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通督醒神针刺法治疗急性脑梗死的疗效观察

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目的 观察通督醒神针刺法治疗急性脑梗死的临床疗效.方法 纳入2021年1月至2023年6月佛山复星禅诚医院康复医学科收治的急性脑梗死患者102例,随机分为对照组和针刺组,对照组给予西医常规治疗,针刺组加用通督醒神针刺法治疗,疗程为2周.比较两组美国国立卫生院神经功能缺损评分量表(NIHSS)评分、Fugl-Meyer评分、Bartherl指数(BI)、脑卒中患者专用生存质量量表(SS-QOL)、脑血流动力学[基底动脉舒张末期血流速度(Vd)、收缩峰值血流速度(Vs)、平均血流速度(Vm)]和血清炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、超敏C反应蛋白(hs-CRP)]的变化,统计两组总有效率.结果 两组治疗后NIHSS评分均降低(P<0.05),且针刺组低于对照组(P<0.05);两组治疗后FMA平衡功能、FMA运动功能、BI评分、SS-QOL评分和大脑动脉Vd、Vs、Vm均升高(P<0.05),且针刺组高于对照组(P<0.05);两组治疗后血清TNF-α、IL-1、hs-CRP含量均降低(P<0.05),且针刺组低于对照组(P<0.05);针刺组总有效率为94.12%,高于对照组的80.39%(P<0.05).结论 通督醒神针刺法治疗急性脑梗死可以改善神经缺损功能,提高大脑血流速度,改善生活质量,减轻炎症反应.
Observation on the Efficacy of Tongdu Xingshen Acupuncture in Treating Acute Ischemic Stroke
Objective:To explore the clinical efficacy of the Tongdu Xingshen acupuncture in treating acute ischemic stroke.Methods:A total of 102 patients with acute ischemic stroke admitted to the Department of Reha-bilitation Medicine at Foshan Fuxing Chancheng Hospital from January 2021 to June 2023 were randomly divided into a control group and an acupuncture group.The control group received conventional western medical treatment,while the acupuncture group was additionally treated with the Tongdu Xingshen acupuncture.The treatment dura-tion was two weeks.Changes in NIH Stroke Scale(NIHSS)scores,Fugl-Meyer Assessment(FMA)scores,Barthel Index(BI),Stroke-Specific Quality of Life Scale(SS-QOL),cerebral hemodynamics[diastolic end blood flow ve-locity(Vd),systolic peak blood flow velocity(Vs),mean blood flow velocity(Vm)of the basilar artery],and serum inflammatory factors[tumor necrosis factor-alpha(TNF-α),interleukin-1(IL-1),high-sensitivity C-reactive pro-tein(Hs-CRP)]were compared between the two groups.The overall effective rates were statistically analyzed for both groups.Results:After treatment,the NIHSS scores decreased in both groups(P<0.05),with the acupuncture group showing a lower score than the control group(P<0.05).FMA balance function,FMA motor function,BI scores,SS-QOL scores,and cerebral arterial Vd,Vs,and Vm increased in both groups(P<0.05),with higher val-ues in the acupuncture group compared with the control group(P<0.05).Serum TNF-α,IL-1,and Hs-CRP lev-els decreased in both groups(P<0.05),with lower levels in the acupuncture group(P<0.05).The overall effective rate was higher in the acupuncture group(94.12%)than in the control group(80.39%)(P<0.05).Conclusion:Tongdu Xingshen acupuncture in treating acute ischemic stroke can improve neurological deficits,enhance cerebral blood flow velocities,improve quality of life,and reduce inflammatory responses.

Acute ischemic strokeTongdu XingshenAcupunctureEfficacy

林骏荣、丁德权、黄静、苏适、刘佳昕、朱彦龙

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佛山复星禅诚医院,广东佛山 528000

急性脑梗死 通督醒神 针刺 疗效

佛山市卫生健康局医学科研课题资助项目

20230378

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(10)
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