牛鹏　杨锦明

[摘要] 目的 探讨针刺联合消栓肠溶胶囊治疗气虚血瘀型中风的临床疗效。 方法 选取2015年1～11月在我院接受治疗的90例气虚血瘀型中风的患者，按照随机数字表法将患者分为观察组和对照组各45例，两组患者都采用常规药物治疗，观察组患者在此基础之上给予针刺联合消栓肠溶胶囊治疗，分别观察治疗前后，两组患者的NDS、FMA以及BI评分的变化并对其进行比较，分析比较变化的原因。 结果 治疗后，两组患者的NDS评分都有所下降，观察组（10.23±2.31）分低于对照组（13.58±4.10）分，两组比较差异具有统计学意义（P<0.05），治疗后两组患者的FMA、BI评分都有所升高，观察组（87.56±3.18、79.58±4.15）高于对照组（79.26±5.14、75.16±6.12）分，两组比较差异具有统计学意义（P<0.05）。 结论 针刺联合消栓肠溶胶囊治疗气虚血瘀型中风临床效果显著，能够有效的促进患者神经功能恢复，改善患者的体质，提高生活质量。

[关键词] 针刺；消栓肠溶胶囊；气虚血瘀型；中风；临床观察

[中图分类号] R277.7 [文献标识码] B [文章编号] 2095-0616（2016）09-69-03

[Abstract] Objective To explore the clinical effect of acupuncture combined with Xiaoshuan enteric capsule in the treatment of stroke with Qi deficiency and blood stasis type. Methods 90 stroke patients with Qi deficiency and blood stasis type who were in our hospital from January to November 2015 were randomly divided into observation group and control group，45 cases in each group.All patients were treated with routine drugs， in addition，the observation group received the therapy of acupuncture combined with Xiaoshuan enteric capsule.The NDS，FMA and BI scores of the two groups before and after treatment were compared，the causes of variations were analyzed. Results After treatment，the NDS scores of the two groups all decreased to some extent，the observation groups scores （10.23±2.31） were lower than those of the control group （13.58±4.10），the differences were statistically significant （P<0.05），the FMA and BI scores of the two groups all increased to some extent， the observation groups scores （87.56±3.18 and 79.58±4.15） were higher than those of the control group （79.26±5.14 and 75.16±6.12），the differences were statistically significant （P<0.05）. Conclusion The therapy of acupuncture combined with Xiaoshuan enteric capsule is effective in the treatment of stroke with Qi deficiency and blood stasis type，which can effectively promote the neurological function recovery，improve the body constitutions and the life quality in patients.

[Key words] Acupuncture；Xiaoshuan enteric capsule；Qi deficiency and blood stasis type；Stroke；Clinical observation

中风是临床上一种较为常见的多发疾病，又被称为卒中病。临床多表现为突发性昏厥、肢体偏瘫、口歪舌斜、不能言语等。该疾病具有很高的致残率和死亡率[1]。据资料统计，缺血性脑卒中在中老年患者中发病率居前三[2]。随着急救医学的发展进步，近年来脑血管疾病的病死率逐年下降，但是脑血管疾病的发病率和致残率却逐年升高，严重的影响患者的生存质量[3]。由于中风患者的发病机制以及临床表现都比较复杂，采用简单的方法治疗，很难达到最佳的治疗效果。有资料表明，对脑卒中患者进行有效的干预，可以有效的提高患者恢复，提高患者的生活质量，减少疾病的复发。因此，探讨多种有效的措施联合进行干预治疗，为患者寻求更多简、便、廉、验之法，提高患者的生活质量，显得越来越重要[5]。……