芒针透刺背俞穴联合黄芪桂枝五物汤对卒中后平衡功能障碍的改善作用

Effect of acupuncture at Beishu acupoint and Huangqi Guizhi Wuwu Decoction on balance function disorder

关键词:  卒中后平衡功能障碍  芒针透刺背俞穴  黄芪桂枝五物汤

Key words:  post-stroke balance dysfunction  piercing acupuncture points of Beishu with awn needles  Huangqi Guizhi Wuwu Decoction

摘要:

[目的] 探讨芒针透刺背俞穴联合黄芪桂枝五物汤对卒中后平衡功能障碍的影响。[方法] 选择2019年1月—2020年3月于重庆市北碚区中医院康复科和脑病科住院治疗的84例卒中后平衡功能障碍患者进行前瞻性研究，根据随机数字表法将纳入研究的病例分为观察组和对照组。两组患者均采取常规对症治疗，对照组采用黄芪桂枝五物汤，观察组采用芒针透刺联合黄芪桂枝五物汤进行治疗。1周为1个疗程，两组患者均连续治疗4个疗程，疗程结束后统计疗效，并对比两组患者各项中医证候积分和总分、Berg平衡功能量表（BBS）评分和Fugl-Meyer平衡功能评定量表（FMB）评分。[结果] 治疗后观察组脑卒中疗效分级情况优于对照组（P<0.05），差异均有统计学意义。治疗后两组半身不遂、口舌歪斜、言语謇涩、感觉减退、面色㿠白、气短乏力、自汗以及中医症状积分总分均下降（P<0.05），且观察组低于对照组（P<0.05），差异均具有统计学意义。治疗后两组BBS评分均升高（P<0.05），且观察组高于对照组（P<0.05），差异均具有统计学意义。治疗后两组FMB评分均升高（P<0.05），且观察组高于对照组（P<0.05），差异均具有统计学意义。[结论] 芒针透刺背俞穴联合黄芪桂枝五物汤对卒中后平衡功能障碍患者疗效较好，可有效改善患者坐位、站立、行走不稳等临床症状，改善卒中后平衡功能障碍。

Abstract:

[Objective] To explore the effects of acupuncture at Beishu points with awn needles combined with Huangqi Guizhi Wuwu Decoction on balance dysfunction after stroke based on the theory of stimulating the mind and regulating the mind.[Methods] A prospective study of 84 patients with post-stroke balance dysfunction who were hospitalized in the Rehabilitation Department and the First Department of Encephalopathy in our hospital from January 2019 to March 2020 were selected for a prospective study, and the included cases were divided into observation group and control group according to the random number table method. The control group was treated with Huangqi Guizhi Wuwu Decoction, and the observation group was treated with awn needle penetration needling combined with Huangqi Guizhi Wuwu Decoction. One week is a course of treatment. Both groups of patients were treated for 4 consecutive courses. After the course of treatment, the curative effects were counted. The scores and total scores of traditional Chinese medicine (TCM) syndromes, Berg balance score (BBS) scores and Fugl-Meyer balance (FMB) scores of the two groups were compared.[Results] After treatment, the stroke curative effect of the observation group was better than that of the control group (P<0.05). After treatment, the total scores of hemiplegia, crooked mouth and tongue, astringent speech, hypoesthesia, pale complexion, shortness of breath, fatigue, spontaneous perspiration, and TCM syndrome scores decreased in both groups (P<0.05), and the observation group was lower than that of the control group(P<0.05). After treatment, the BBS scores of both groups increased (P<0.05), and the observation group was higher than that of the control group (P<0.05). After treatment, the FMB scores of both groups increased (P<0.05), and the observation group was higher than that of the control group (P<0.05).[Conclusion] Acupuncture at Beishu points with awn needles combined with Huangqi Guizhi Wuwu Decoction has a good effect on patients with balance dysfunction after stroke, and can effectively improve the clinical symptoms of patients with sitting, standing, and walking instability, and improve balance dysfunction after stroke.