益肾调督 健脾化瘀针刺法对缺血性中风血液流变学的影响

Affect for Blood Rhology With Kidney-reinforcing Du Meridian-regulating Spleen-strengthening and Stagnancy-removing Acupuncture Method Therapy of Ischemic Stroke

目的:观察益肾调督、健脾化瘀针刺法治疗缺血性中风气虚痰瘀阻络证患者治疗前后血液流变学指标的变化,客观评价此法对血液流变学的影响。方法:63例缺血性中风气虚痰瘀阻络证患者随机两组,治疗组采用益肾调督,健脾化瘀针刺法;对照组采用调和气血、疏通经络的针刺法,10天为1个疗程,3个疗程后观察疗效。结果:治疗组的总有效率96.7%,对照组80.6%,两组总有效率比较有显著性差异(P<0.05);两组治疗前后血液流变学改变有显著性差异(P<0.05);两组治疗后血液流变学部分指标改变有显著性差异(P<0.05)。结论:益肾调督、健脾化瘀针刺法治疗缺血性中风中经络气虚痰瘀阻络证疗效优于对照组,治疗组在改善血液流变学指标方面优于对照组。

Objective：To observe changes in indices in ischemic stroke patients with meridian attack,qi deficiency and stagnation of phlegm in meridian of treatment before and after the blood rhology indexes with Kidney-reinforcing,Du meridian-regulating,Spleen-strengthening and Stagnancy-removing acupuncture method,meanwhile objectively to evaluate affect of this method for the blood rhology indexes. Methods：63 ischemic stroke patients with meridian attack,qi deficiency and stagnation of phlegm in meridian divided into two group,treatment group with Kidney-reinforcing,Du meridian-regulating,Spleen-strengthening and Stagnancy-removing acupuncture method,control group with the method of regulate qi and blood dredge the meridians and collaterals,10 days was a period of treatment and three period of treatments were observed the effect. Results：The total effective rate of the treatment group was 96.7%,in the control group was 80.6%,two groups were different significantly（P0.05）;treatment before and after the change of blood rhology index,with a significant difference between the two groups（P0.05）,treatment after the change of blood rhology the part of index,with a significant difference between the two groups（P0.05）. Conclusions：Kidney-reinforcing,Du meridian-regulating,Spleen-strengthening and Stagnancy-removing acupuncture has a better therapeutic effect on ischemic stroke patients with meridian attack,qi deficiency and stagnation of phlegm in meridian than the method for the control group,the treatment group was superior to the control group in the field of improvement the blood rhology indexes degree.