首页|醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响

醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响

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目的:评价醒脑开窍针法联合颞三针治疗急性脑梗死(ACI)的疗效及对患者生活质量、血流动力学的影响。方法:选入2022年1月~2022年12月我院收治的ACI患者70例,根据治疗方法不同分为常规组(常规治疗)和联合组(常规治疗+醒脑开窍针+颞三针),各35例。评价并比较两组的临床疗效、生活质量及血流动力学等指标。结果:联合组治疗总有效率94。29%,显著高于常规组的74。29%(P<0。05);与治疗前相比,两组治疗后NIHSS评分明显降低、BI和SS-QOL评分显著升高(P<0。05),而联合组降低/升高幅度更大,与常规组差异显著(P<0。05);两组治疗前脑血流动力学指标无明显差异(P>0。05),而治疗后,联合组大脑中动脉Vs、Vd、Vm明显高于常规组(P<0。05)。结论:在常规治疗基础上应用醒脑开窍针联合颞三针,可有效提高ACI的临床疗效,增加大脑局部血流量,改善神经功能缺损症状,提高日常生活能力及生活质量。
Effect of Xingnao Kaiqiao Acupuncture Combined with Temporal Three-Needle on the Treatment of Acute Cerebral Infarction and Its Influence on Patient's Quality of Life and Hemodynamics
Objective:To evaluate the therapeutic effect of the combination of the Xingnao Kaiqiao acupuncture method and the temporal three-needle in the treatment of acute cerebral infarction(ACI)and its impact on the quality of life and hemodynamics of patients.Methods:70 ACI patients admitted to our hospital from January 2022 to December 2022 were selected and divided into a con-ventional group(conventional treatment)and a combined group(conventional treatment+Xingnao Kaiqiao acupuncture+temporal three-needle)based on different treatment methods,with 35 patients in each group.Evaluate and compare the clinical efficacy,quality of life,and hemodynamic indicators between the two groups.Results:The total effective rate of the combined group was 94.29%,signifi-cantly higher than the 74.29%of the conventional group(P<0.05).Compared with before treatment,the NIHSS scores of the two groups decreased significantly after treatment,while the BI and SS-QOL scores increased significantly(P<0.05),while the decrease/increase am-plitude of the combined group was significantly greater than that of the conventional group(P<0.05).There was no significant difference in cerebral hemodynamic indicators between the two groups before treatment(P>0.05),but after treatment,the combined group had sig-nificantly higher levels of Vs,Vd,and Vm in the middle cerebral artery compared to the conventional group(P<0.05).Conclusion:On the basis of conventional treatment,the application of Xingnao Kaiqiao acupuncture combined with temporal three-needle can effectively improve the clinical efficacy of ACI,increase local cerebral blood flow,improve neurological deficits,and improve daily living ability and quality of life.

Acute cerebral infarctionXingnao Kaiqiao AcupunctureTemporal Three-needleEfficacyQuality of lifeHemody-namics

古丽尼尕尔·阿布力孜、苏比努尔·艾尼瓦、吴扬、马海婷、苗紫烟、周钰

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新疆医科大学第一附属医院针灸推拿科 新疆乌鲁木齐 830000

急性脑梗死 醒脑开窍针 颞三针 疗效 生活质量 血流动力学

国家自然科学基金

81960898

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(3)
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