黄芪桂枝五物汤联合调神益气针法治疗脑卒中后疲劳患者的临床研究

摘要 目的：探讨黄芪桂枝五物汤联合调神益气针法治疗脑卒中后疲劳（PSF）的临床疗效。方法：选择2020年10月至2022年10月我院收治的80例PSF患者，随机数字表法将患者分为两组，对照组（40例）采用治疗黄芪桂枝五物汤治疗2周，观察组（40例）采用治疗黄芪桂枝五物汤联合调神益气针法治疗2周。比较两组疗效、疲劳程度、运动功能、生活质量以及不良反应差异。结果：观察组治疗总有效率高于对照组（90.00% vs 62.50%，P＜0.05）。两组治疗后疲劳严重程度量表（FSS）评分均较治疗前降低（P＜0.05），Fugl-Meyer上肢和下肢评分、脑卒中专用生活质量量表（SS-QOL）、改良Barthel 指数（MBI）评分均较治疗前增高（P＜0.05）。观察组治疗后FSS评分低于对照组（P＜0.05），Fugl-Meyer上肢和下肢评分、SS-QOL、MBI评分均高于对照组（P＜0.05）。两组不良反应发生率比较差异无统计学意义（P＞0.05）。结论：黄芪桂枝五物汤联合调神益气针法可更有效地改善疲劳症状和运动功能，提高生活质量。

Analysis of Clinical Effect of Huangqi Guizhi Wuwu Decoction Combined with Tiaoshen Yiqi Acupuncture on Post-stroke Fatigue

ABSTRACT Objective: To investigate the clinical effect of Huangqi Guizhi Wuwu Decoction combined with Tiaoshen Yiqi acupuncture on post-stroke fatigue (PSF). Methods: 80 patients with PSF admitted to the rehabilitation ward of Neurology Department of our hospital from October 2020 to October 2022 were divided into two groups by random number table method. The control group (40 cases) received treatment with Huangqi Guizhi Wuwu Decoction for 2 weeks, and the observation group (40 cases) received treatment with Huangqi Guizhi Wuwu Decoction combined with Tiaoshen Yiqi acupuncture for 2 weeks. The efficacy, fatigue, motor function, quality of life and adverse reactions were compared between the two groups. Results: The total effective rate of observation group was higher than control group (90.00% vs 62.50%, P<0.05). The fatigue Severity Scale (FSS) score after treatment was lower than that before treatment (P<0.05), and the Fugl-Meyer upper limb and lower limb score, stroke Special Quality of Life Scale (SS-QOL) and modified Barbi Index (MBI) score were increased in both groups (P<0.05). After treatment, the FSS score of the observation group was lower than that of the control group (P<0.05), and Fugl-Meyer''s upper and lower limb scores, SS-QOL and MBI scores were higher than those of the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Huangqi Guizhi Wuwu Decoction combined with Tiaoshen Yiqi acupuncture can improve fatigue symptoms and motor function more effectively and improve quality of life.