首页|血塞泰联合针刺、头部刮痧对脑梗死恢复期患者脑CT血流灌注成像指标、血液流变学和血小板-白细胞聚集体的影响

血塞泰联合针刺、头部刮痧对脑梗死恢复期患者脑CT血流灌注成像指标、血液流变学和血小板-白细胞聚集体的影响

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目的:观察血塞泰联合针刺、头部刮痧对脑梗死恢复期患者脑CT血流灌注成像指标、血液流变学和血小板-白细胞聚集体的影响。方法:将120例风痰阻络型脑梗死恢复期患者按随机数字表法分为A、B、C、D、E、F组,每组20例。对比六组治疗前后的脑CT血流灌注成像指标、血液流变学指标、血小板-白细胞聚集体指标。结果:与A组相比,B组、C组、D组、E组、F组治疗后平均通过时间(MTT)、血小板单核细胞聚集体(PMA)、全血低切黏度、血小板白细胞聚集体(PLA)、全血高切黏度、血小板中性粒细胞聚集体(PNA)、血浆黏度、血小板淋巴细胞聚集体(PlyA)更低,局部脑血流量(rCBF)、局部脑血容积(rCBV)更高(P<0。05)。D组、E组、F组治疗后各项指标优于B组、C组(P<0。05),其中F组治疗后各项指标最优(P<0。05)。结论:血塞泰联合针刺、头部刮痧治疗风痰阻络型脑梗死恢复期患者,可改善脑CT血流灌注成像指标、血小板-白细胞聚集体和血液流变学。
Effects of Xuesaitai Combined with Acupuncture and Head Scraping on Cerebral CT Perfusion Imaging Indexes,Hemorheology and Platelet-Leukocyte Aggregates in Patients with Convalescent Cerebral Infarction
Objective:To observe the effects of xuesaitai combined with acupuncture and head scraping on cerebral CT perfusion imaging indexes,hemorheology and platelet-leukocyte aggregates in patients with convalescent cerebral infarction.Methods:120 patients with convalescent cerebral infarction of wind-phlegm blocking collaterals type were divided into groups A,B,C,D,E and F according to the random number table method,with 20 cases in each group.The cerebral CT perfusion imaging indexes,hemorheology indexes and platelet-leukocyte aggregates were compared before and after treatment in six groups.Results:Compared with group A,the mean transit time(MTT),platelet monocyte aggregation(PMA),whole blood low shear viscosity,platelet leukocyte aggregation(PLA),whole blood high shear viscosity,platelet neutrophil aggregation(PNA),plasma viscosity,platelet lymphocyte aggregation(PlyA)were lower in group B,group C,group D,group E and group F after treatment,and local cerebral blood flow(rCBF)and local cerebral blood volume(rCBV)were higher(P<0.05).The indexes in group D,group E and group F were better than those in group B and group C(P<0.05),and the indexes in group F were the best after treatment(P<0.05).Conclusion:Xuesaitai combined with acupuncture and head scraping in the treatment of convalescent patients with wind-phlegm blocking collaterals type cerebral infarction,which can improve cerebral CT perfusion imaging indexes,platelet-leukocyte aggregates and hemorheology.

XuesaitaiAcupunctureHead scrapingConvalescent cerebral infarctionCerebral CT perfusion imagingHemorheologyPlatelet-leukocyte aggregates

申思、任欣、郭志华、刘剑勇、齐婧

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湖南中医药大学第一附属医院老年病科 湖南长沙 410007

湖南中医药大学第一附属医院门诊 湖南长沙 410007

湖南中医药大学第一附属医院神经内科 湖南长沙 410007

血塞泰 针刺 头部刮痧 脑梗死恢复期 脑CT血流灌注成像 血液流变学 血小板-白细胞聚集体

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(20)