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目的:探讨益气活血汤治疗急性脊髓损伤的临床效果。方法:选取急性脊髓损伤患者120例,随机分为治疗组和对照组,每组60例,所有患者均于受伤后8h内入院并接受治疗,早期(48小时内)给予复位固定、椎管减压等手术治疗,同时给予激素、脱水剂、神经营养药物治疗及温针灸治疗;治疗组在此基础上加用益气活血汤治疗。60天后,观察比较治疗前后两组患者的临床症状、触觉、痛觉、运动、自理能力、括约肌功能、运动功能以及不良反应。结果:治疗组的总有效率达81.67%,对照组的有效率仅为58.33%,治疗组的疗效优于对照组,P<0.05,差异有统计学意义;治疗后两组间比较,治疗组的触觉、痛觉、运动、自理能力、括约肌功能、运动功能评分的改善情况明显优于对照组,P<0.05,差异有统计学意义。结论:益气活血汤联合温针灸治疗急性脊髓损伤能够明显减轻患者的临床症状,改善患者的神经以及功能状况,且无明显的不良反应,临床疗效满意。
Objective: To investigate the clinical effect of Yiqi Huoxue Decoction in treating acute spinal cord injury. Methods: One hundred and twenty patients with acute spinal cord injury were selected and randomly divided into treatment group and control group, with 60 cases in each group. All patients were admitted to the hospital within 8 hours after injury and were treated in the early stage (within 48 hours) Pressure and other surgical treatment, while giving hormones, dehydrating agents, neurotrophic drugs and warm acupuncture treatment; treatment group on the basis of the use of Yiqi Huoxue Decoction. After 60 days, the clinical symptoms, tactile sensations, motor pain, self-care ability, sphincter function, motor function and adverse reactions were observed and compared between the two groups before and after treatment. Results: The total effective rate was 81.67% in the treatment group and 58.33% in the control group. The curative effect of the treatment group was better than that of the control group, P <0.05, the difference was statistically significant. After treatment, the treatment group The improvement of tactile, pain, exercise, self-care ability, sphincter function and motor function score were significantly better than that of the control group, P <0.05, the difference was statistically significant. Conclusion: Yiqihuoxue Decoction combined with warm acupuncture treatment of acute spinal cord injury can significantly reduce the clinical symptoms of patients and improve the patient’s nerve and functional status, and no significant adverse reactions, clinical efficacy was satisfactory.