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:

目的 探究针刺阳明经联合补阳还五汤对气虚血瘀型脑梗死的影响。方法 选取2021年6月—2025年10月淮南东方医院集团总院收治的82例气虚血瘀型脑梗死患者，随机分为常规组和联合组，每组41例。常规组给予针刺阳明经及常规治疗，联合组在常规组基础上联合补阳还五汤治疗，比较两组的临床疗效、主要症状积分、神经功能、肢体运动功能、凝血功能及安全性。结果 联合组总有效率高于常规组（P <0.05）。联合组治疗前后半身不遂、口角歪斜、言语謇涩积分的差值均大于常规组（P <0.05）。联合组治疗前后美国国立卫生研究院卒中量表评分、Brunnstrom分期评分的差值均大于常规组（P <0.05）。联合组治疗前后凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原的差值均大于常规组（P <0.05）。两组不良反应发生率比较，差异无统计学意义（P >0.05）。结论 针刺阳明经联合补阳还五汤治疗气虚血瘀型脑梗死疗效较好。

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.