温肾活血汤配合头皮针治疗急性脑梗死临床研究

Clinical Study on Wenshenhuoxue Decoction and Scalp Acupuncture in Patients with Acute Cerebral Infarction

目的观察温肾活血汤配合头皮针治疗急性脑梗死的临床疗效并探讨其作用机制。方法将120例急性脑梗死患者随机分为治疗组和对照组各60例,对照组予单纯西医治疗,按急性脑梗死常规处理,并进行康复训练;治疗组在对照组治疗的基础上,每日服中药温肾活血汤,并配合头皮针治疗。两组疗程均为2周。观察治疗前后患者的血脂、血液流变学、神经功能缺损程度评分及临床疗效。结果治疗组血脂、血液流变学指标及神经功能改善均优于对照组,临床疗效亦优于对照组。结论温肾活血汤配合头皮针能改善急性脑梗死患者血脂含量及脑血液循环,减轻神经功能缺损,显著提高治疗缺血性中风的临床疗效。

Objective： To observe the curative effect and the mechanism of Wenshenhuoxue Decoction and scalp acupuncture in patients with acute cerebral infarction.Methods： 120 patients with acute cerebral infarction were randomly divided into the treatment group and the control group with 60 cases in each group.Patients in the control group were treated by western medicine according to the routine treatment of acute cerebral infarction and got rehabilitation training at the same time.Patients in the treatment group were treated by Wenshenhuoxue Decoction and scalp acupuncture on basis of the same therapy in the control group.Each patient was treated for 2 weeks to observe the changes of the hemorheology,blood lipid,neurologic impairment score and curative effect.Results： The hemorheology,the blood lipid and the neurologic impairment score of the treatment group were better than those of the control group after the treatment.Meanwhile,the clinical effect of the treatment group was superior to that of the control group.Conclusion： Wenshenhuoxue Decoction and scalp acupuncture could improve cerebral blood circulation in patients with acute cerebral infarction,reduce the scores of neurologic function deficit,increase the cure rate and decrease the deformity rate.Wenshenhuoxue Decoction and scalp acupuncture could significantly increase the curative effect in patients with acute cerebral infarction.