Clinical study on the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis using bloodletting along channels

HUA Xiaoqiong; LI Yanjie; QIN Hewei; REN Kun; JIN Xiaoqin; LI Hongzhang; LIU Haoyuan; DING Huimin; ZHAO Nannan

doi:10.3969/j.issn.2095-6606.2023.01.009

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Clinical study on the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis using bloodletting along channels

更新时间：2023-02-02

- Clinical study on the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis using bloodletting along channels
- Modern Chinese Clinical Medicine Vol. 30, Issue 1, Pages: 38-42(2023)
- 作者机构：
  
  1.河南中医药大学康复医学院　郑州　450046
  2.河南省中医院康复科
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.01.009
  CLC： R255.2
- Published：30 January 2023，
  
  Received：15 April 2022，
- 稿件说明：
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HUA Xiaoqiong, LI Yanjie, QIN Hewei, et al. Clinical study on the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis using bloodletting along channels. [J]. Modern Chinese Clinical Medicine 30(1):38-42(2023)
DOI：

HUA Xiaoqiong, LI Yanjie, QIN Hewei, et al. Clinical study on the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis using bloodletting along channels. [J]. Modern Chinese Clinical Medicine 30(1):38-42(2023) DOI： 10.3969/j.issn.2095-6606.2023.01.009.

摘要

目的

观察循经放血疗法治疗脑卒中后风痰瘀阻证上肢感觉障碍的临床疗效。

方法

将102例脑卒中后偏身感觉障碍患者随机分为治疗组51例、对照组51例。2组均采用基础治疗控制脑卒中原发病，对照组在基础治疗上予以常规康复训练治疗，治疗组在基础治疗上采用循经放血疗法。观察中医证候积分、Lindmark感觉功能评分、数字疼痛分级评分、体感诱发电位、FMA评分、Barthel指数评分、临床疗效。

结果

中医证候积分治疗组治疗后较本组降低(

0.05)，治疗后治疗组较对照组降低明显，2组治疗前后差值比较，差异有统计学意义(

0.05)，治疗组优于对照组。Lindmark感觉功能评分治疗组治疗后较本组升高(

0.05)，数字麻木感积分治疗组治疗后较本组降低(

0.05)，治疗后Lindmark感觉功能评分治疗组较对照组升高明显，数字疼痛分级积分治疗组较对照组降低明显，差异均有统计学意义(

0.05)，治疗组均优于对照组。体感诱发电位治疗组治疗后较本组升高(

0.05)，治疗后治疗组较对照组升高明显，2组治疗前后差值比较，差异有统计学意义(

0.05)，治疗组优于对照组。FMA评分和Barthel指数评分治疗组治疗后均较本组升高(

0.05)，治疗后FMA评分和Barthel指数评分治疗组较对照组均升高明显，差异均有统计学意义(

0.05)，治疗组优于对照组。治疗组51例中，痊愈4例，显效13例，有效27例，无效7例，总有效率86.27%；对照组51例中，痊愈1例，显效11例，有效21例，无效18例，总有效率64.71%。经秩和检验，

＝－2.245，

0.05，说明治疗组疗效优于对照组。

结论

循经放血疗法治疗脑卒中后风痰瘀阻证上肢感觉障碍具有较好的临床疗效。

Abstract

Objective

To observe the clinical efficacy of bloodletting along channels in the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis.

Methods

102 patients with post-stroke hemianesthesia were randomly divided into 51 in the treatment group and 51 in the control group

both of whom were treated with basic therapy for the stroke

while the control group was treated with conventional rehabilitation training on top of basic therapy and the treatment group was given additional bloodletting along channels. The TCM symptom scores

Lindmark sensory function scores

pain scores

somatosensory evoked potentials (SEP)

FMA scores

Barthel index scores and clinical efficacy were observed.Results TCM symptom scores dropped in the treatment group compared after treatment (

0.05)

and the decrease was greater in the treatment group compared with the control group after treatment. The difference between the two groups before and after treatment was statistically significant (

0.05)

and the treatment group was better than the control group. The Lindmark sensory function scores were significantly higher in the treatment group than in the control group

and the numbness scores were significantly lower in the treatment group than in the control group. The difference between the two groups before and after treatment was statistically significant (

0.05)

and the treatment group was better than the control group. SEP was elevated in the treatment group tfter treatment (

0.05)

and SEP in the treatment group was greater than in the control group after treatment

and the difference between the two groups before and after treatment was statistically significant (

0.05)

and the treatment group was better than the control group. FMA scores and Barthel scores were significantly higher in the treatment group than in the control group

and the differences were statistically significant (

0.05)

and the treatment group was superior to the control group. Among 51 cases in the treatment group

4 were cured

13 markedly effective

27 moderately effective

and 7 not effective

with a total effective rate of 86.27%. Among 51 cases in the control group

1 was cured

11 markedly effective

21 moderately effective

and 18 not effective

with a total effective rate of 64.71%. By rank sum test

=-2.245

0.05

indicating that the efficacy in the treatment group was better than that in the control group.

Conclusion

Bloodletting along channels therapy has good clinical efficacy in the treatment of post-stroke upper limb sensory disorders with wind-phlegm stasis.

关键词

脑卒中风痰瘀阻证偏身感觉障碍循经放血

Keywords

strokewind-phlegm stagnationhemianesthesiabloodletting along channels

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