不同穴位组合对脑卒中后面神经损伤的血流动力学影响

Effects of Different Combinations of Acupoints on Recovery of Facial Nerve Function

目地:观察不同穴位组合对于脑卒中后面神经损伤的修复作用。方法:将120例脑卒中后面神经损伤患者随机分成4组,A组:采用单纯神经内科常规药物治疗组;B组:常规药物治疗+面部局部穴位针刺治疗组;C组:常规药物+活血化瘀穴位针刺治疗组;D组:常规药物+面部穴位+活血化瘀穴位针刺治疗组;每组30人。在治疗前,治疗10天,治疗20天,治疗30天分别进行面神经损伤后临床症状评分和颅内血流动力学测定。结果:D组在治疗20天,30天后均可以明显提高临床症状评分,且在30天后D与其他各组间有显著差异(C组:14.88±4.13;D组:17.55±2.32;p<0.01)。TCD的比较中,D组治疗30天后可以明显改善大脑中动脉的血流(38.24±13.47,p<0.01)。结论:不同穴位组合对于脑卒中后面神经损伤的恢复与颅内血供改善相关。

Objective：To investigate the effects of different combinations of acupoints on the recovery of facial nerve function.Methods：120 patients with facial nerve injured poststroke were divided into four groups：Group A underwent a simple conventional medication.Group B was acupunctured on face points and conventional medication.Group C was acupunctured and activating blood circulation to dissipate blood stasis,medication.Group D was acupunctured on point treatment and medication,acupunctured activating blood circulation to dissipate blood stasis.30 people were enrolled in every group.The modified clinical symptom score（portmann）and intracranial hemodynamics were analyzed at treated before and 10,20,30 days after treated.Results：Group D in the treatment of 20 days,30 days could significantly improve the clinical symptom score.30 days after,the clinical symptom score in Group D increased significantly compared with the other groups（Group C：14.88±4.13;Group D：17.55±2.32;p0.01）.In TCD test,Group D can significantly improve blood flow of middle cerebral artery after 30 days treatment.Conclusion：Different combinations of acupoints could improve the recovery of facial nerve function after stroke,which related to the increase of intracranial blood supply.