醒脑开窍针刺法联合西药治疗急性前循环和后循环脑梗死疗效比较研究

Comparison of Therapeutic Effects of Acupuncture with Consciousness Restoring Needling Method Combined with Western Medicine on Acute Anterior and Posterior Cerebral Infarction

目的对比观察醒脑开窍针刺法联合西药治疗急性前循环及后循环脑梗死的临床疗效。方法纳入95例急性脑梗死患者,其中急性前循环梗死患者50例(前循环组)、急性后循环梗死患者45例(后循环组)。两组患者在神经内科常规治疗的基础上加用醒脑开窍针刺法,每日1次,1周1个疗程,连续治疗4个疗程。治疗前后对患者进行美国国立卫生研究院卒中量表(NIHSS)和日常生活活动能力(ADL)量表评分,治疗后评定临床神经功能缺损疗效。结果治疗后两组患者NIHSS评分均比治疗前降低,ADL评分均升高(P <0. 05);并且前循环组NIHSS评分低于后循环组,而ADL评分高于后循环组(P <0. 05)。前循环组临床神经功能缺损疗效总有效率和显效率(94. 00%、34. 00%)高于后循环组(80. 00%、13. 33%)(P <0. 05)。结论醒脑开窍针刺法均能促进前、后循环脑梗死神经功能恢复,提高患者日常生活能力,且对前循环脑梗死的疗效优于后循环脑梗死。

Objective To compare the clinical efficacy of Acupuncture with consciousness restoring needling method in the treatment of acute anterior circulation and posterior circulation cerebral infarction.Method A total of 95 patients with acute cerebral infarction were selected,including 50 patients with acute anterior circulation infarction(ACS group) and 45 patients with acute posterior circulation infarction group(PCS group).Both groups of patients were treated with acupuncture on the basis of routine treatment of neurology once a day,one week as a treatment course,and they were treated continuously for 4 coures.The National Institutes of Health Stroke Scale(NIHSS) and activities of daily living(ADL) scales were evaluated before and after treatment,and the clinical efficacy of neurological deficit was evaluated after treatment.Result After treatment,the NIHSS scores of the patients with acute anterior circulation infarction and posterior circulation infarction were decreased compared with before the treatment,and the ADL scores were increased(P<0.05).The NIHSS scores of the ACS group were lower than that of the PCS group,while the ADL score was higher than that of PCS group(P<0.05).The total effective rate and remarkably effective rate of the ACS group was 94% and 34% respectively,which was significantly higher than those of the PCS group(respectively 80% and 13%,P<0.05).Conclusion Acupuncture with consciousness restoring needling method could promote the recovery of neurological function in anterior and posterior cerebral infarction,improve the daily living ability of patients,and the curative effect of anterior circulation cerebral infarction is better than that of posterior circulation cerebral infarction.