醒脑开窍针刺法联合脑络通方治疗急性脑梗死的临床研究

Clinical Study of Acute Cerebral Infarction Treated by Resuscitation-inducing Acupuncture Therapy and Naoluotong Recipe

【目的】观察醒脑开窍针刺法联合中药脑络通方治疗急性脑梗死的临床疗效。【方法】将70例患者随机分为针药组和对照组各35例。对照组给予西医常规+香丹注射液治疗,针药组在对照组治疗基础上予以醒脑开窍针刺法和脑络通方联合治疗。治疗后进行神经功能缺损评分(NIHSS)和独立生活能力量表(BI)评价。【结果】(1)NIHSS评分疗效方面:治疗后,针药组总有效率为93.3%,对照组为72.4%,针药组的疗效优于对照组(P<0.01)。(2)基于BI评分的残疾率方面:治疗后,针药组残疾率为43.33%,对照组为75.86%,针药组的残疾率低于对照组(P<0.01)。(3)治疗后,2组NIHSS评分均显著降低,BI评分均显著提高,与治疗前比较,差异均有统计学意义(P<0.05);且针药组对NIHSS、BI评分的改善作用均优于对照组(P<0.05)。【结论】醒脑开窍针刺法与中药脑络通方联合治疗方案能显著改善急性脑梗死患者的神经功能,降低致残率,其疗效优于单纯西医常规治疗。

Objective To observe the clinical effects of the combination of resuscitation-inducing acupuncture therapy and Naoluotong Recipe （ NR） for the treatment of acute cerebral infarction. Methods By using simple random method, 70 qualified patients were evenly divided into combination group and control group. Both groups were given conventional western medicine treatment and Xiangdan Injection, and additionally, the combination group was given resuscitation-inducing acupuncture therapy and oral use of NR decoction. After treatment, the two groups were evaluated by the United States National Institute of Health Stroke Scale （ NIHSS） scoring and Barthel index （ BI） for independent living ability. Results （ 1） The total effective rate showed by NIHSS scoring was 93. 3% in the combination group and was 72.4% in the control group （P〈0.01）. （ 2） The results of BI evaluation showed that the disability rate was 43.33% in the combination group and was 75.86%in the control group （P〈0.01）. （3） After treatment, NIHSS scores in both groups were decreased while BI scores were increased （P〈0.05 compared with those before treatment）, and the improvement of the scores in the combination group was superior to that of the control group （ P〈0.05）. Conclusion The combination of resuscitation-inducing acupuncture therapy and oral use of NR decoction can significantly improve neural function and reduce disability rate of patients with acute cerebral infarction, and the curative effect is superior to western medicine alone for the treatment of acute cerebral infarction.