将64例患者随机分为对照组和治疗组,观察过程中每组均脱落2例,每组最终完成病例数均为30例.在西医基础治疗的同时,治疗组采用补阳还五汤加减联合针刺疗法,对照组采用针刺疗法,每日1次,每周6次,所有患者均接受28 d的治疗.采用中医证候积分评...

Clinical Effect of Modified Buyang Huanwu Decoction Combined with Acupuncture in Treatment of Limb Motor Dysfunction after Ischemic Stroke

Objective To investigate the clinical effect of modified Buyang Huanwu Decoction combined with acupuncture in the treatment of limb motor dysfunction after ischemic stroke. Methods A total of 64 patients were randomly divided into control group and treatment group; 2 patients in each group were lost to follow- up during the experiment, and finally 30 patients in each group completed the experiment. In addition to basic Western medicine treatment, the patients in the treatment group were given modified Buyang Huanwu Decoction combined with acupuncture, and those in the control group were given acupuncture alone, once a day and 6 times a week; all patients were treated for 28 days. Traditional Chinese medicine (TCM) syndrome score was used to evaluate the treatment outcome of TCM syndrome; Fugl- Meyer Assessment (FMA) Scale was used to evaluate motor function; Berg Balance Scale (BBS) was used to evaluate balance function; modified Barthel Index (MBI) was used to evaluate activities of daily living; clinical outcome was also assessed. Results After treatment, both groups had a significant reduction in TCM syndrome score (P<0.05), and the treatment group had a significantly greater reduction than the control group (P<0.05). After treatment, both groups had significant increases in FMA, BBS, and MBI scores (P<0.05), and the treatment group had significantly greater increases than the control group (P<0.05). The treatment group had a significantly better clinical outcome than the control group (P<0.05). Conclusion Oral administration of modified Buyang Huanwu Decoction combined with acupuncture can improve the treatment outcome of limb motor dysfunction after ischemic stroke.