分期辨证取穴针刺法对缺血性中风患者治疗作用及对GMP-140的影响

The therapeutic action and effect on GMP-140 of patients with Ischemic apoplexy treated by acupuncture according to staging and differentiation of symptoms and signs choicing point

目的观察分期辨证取穴针刺法对缺血性中风患者的治疗作用以及对GMP-140的影响。方法将86例缺血性中风患者随机分为治疗组43例(分期辨证取穴针刺法治疗)与对照组43例(常规针刺法治疗),比较两组神经功能缺损评分和GMP-140改善情况,并判断临床疗效。结果分期辨证取穴针刺法可显著降低患者神经功能缺损评分,降低GMP-140含量;治疗组总有效率明显高于对照组。结论分期辨证取穴针刺法能够提高临床疗效并可使其血浆中GMP-140含量显著下降,从而降低血小板的高活性,改善血小板活化程度,改善脑供血,防止血栓蔓延,促进肢体功能恢复。

Objective To observe the therapeutic action and effect on blood lipid of patients with ischemic apoplexy treated by acupuncture according to staging and differentiation of symptoms and signs choicing point.Methods 86 patients with ischemic apoplexy divided into two groups randomly,83 cases of the treatment group was treated by acupuncture according to staging and differentiation of symptoms and signs choicing point.43 cases of the control group was treated by normal acupuncture.To observe the therapeutic effect,neurologic impairment scores and GMP-140 before and after treatment.Results The neurologic impairment scores,staging scores of patients and the content of GMP-140 were descened obviously in treatment groups. The total effective rate of treatment group was 93.0%,which was higher than that of control group（76.7%）.Conclusion Acupuncture according to staging and differentiation of symptoms and signs choicing point can heighten the clinical therapeutic effect on cerebral infarction（acute stage）and significantly decrease serum GMP-140 content,thereby reducing high platelet activity,improving the degree of platelet activation and erythrocyte aggregation,and promoting the recovery of limb function.