摘要
目的观察项针对脑卒中后假性球麻痹患者临床疗效及其血液流变学的影响。方法选择脑卒中后假性球麻痹患者92例,随机分为观察组和对照组,每组46例。对照组采用神经内科规范治疗和护理,主要包括改善脑循环、控制脑水肿、保护脑细胞、调控血压及鼻饲饮食、静脉营养支持等对症处置。观察组在对照组基础上应用项针治疗。结果观察组总有效率为82.6%,对照组为63.0%,两组比较差异有统计学意义(P<0.05);两组患者治疗后血液流变指标与治疗前比较均有不同程度的改善(P<0.05或P<0.01),且治疗后观察组血液流变学指标改善明显优于对照组(P<0.05或P<0.01)。结论项针配合药物治疗能够明显改善假性球麻痹患者的临床症状和体征,疗效肯定。
Objective To observe the clinical effects of nape-acupuncture in treating pseudobulbar palsy after stroke and its effect on hemorheology.Methods Ninety-two patients with post-stroke pseudobulbar palsy were included and randomized into an observation group and a control group,46 subjects in each group.In the control group,conventional treatments were adopted,including improving cerebral circulation,hydrocephalus management,brain cell protection,blood pressure control,nasal feeding,intravenous nutrition support,etc.In the observation group,nape-acupuncture was used in addition to the management given to the control group.Result The total effective rate was 82.6% in the observation group,versus 63.0% in the control group,and the difference was statistically significant（P0.05）;regarding to the hemorheological indexes,both groups gained marked improvement after treatment（P0.05 or P0.01）,and the improvement in the observation group was notably better than in the control group（P0.05 or P0.01）.Conclusion It is effective to use nape-acupuncture in treating pseudobulbar palsy by improving the clinical symptoms and signs.
出处
《上海针灸杂志》
2011年第4期223-224,共2页
Shanghai Journal of Acupuncture and Moxibustion
关键词
中风
假性球麻痹
针刺
项针
血液流变学
Stroke
Pseudobulbar palsy
Acupuncture
Nape-acupuncture
Hemorheology
