| Objective: To explore the effect of routine treatment plus Buyang Huanwu Decoction and acupoint embedding therapy on the patients with cerebral infarction(Qi deficiency and blood stasis type)in recovery period,and to provide theoretical basis for the treatment of cerebral infarction(Qi deficiency and blood stasis type)by using Buyang Huanwu Decoction Combined with acupoint embedding therapy.Methods:1.Clinical data: a total of 90 outpatients of Neurology,Affiliated Hospital of traditional Chinese medicine of Jiangxi University of traditional Chinese medicine from November 2019 to January 2021 were selected.The patients were randomly divided into basic group,traditional Chinese medicine group and linear medicine group according to 1:1:1 control,each of which was 30 cases2.Treatment methods: the basic group was given routine treatment of Western medicine in neurology,the traditional Chinese medicine group took Buyang Huanwu Decoction on the basis of the conventional western medicine treatment in the conventional group,and the line medicine group took Buyang Huanwu Decoction and acupoint embedding therapy on the basis of the treatment of the control group.Two weeks were one course.The clinical effect of two courses was observed.3Curative effect observation: before and after the treatment of the three groups,the patients in the three groups were compared and analyzed in terms of nhiss,ADL,TCM syndrome and clinical effect.Results: After 2 courses of treatment,the total effective rate of basic group was 60%,the total effective rate of line medicine group was 86.67%,and the total effective rate of Chinese herb group was 76.67%.Before treatment,three groups of patients with neurologic deficits(NHISS)score,active ability of daily life(ADL)score and TCM syndrome score of no statistical significance(p < 0.05)after treatment,the nerve function defect of three groups of patients(NHISS)score,active ability of daily life(ADL)score and TCM syndrome integral were increased.1.Comparative analysis of neurologic deficit(NHISS)scores: Before the start of treatment,the NHISS scores of the three groups were statistically analyzed,p > 0.05,indicating comparability.After 2courses of treatment,the neurological deficit score of the basic group was 9.53±5.14,the traditional Chinese medicine group was 8.63±4.93,and the line medicine group was 6.17±4.22.The comparison between the three groups before and after treatment satisfied the normal distribution,but the matching difference did not.The paired rank sum test was used.The basic combination Z =3.276,p =0.001,the traditional Chinese medicine combination Z =3.069,p =0.000,and the line medicine group Z =4.774,p=0.000,The P values of the three groups were all lower than 0.05.At the test level of 0.05,the difference before and after treatment was significant.Indicating that the NIHSS scores of the three groups were improved after treatment.After treatment,the NIHSS scores of the three groups were in line with normal distribution and homogeneity of variance.ANOVA analysis showed that p =0.022 and p value was less than 0.05,It can be considered that the improvement of NIHSS scores in the three groups is different.LSD was used for statistical analysis of pair-wise comparison,p(basic group-traditional Chinese medicine group)=0.042,p(basic group-line medicine group)=0.008,p(traditional Chinese medicine group-line medicine group)=0.049.All the differences among the three groups were significant.The results showed that acupoint embedding therapy combined with Buyang Huanwu Decoction could reduce nhiss score of patients with cerebral infarction(Qi deficiency and blood stasis type)in recovery period,which was beneficial to the patients’ recovery.The curative effect of the line medicine group was better than that of the traditional Chinese medicine group and the basic group.The curative effect of traditional Chinese medicine group is better than that of the basic group.2 Comparative analysis of ADL scores: The ADL scores of the three groups before treatment were statistically analyzed,with p > 0.05,indicating comparability.After 2 courses of treatment,the scores of daily living ability in the basic group were 51.00±7.36,53.83±8.27 and 63.67±11.06 in the traditional medicine group.Comparison of the three groups before and after treatment showed that the paired difference met the normal distribution.Paired t test was used.The basic combination pair t=5.430,p =0.000,the traditional Chinese medicine group t=8.735,p =0.000,the line medicine group t=12.757,p =0.000.When the test level was 0.05,the difference was significant.It was shown that improvement in ADL scores existed in all three groups.After treatment,ADL scores of the three groups were in line with normal