目的: 分析李延芳针灸“中气法”联合康复训练对中风气虚血瘀型偏瘫患者躯体功能障碍、日常生活能力及血流变学指标的影响。方法: 收集2020年1月—2023年1月在本院收治的64例中风后偏瘫患者,依据治疗方法不同分为对照组31例和观察组33例。对照组行康复训练,观察组行康复训练联合李延芳针灸“中气法”干预。连续治疗30 d后,比较两组治疗前后中医证候积分、躯体功能、血液流变学指标、日常生活能力与临床疗效。结果: 干预30 d后,观察组总有效率显著高于对照组。两组治疗后中医证候积分均显著降低。观察组治疗后神识昏蒙、口舌歪斜、言语蹇涩、半身不遂等中医证候积分均显著低于对照组。两组治疗后上肢Fugl-Meyer运动量表（FMA）评分、下肢FMA评分和日常生活能力使用生活质量评分量表（QLQ-C30）评分均显著高于治疗前。观察组治疗后上肢FMA评分、下肢FMA评分和QLQ-C30评分均显著高于对照组。观察组治疗后血浆黏度、全血黏度、血细胞比容分别（1.33±0.30）mPa/s、（9.12±1.27）mPa/s和0.31±0.09,均显著低于对照组（1.94±0.51）mPa/s、（10.33±1.84）mPa/s和（0.42±0.10）。结论: 对于中风后偏瘫患者,李延芳针灸“中气法”联合康复训练能明显促进躯体功能恢复,改善血流变学。
Abstract
Objective To analyze the effects of Li Yanfang acupuncture and “Zhongqi method” combined with rehabilitation treatment on physical dysfunction, daily living ability and hemorheology indexes of stroke patients with hemiplegia of Qi deficiency and blood stasis type. Methods From January 2020 to January 2023, 64 patients with post-stroke hemiplegia admitted to our hospital were divided into control group (31 cases) and observation group (33 cases) according to different treatment methods. Both groups received rehabilitation training, and on this basis, the observation group was treated with Li Yanfang acupuncture “Zhongqi method”. After 30 days of continuous treatment, the clinical efficacy of the two groups were compared, as well as the TCM syndrome score, physical function, hemorheology index and daily living ability and clinical efficacy before and after treatment. Results After 30 days of intervention, the total effective rate of observation group was significantly higher than that of control group. The scores of TCM symptoms were significantly decreased in both groups after treatment. The scores of TCM syndrome in the observation group were significantly lower than those in the control group. The Fugl-Meyer Exercise Scale (FMA) score of upper limb, FMA score of lower limb and QOL (QLQ-C30) score of ability to use daily living were significantly higher in both groups after treatment than before treatment. In the observation group, the FMA score of upper limb, FMA score of lower limb and QLQ-C30 score after treatment were significantly higher than control group. After treatment, plasma viscosity, whole blood viscosity and hematocrit of the observation group were (1.33±0.30) mPa/s, (9.12±1.27) mPa/s and 0.31±0.09, respectively. It was significantly lower than the control group (1.94±0.51) mPa/s, (10.33±1.84) mPa/s and (0.42±0.10). Conclusion For patients with hemiplegia after stroke, Li Yanfang acupuncture “Zhong Qi method” combined with rehabilitation treatment effect is positive, training can significantly promote the recovery of physical function, improve hemorheology.
关键词
李延芳针灸“中气法” /
康复训练 /
气虚血瘀型偏瘫 /
躯体功能障碍 /
血流变学
Key words
Li Yanfang acupuncture “Zhongqi method” /
rehabilitation treatment /
qi deficiency and blood stasis type hemiplegia /
physical dysfunction /
hemorheology /
ability of daily living.
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基金
河北省中医药管理局科研计划项目“李延芳教授针灸中气法在临床中的应用”（2021473）
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