针灸辅助治疗对脑梗死患者神经功能、生活自理能力及血流动力学指标的影响研究

Effect of Acupuncture on Nerve Function, Self-care Ability and Hemodynamic Indexes for Patients with Cerebral Infarction

目的:分析针灸治疗对脑梗死患者神经功能及生活自理能力的影响。方法:选取2019年1月~2020年6月收治的脑梗死患者80例,采用随机数字表法分为观察组和对照组,每组各40例。对照组采用常规药物治疗,观察组在对照组基础上辅助使用针灸疗法进行治疗。分别记录两组神经功能、生活自理能力、治疗效果、血流动力学指标的变化及中医症候积分。结果:治疗前两组神经功能缺损、生活自理能力评分比较无统计学意义(P>0.05),治疗3周、6周后观察组神经功能、生活自理能力显著优于对照组(P<0.05);观察组的治疗效果总有效率显著高于对照组(P<0.05);观察组的肢体麻木、口眼歪斜、头晕头痛评分显著低于对照组(P<0.05);治疗6周后,观察组血流动力学指标红细胞比容(Hct)、全血粘度(WBV)、红细胞聚集指数(EAI)显著优于对照组(P<0.05)。结论:针灸辅助治疗可有效治疗脑梗死患者,帮助其恢复神经功能及生活自理能力,改善患者症状及血流动力学指标,可在临床上进一步推广。

Objective: To analyze the effect of acupuncture on nerve function and self-care ability for patients with cerebral infarction. Methods: A total of 80 patients with cerebral infarction who were admitted from January 2019 to June 2020 were enrolled. They were divided into an observation group and a controlled group by the random number table method, 40 cases in each group. The controlled group was treated with routine drugs, while the observation group was treated with acupuncture on the basis of the controlled group. The changes in nerve function, self-care ability, curative effect and hemodynamic indexes, and scores of TCM syndromes in both groups were recorded. Results: Before treatment, there were no significant differences in scores of neurological deficit and self-care ability between the two groups(P>0.05). After 3 and 6 weeks of treatment, nerve function and self-care ability in the observation group were significantly better than those in the controlled group(P<0.05). The total response rate of curative effect in the observation group was significantly higher than that in the controlld group(P<0.05). The scores of limb numbness, facial paralysis, dizziness and headache in the observation group were significantly lower than those in the controlled group(P<0.05). After 6 weeks of treatment, hemodynamic indexes [hematocrit(Hct),whole blood viscosity(WBV),erythrocyte aggregation index(EAI)] in the observation group were significantly better than those in the controlled group(P<0.05). Conclusion: Acupuncture can effectively treat patients with cerebral infarction, help them restore nerve function and self-care ability, improve symptoms and hemodynamic indexes.