醒脑开窍针刺法对急性脑梗死患者炎症细胞因子水平影响的临床观察

Clinical Observation on the Effects of Acupuncture Method of Inducing Resuscitation on the Level of Inflammatory Cell Factor in Patients with Acute Cerebral Infraction

目的:探讨醒脑开窍针刺法及体针法对急性脑梗死患者的炎症反应的干预效果。方法:将64例急性脑梗死患者随机分为A、B两组,A组为醒脑开窍针刺法组(32例),B组为体针组(32例),观察两种针法治疗后对急性脑梗死患者血清C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)和白介素-6(IL-6)值的影响。结果:两组治疗后第15 d,血清CRP、IL-6和TNF-a的数值均较治疗前显著下降,差异有统计学意义(P<0.01);而第15 d时,A组的血清CRP、IL-6和TNF-a水平明显低于B组,差异有统计学意义(P<0.01)。结论:醒脑开窍针刺法对减少急性脑梗塞的炎症反应及改善其预后具有重要意义,能更好地治疗急性脑梗死。

Objective： To investigate the interventional effect of acupuncture method of inducing resuscitation on inflammatory reaction in patients with acute cerebral infraction. Method： Sixty -four patients were randomly divided into A or B group, the patients in A group treated with acupuncture method of inducing resuscitation, those in B group treated with body acupuncture, observation of the effects of two kinds of methods on CRP, TNF - α and IL - 6. Result： After being treated 15 days, the CRP, TNF - α and IL - 6 decreased distinctly, the difference had statistical significance（ P 〈 0.01 ） ; at 15th day, the levels of CRP, IL -6 and TNF -α twere lower in A group than those in B group, the difference had statistical significance（P 〈0.01 ）. Conclusion： Acupuncture method of inducing resuscitation on inflammatory reaction has important effects on inflammatory reaction and improving prognosis, can treat cerebral infarction preferably.