摘要
目的观察通脑活络针刺法治疗急性缺血性脑卒中的临床疗效。方法将166例急性缺血性脑卒中患者随机分为2组。对照组80例予复方丹参注射液30mL加入0.9%氯化钠注射液500mL,每日1次静脉滴注;治疗组86例在对照组治疗基础上加用通脑活络针刺法治疗,每日1次。2组均15日为1个疗程,2个疗程后观察疗效。结果治疗组总有效率91.86%,对照组总有效率72.50%,2组比较差异有统计学意义(P<0.05);治疗组治疗前后神经功能缺损评分比较差异有统计学意义(P<0.01),2组治疗后神经功能缺损评分比较差异有统计学意义(P<0.05);2组治疗后血液流变学指标比较差异有统计学意义(P<0.05)。结论通脑活络针刺法能有效增加大脑组织细胞血液再灌注量,加速侧支循环重建,使偏瘫、失语等功能障碍的症状尽早改善和恢复,疗效确切。
Objective To observe the therapeutic effect of Tongnaohuoluo acupuncture on acute ischemic cerebral apoplexy. Methods 166 patients with acute ischemic stroke were randomly divided into two groups. 80 patients in control group were treated by complex Danshen injection 30ml in 0.9% NS 500 mL, once a day for intravenous infusions86 patients in treatment group , on the basis of control group were treated by Tongnaohuoluo acupuncture, once a day, with a treatment course of 15 days for both groups.The therapeutic effects were observed after two treatment courses. Results The total efffctive rate in treatment group was 91.86%, which was 72.5 % in control group, there was a significant difference between two groups （ P 〈 0.05）;there was a significant difference in nervous function scoring of treatment group before and after treat- ment （ P 〈 0.01）; after treatment there was a significant difference in nervous function scoring between treatment group and control group （ P 〈 0.05） ; there were significant differences in parameters of hemorrheology after treatment between treatment group and control group （ P 〈 0.05）. Conclusion Tongnaohuoluo acupuncture can increase effectively the blood supply for brain tissue ceils, promote the rebuilding of collateral circulation, improve and recover the symptoms of ftmction disorders including hemiplegia and logomania as early as possible, so it is effective in treating acute ischemic stroke.
出处
《河北中医》
2008年第4期404-405,共2页
Hebei Journal of Traditional Chinese Medicine
关键词
脑缺血
脑血管意外
急性病
针刺疗法
Cerebral ischemia
Cerobrovascular sudden events
Acute diseases
Acupuncture therapy
