通讯作者: 向宪文, nuannuantaba@163.com

DOI：10.12201/bmr.202503.00053

The effect of Shengqing Yishui Kaiqiao acupuncture combined with Buyang Huanwu Tang on motor disorders and Hcy in patients with ischemic stroke

• 摘要：目的：探讨升清益髓开窍针法联合补阳还五汤对缺血性脑卒中(IS)患者运动障碍及同型半胱氨酸(Hcy)的影响。方法：选取160例2022年01月-2024年08月在我院区康复科就诊的IS患者,根据随机数字表,分别入针刺联合补阳还五汤组(简称联合组)54例、针刺组53例和中药组53例。使用肢体运动功能评定量表(FMA)、日常生活能力量表(MBI)和徒手肌检查法(MMT) 对3组患者治疗结果进行评分和临床疗效评定,同时比较治疗前后3组Hcy和血脂三项(TC、TG、LDL-C)的数值变化。结果：治疗后联合组FMA、MBI和MMT评分比针刺组和中药组显著提高,Hcy及TC、TG、LDL-C数值明显下降,指标对比存在明显差异,P＜0.05；联合组总有效率为92.6%(50/54),高于针刺组的79.2%(42/53)和中药组的69.8%(37/53),3组差异有统计学意义(P＜0.05)。结论：IS患者使用升清益髓开窍针法联合补阳还五汤治疗方案,可显著提升肢体运动功能,联合使用优于单一使用,并降低Hcy和血脂水平。

  关键词： 升清益髓开窍针法; 补阳还五汤; 缺血性脑卒中; 运动障碍; Hcy

   

  Abstract: Objective: To explore the effects of Shengqing Yishui Kaiqiao acupuncture combined with Buyang Huanwu Tang on motor disorders and homocysteine (Hcy) in patients with ischemic stroke (IS). Method: 160 patients with IS who visited the rehabilitation department of our hospital from January 2022 to August 2024 were selected. According to a random number table, 54 patients were enrolled in the acupuncture combined with Buyang Huanwu Tang group (referred to as the combined group), 53 patients in the acupuncture group, and 53 patients in the traditional Chinese medicine group. The treatment outcomes and clinical efficacy of the three groups of patients were evaluated using the Limb Movement Function Assessment (FMA), Activities of Daily Living (MBI), and Manual Muscle Test (MMT). The changes in Hcy and blood lipid levels (TC, TG, LDL-C) before and after treatment were compared among the three groups. Result: After treatment, the FMA, MBI, and MMT scores in the combination group were significantly improved compared to the acupuncture group and the traditional Chinese medicine group, while Hcy, TC, TG, and LDL-C values were significantly decreased. There were significant differences in the comparison of indicators, P<0.05; The total effective rate of the combined group was 92.6% (50/54), which was higher than the 79.2% (42/53) of the acupuncture group and the 69.8% (37/53) of the traditional Chinese medicine group. The difference among the three groups was statistically significant (P<0.05). Conclusion: The use of the Shengqing Yishui Kaiqiao acupuncture method combined with Buyang Huanwu Tang in the treatment of IS patients can significantly improve limb motor function, and the combination is superior to single use, while reducing Hcy and blood lipid levels.

  Key words: Shengqing Yishui Kaiqiao Acupuncture Method; Buyang Huanwu Tang; Ischemic stroke; Movement disorders; Hcy

  提交时间：2025-03-18

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• 序号	提交日期	编号	操作
  1	2025-02-25	bmr.202503.00053V1	下载

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