distribution and homogeneity of variance.ANOVA analysis showed that p =0.000,and the difference was significant when the test level was 0.05.LSD statistical analysis was used for pare-to-pair comparison,p(basic group-traditional Chinese medicine group)=0.013,p(basic group-line medicine group)=0.000,p(traditional Chinese medicine group-line medicine group)=0.000,indicating that there were significant differences among the three groups.The results showed that acupoint embedding therapy combined with Buyang Huanwu Decoction could improve ADL score in patients with cerebral infarction(Qi deficiency and blood stasis type)in recovery period,which is beneficial to the patients’ recovery.The curative effect of the line medicine group is better than that of the traditional Chinese medicine group and the basic group.The curative effect of traditional Chinese medicine group is better than that of the basic group.2.Comparative analysis of TCM syndrome scores: The TCM syndrome scores of the three groups of patients before treatment were statistically analyzed,p > 0.05,indicating comparability.After 2 courses of treatment,the TCM syndrome score of the basic group was 15.8±7.67,the TCM syndrome score of the traditional Chinese medicine group was 15.53±7.51,and the TCM syndrome score of the traditional Chinese medicine group was 9.83±6.55.The comparison between the three groups before and after treatment satisfied the normal distribution,and the matching difference did not meet the normal distribution.The rank sum test was used,the basic combination Z =4.671,p =0.000,the traditional Chinese medicine combination Z =4.544,p =0.000,the line medicine group Z =4.737,p =0.000,the P values of the three groups of data were all less than 0.05,and the difference before and after treatment was significant when the test level was 0.05.The results showed that the improvement of TCM syndrome scores existed in the three groups.After treatment,TCM syndrome scores of the three groups were in line with normal distribution and homogeneity of variance.ANOVA analysis showed that p =0.002 and p value was less than0.05.When the test level was 0.05,the difference was significant,so it could be considered that the improvement of TCM syndrome in the three groups was different.LSD statistical analysis was used for pair-wise comparison,p(basic group-traditional Chinese medicine group)=0.002,p(basic group-line medicine group)=0.012,p(traditional Chinese medicine group-line medicine group)=0.003,indicating that the differences were statistically significant.The results showed that acupoint embedding therapy combined with Buyang Huanwu Decoction can reduce the TCM syndrome score of patients with cerebral infarction(Qi deficiency and blood stasis type)in recovery period,which is beneficial to the patients’ recovery.The curative effect of the line medicine group is better than that of the traditional Chinese medicine group and the basic group.The curative effect of traditional Chinese medicine group is better than that of the basic group.4.The clinical efficacy of traditional Chinese medicine was compared and analyzed: the total effective rate of the basic group was 60%,the total effective rate of the traditional Chinese medicine group was 76.67%,and the total effective rate of the linear medicine group was 86.67%.The clinical efficacy of the three groups was statistically analyzed by rank sum test.P = 0.001,the difference was statistically significant in the condition of 0.05.The comparison between the two groups was analyzed statistically by rank sum test.Z=-1.995,P value is 0.046,the basic group and the line medicine group are compared,z=-3.813,P value is 0.00,compared with the traditional Chinese medicine group and the linear medicine group,z=-2.370,P value is 0.018.The results showed that the difference between the three groups was significant.The results showed that acupoint embedding therapy combined with Buyang Huanwu Decoction could improve the treatment effect of patients with cerebral infarction(Qi deficiency and blood stasis type)in recovery period.The curative effect of the line medicine group was higher than that of the traditional Chinese medicine group and the basic group,and the curative effect of the traditional Chinese medicine group was higher than that of the basic group.Conclusion:The clinical effect of acupoint embedding combined with Buyang Huanwu Decoction on patients with ischemic stroke(Qi deficiency and blood stasis type)is significant,and the effect is better than that of the traditional Chinese medicine group and the basic treatment group,and the curative effect of the traditional Chinese medicine group is better than that of the basic group. |
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