针刺对脑梗死合并高脂血症患者血脂水平的影响

Effects of acupuncture on blood-lipid levels in the patient of cerebral infarction with hyperlipidemia

目的:观察醒脑开窍针刺法治疗脑梗死合并高脂血症的临床疗效。方法:选择脑卒中高脂血症患者60例,随机分为醒脑开窍针刺组和中药组各30例,分别于治疗前后评测中医症状积分,检测血脂各项指标。结果:醒脑开窍针刺法在改善血脂方面总有效率为72·4%,与中药组的65·5%比较,差异无显著性意义(P>0·05);但在改善临床症状方面总有效率为89·7%,优于中药组的62·1%(P<0·05),其中在改善肢体麻木刺痛、头昏头晕、胸胁胀闷、纳呆、困倦乏力等症状方面亦优于中药对照组(P<0·05)。结论:醒脑开窍针刺法能调节脑梗死合并高脂血症患者脂质代谢的紊乱,改善主要临床症状。

Objective To observe therapeutic effect of acupuncture method for consciousness-restoring resuscitation on cerebral infarction with hyperlipidemia. Methods Sixty cases of apoplexy with hyperlipidemia were randomly divided into a consciousness-restoring resuscitation acupuncture group （treatment group） and a Chinese medicine control group （control group）, 30 cases in each group. TCM symptomatic scores and indexes of blood lipids were detected before and after treatment in the two groups. Results The total effective rate for improvement of blood lipids was 72. 4% in the treatment group, which was not different from that （65. 5%） in the control group （P〉 0. 05） ; the total effective rate for clinical symptoms was 89. 7% in the treatment group, which was better than that （62.1%） in the control group （P〈0. 05）. The treatment group was superior to the control group in improvement of numbness and twinge in extremities, dizziness, distention and oppressed feeling in chest and hypochondrium, anorexia, sleepy and weakness （P〈0. 05）. Conclusion Acupuncture method for consciousness-restoring resuscitation can regulate metabolic disorder of lipids and improve main clinical symptoms in the patient of cerebral infarction with hyperlipidemia.