黄芪药膏刮痧疗法治疗老年出血性中风上肢痉挛性偏瘫患者的临床观察

Clinical observation of astragalus ointment combined with scraping therapy in treatment of upper limb spasmodic hemiplegia in elderly patients with hemorrhagic stroke

中文关键词: 老年  出血性中风  上肢痉挛性偏瘫  络病理论  黄芪药膏  刮痧

英文关键词: elderly  hemorrhagic stroke  upper limb spastic hemiplegia  theory of"collateral disease"  astragalus oint-ment  scraping therapy

中文摘要:

      目的 观察黄芪药膏刮痧疗法对老年出血性中风上肢痉挛性偏瘫患者的临床疗效.方法 选择2023年1月-2024年6月于苏州市中西医结合医院收治的出血性中风上肢痉挛性偏瘫老年患者80例,采用随机方法分为观察组和对照组,每组40例.对照组接受常规药物治疗和康复护理,观察组在与对照组相同治疗的基础上增加黄芪药膏刮痧疗法.2组患者均治疗1个月.比较2组的临床疗效;观察并比较2组治疗前后改良Ashworth量表(MAS)评分、上肢Fugl-Mey-er运动功能量表(FMA)评分、改良Barthel指数(MBI)评分、中医证候评分、血清超敏C反应蛋白(hs-CRP)和同型半胱氨酸(Hcy)水平变化.结果 观察组患者临床疗效高于对照组(P＜0.05).治疗后,2组MAS评分、中医证候积分低于同组治疗前,而FMA评分、MBI评分均高于同组治疗前(均P＜0.05);观察组MAS评分、中医证候积分低于对照组,而FMA评分、MBI评分均高于对照组(均P＜0.05).2组血清hs-CRP、Hcy水平均低于同组治疗前,观察组血清hs-CRP、Hcy水平低于对照组(均P＜0.05).结论 基于"络病理论"的黄芪药膏刮痧疗法治疗老年脑出血恢复期上肢痉挛性偏瘫患者,疗效明显,可有效缓解患者的临床症状,改善其预后,提高其生活质量.

英文摘要:

      Objective To observe the clinical effects of astragalus ointment combined with scraping therapy on elderly patients with upper limb spastic hemiplegia caused by hemorrhagic stroke.Methods Eighty elderly patients with upper limb spastic hemiplegia caused by hemorrhagic stroke admitted to Integrated Traditional Chinese and Western Medicine Hospital of Suzhou City from January 2023 to June 2024 were selected and randomly divided into observation group and control group,with 40 patients in each group.The control group received conventional medication treatment and rehabilitation care,while the observation group received astragalus ointment combined with scraping therapy on the basis of the same treatment as the control group.Both groups were treated for one month.The clinical efficacy of the two groups was compared.The changes in Modi-fied Ashworth Scale(MAS)score,upper limb Fugl-Meyer Motor Function Scale(FMA)score,Modified Barthel Index(MBI)score,traditional Chinese medicine(TCM)syndrome score and the levels of serum high sensitivity C-reactive protein(hs-CRP)and homocysteine(Hcy)before and after treatment were observed and compared between the two groups.Results The clinical efficacy of the observation group was higher than that of the control group(P＜0.05).After treatment,the MAS score and TCM syndrome score in both groups were lower than those in the same group before treatment,while the FMA score and MBI score were higher than those in the same group before treatment(both P＜0.05);the MAS score and TCM syndrome score of the observation group were lower than those of the control group,while the FMA score and MBI score were higher than those of the control group(both P＜0.05).The levels of serum hs-CRP and Hcy in both groups were lower than those in the same group before treatment,and the levels of serum hs-CRP and Hcy in the observation group were lower than those in the control group(both P＜0.05).Conclusion The astragalus ointment combined with scraping therapy based on the theory of"collateral dis-ease"has a significant therapeutic effect on elderly patients with upper limb spastic hemiplegia during the recovery period of cere-bral hemorrhage.It can effectively alleviate the clinical symptoms of patients and improve their prognosis and quality of life.