Sun Huili, Wu Chengyu
1 School of Basic Medical Sciences, Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
2 TCM Physiotherapy, First People's Hospital of Xuzhou, Xuzhou, Jiangsu, China.
J Int Med Res. 2019 Mar;47(3):1312-1318. doi: 10.1177/0300060518822923. Epub 2019 Jan 31.
This study was performed to investigate the effect of acupuncture combined with Buyang Huanwu decoction in patients with ischemic stroke.
In total, 115 patients with ischemic stroke were recruited and divided into 3 groups. The control group received normal treatment, the acupuncture group received additional acupuncture treatment, and the combined group received additional acupuncture combined with Buyang Huanwu decoction treatment. The National Institutes of Health Stroke Scale (NIHSS) and Chinese Stroke Scale (CSS) were used to evaluate the stroke condition, and the Barthel index (BI) was used to measure life quality. Blood lipids and recurrence were also analyzed.
The CSS and NIHSS scores were significantly lower in the acupuncture group and combined group than in the control group; however, the BI score was significantly higher in the acupuncture group and combined group. Similarly, the levels of cholesterol, triglycerides, and low-density lipoprotein were all significantly increased, while the level of high-density lipoprotein showed no significant difference in all groups. The recurrence rate was significantly lower in the combined group than in the other two groups.
Acupuncture combined with Buyang Huanwu decoction could improve the clinical outcomes and reduce the recurrence rates in patients with ischemic stroke.
本研究旨在探讨针刺联合补阳还五汤对缺血性脑卒中患者的影响。
共纳入115例缺血性脑卒中患者，分为3组。对照组接受常规治疗，针刺组接受额外的针刺治疗，联合组接受额外的针刺联合补阳还五汤治疗。采用美国国立卫生研究院卒中量表（NIHSS）和中国卒中量表（CSS）评估卒中病情，采用巴氏指数（BI）测量生活质量。还分析了血脂和复发情况。
针刺组和联合组的CSS和NIHSS评分显著低于对照组；然而，针刺组和联合组的BI评分显著更高。同样，胆固醇、甘油三酯和低密度脂蛋白水平均显著升高，而高密度脂蛋白水平在所有组中均无显著差异。联合组的复发率显著低于其他两组。
针刺联合补阳还五汤可改善缺血性脑卒中患者的临床疗效并降低复发率。
