首页|期刊导航|辽宁中医杂志|靳三针联合小续命汤对恢复期脑卒中患者神经及肢体运动功能的影响

靳三针联合小续命汤对恢复期脑卒中患者神经及肢体运动功能的影响OA

Effect of Jin Three Needles Combined with Xiaoxuming Decoction(小续命汤)on Nerve and Limb Motor Function in Convalescent Stroke Patients

中文摘要英文摘要

目的 探讨靳三针联合小续命汤对恢复期脑卒中患者神经及肢体运动功能的影响.方法 选择2022年12月—2023年12月柳州市人民医院和柳州市康复医院(柳州市人民医院康复院区)收治的60例恢复期脑卒中患者进行研究,将其分为对照组和研究组每组30例,在恢复期脑卒中基础治疗的同时,对照组接受靳三针辨证治疗,研究组接受小续命汤结合靳三针辨证治疗,两组均治疗1个月,比较两组中医证候评分、血流动力学指标[血浆黏度(Plasma viscosi-ty,PV)、红细胞沉降率(Erythrocyte sedimentation rate,ESR)、纤维蛋白原(fibrinogen,FIB)],并比较两组神经及运动功能恢复情况和治疗期间不良反应情况.结果 治疗后两组各中医证候积分均减小,PV、ESR、FIB水平及神经功能缺损程度(neurological impairment score,CSS)评分均明显减小,研究组小于对照组(P<0.05);研究组治疗后Fugl-Meyer评分法(Fugl-Meyer,FMA)评分为(85.96±9.12)分,高于对照组的(75.95±10.11)分,总有效率为93.33%(28/30),高于对照组的73.33%(22/30)(P<0.05),组间不良反应发生率无显著差异(P>0.05).结论 小续命汤结合靳三针辨证治疗恢复期脑卒中疗效确切,在改善患者神经及运动功能方面效果显著,且具有较高的安全性,适合推广应用.

Objective To explore the effect of Jin three needles combined with Xiaoxuming Decoction(小续命汤)on nerve and limb motor function in convalescent stroke patients.Methods A total of 60 convalescent stroke patients admitted to Liuzhou People's Hospital and Liuzhou Rehabilitation Hospital from December 2022 to December 2023 were selected for this study,and they were divided into control group and research group with 30 cases in each group.In addition to basic stroke treatment in the convalescent period,the control group received Jin three needles according to the syndrome differentiation.The study group was treated with Xiaoxuming Decoction combined with Jin three needle.Both groups were treated for 1 month.The TCM syndrome scores,hemodynamic indexes[plasma viscosity(PV),erythrocyte settlement rate(ESR),fibrinogen(FIB)]of the two groups were compared,and the recovery of nerve and motor function and adverse reactions during the treatment were compared between the two groups.Results After treatment,the scores of TCM syndrome decreased in both groups,and the levels of PV,ESR,FIB and cere-bral stroke scale(CSS)decreased significantly in the study group than those in the control group(P<0.05).The Fugl-Meyer assessment scale(FMA)score of the study group after treatment was(85.96±9.12)points,which was higher than that[(75.95±10.11)points]of the control group,and the total effective rate was 93.33%(28/30),which was higher than that(73.33%,22/30)of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion Xiaoxuming Decoction combined with Jin three needles has definite effect in the treatment of convalescent stroke,and has significant effect in improving nerve and motor function of the patients and has high safety,which is suitable for popularization and application.

廖飞玮;蒙冰;雷鸣;李杰明;覃兴乐

柳州市人民医院,广西柳州 545000柳州市人民医院,广西柳州 545000柳州市人民医院,广西柳州 545000柳州市康复医院,广西柳州 545005柳州市人民医院,广西柳州 545000

医药卫生

小续命汤靳三针恢复期脑卒中神经功能运动功能血流动力学

Xiaoxuming Decoction(小续命汤)Jin three needlesconvalescence periodstrokenerve functionmotor func-tionhemodynamics

《辽宁中医杂志》 2026 (1)

145-148,4

广西壮族自治区中医药管理局自筹经费科研课题(GXZYB20230536)

10.13192/j.issn.1000-1719.2026.01.037

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