破瘀醒神汤联合针刺治疗脑出血恢复期的临床效果
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摘要
目的探讨破瘀醒神汤联合针刺治疗脑出血恢复期的临床效果。方法选择本院收治的54例脑出血患者,将其随机分为对照组和观察组,各27例。对照组患者接受常规治疗,观察组患者在对照组的治疗基础上接受破瘀醒神汤联合针刺治疗。比较两组患者的临床疗效、治疗前及治疗后3个月的细胞因子水平、生活质量评分、神经功能评分,比较两组患者治疗后6个月的恢复效果。结果观察组患者的临床疗效优于对照组(P<0.05);观察组患者的治疗总有效率显著高于对照组(P<0.05)。治疗后,两组患者的NIHSS评分均显著下降,SS-QOL评分均显著升高,且观察组均显著优于对照组(P<0.05)。治疗后,两组患者的TNF-α和NSE水平均降低,且观察组低于对照组(P<0.05)。观察组患者的远期预后优于对照组(P<0.05);观察组患者的恢复总有效率显著高于对照组(P<0.05)。结论破瘀醒神汤联合针刺可有效改善脑出血恢复期患者的神经功能和生活质量。
Objective To investigate the clinical effect of Poyu Xingshen decoction combined with acupuncture on patients with cerebral hemorrhage in the recovery stage. Methods A total of 54 patients with cerebral hemorrhage in the recovery stage in our hospital were selected and randomly divided into control group and observation group, with 27 cases in each group. The control group received routine treatment, while the observation group was given Poyu Xingshen decoction combined with acupuncture based on the treatment of the control group. The clinical efficacy, the levels of cytokine, quality of life scores and neurological function scores of the two groups before treatment and at 3 months after treatment were compared. The recovery of the two groups at 6 months after treatment were compared. Results The clinical efficacy of the observation group was better than that of the control group(P<0.05); the total effective rate of treatment in the observation group was higher than that of the control group(P <0.05). After treatment, the NIHSS scores of the two group decreased, and the SS-QOL scores of the two group increased, and those in the observation group were better than the control group(P<0.05). After treatment, the levels of TNF-α and NSE in the two groups decreased, and those in the observation group were lower than the control group(P<0.05). The long-term prognosis of the observation group was better than that of the control group(P<0.05). The total effective rate of recovery in the observation group was significantly higher than that in the control group(P<0.05). Conclusion Poyu Xingshen decoction combined with acupuncture can effectively improve the neurological function and quality of life of patients with cerebral hemorrhage in the recovery stage.
Objective To investigate the clinical effect of Poyu Xingshen decoction combined with acupuncture on patients with cerebral hemorrhage in the recovery stage. Methods A total of 54 patients with cerebral hemorrhage in the recovery stage in our hospital were selected and randomly divided into control group and observation group, with 27 cases in each group. The control group received routine treatment, while the observation group was given Poyu Xingshen decoction combined with acupuncture based on the treatment of the control group. The clinical efficacy, the levels of cytokine, quality of life scores and neurological function scores of the two groups before treatment and at 3 months after treatment were compared. The recovery of the two groups at 6 months after treatment were compared. Results The clinical efficacy of the observation group was better than that of the control group(P<0.05); the total effective rate of treatment in the observation group was higher than that of the control group(P <0.05). After treatment, the NIHSS scores of the two group decreased, and the SS-QOL scores of the two group increased, and those in the observation group were better than the control group(P<0.05). After treatment, the levels of TNF-α and NSE in the two groups decreased, and those in the observation group were lower than the control group(P<0.05). The long-term prognosis of the observation group was better than that of the control group(P<0.05). The total effective rate of recovery in the observation group was significantly higher than that in the control group(P<0.05). Conclusion Poyu Xingshen decoction combined with acupuncture can effectively improve the neurological function and quality of life of patients with cerebral hemorrhage in the recovery stage.
引文
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[4]陶晶,孙涛,唐庆波,等.高压氧治疗高血压脑出血恢复期的疗效观察[J].基因组学与应用生物学,2016,35(11):2985-2988.
[5]陈秀香,罗菊珍,程肖芳,等.康复护理对脑出血患者生活质量改善的临床观察[J].广东医学,2009,30(8):1209-1210.
[6]过伟峰,张兰坤,吴勉华,等.凉血通瘀中药治疗脑出血急性期168例疗效观察[J].北京中医药大学学报,2012,35(9):603-606.
[7]李天金,刘庆华.基底节区高血压脑出血应用螺旋CT检查术后血吸收程度的效果分析[J].中国CT和MRI杂志,2017,15(6):15-17.
[8]李耀华.针刺法治疗急性脑出血120例[J].辽宁中医杂志,2011,38(9):1883-1884.
[9]于永才,吴世政.老年脑出血患者血清神经元特异性烯醇化酶、S100β蛋白与认知功能障碍的相关性[J].中国老年学,2015,35(1):90-92.
[2]邢俊.232例自发性脑出血患者的临床流行病学特点分析[J].实用心脑肺血管病杂志,2015,23(2):98-100.
[3]张祥建,乔会敏,张晓林.脑出血后病理生理机制及临床治疗对策[C]//中国脑血管病大会.2012.
[4]陶晶,孙涛,唐庆波,等.高压氧治疗高血压脑出血恢复期的疗效观察[J].基因组学与应用生物学,2016,35(11):2985-2988.
[5]陈秀香,罗菊珍,程肖芳,等.康复护理对脑出血患者生活质量改善的临床观察[J].广东医学,2009,30(8):1209-1210.
[6]过伟峰,张兰坤,吴勉华,等.凉血通瘀中药治疗脑出血急性期168例疗效观察[J].北京中医药大学学报,2012,35(9):603-606.
[7]李天金,刘庆华.基底节区高血压脑出血应用螺旋CT检查术后血吸收程度的效果分析[J].中国CT和MRI杂志,2017,15(6):15-17.
[8]李耀华.针刺法治疗急性脑出血120例[J].辽宁中医杂志,2011,38(9):1883-1884.
[9]于永才,吴世政.老年脑出血患者血清神经元特异性烯醇化酶、S100β蛋白与认知功能障碍的相关性[J].中国老年学,2015,35(1):90-92.