巨刺法治疗急性缺血性脑梗死的临床疗效及其对脑血流动力学的影响

Clinical effect of opposing needling treated acute cerebral infarction and its effect on cerebral hemodynamics

目的探讨巨刺法治疗急性缺血性脑梗死的临床疗效及其对脑血流动力学的影响。方法收集我院收治的急性缺血性脑梗死患者106例,依据随机数字表法随机分为对照组和治疗组,各53例,对照组予以西医常规治疗;治疗组在对照组的基础上采用巨刺疗法,2组患者均治疗4周。比较2组患者临床疗效、神经功能缺损评分、脑血流图及中医证候积分改善情况。结果治疗后,治疗组临床总有效率为96.27%,对照组临床总有效率为75.47%,治疗组较对照组改善明显,2组结果具有显著差异(P <0.05);2组患者神经功能缺损评分均有所降低,治疗组较对照组降低明显,结果具有显著差异(P <0.05);2组患者脑血流图上升时间、波幅及流入容积速度均有所改善,治疗组患者改善程度均较对照组显著(P <0.05);2组患者中医证候积分评分均有所降低,与对照组比较,治疗组患者降低更明显(P <0.05)。结论巨刺法针对急性缺血性脑梗死具有较好的临床治疗意义,具有改善脑部血液循环、减缓神经功能损伤、协调患侧肢体平衡性作用,提高其康复治疗效果。

Objective To explore the clinical effect of opposing needling treated acute cerebral infarction and its effect on cerebral hemodynamics.Methods 106 patients with acute ischemic cerebral infarction were randomly divided into the control group and the treatment group according to the random number table method,53 cases in each group, the control group was treated by western medicine.The treatment group was treated with the opposing needling based on the control group,and the two groups were treated for four weeks.Clinical total effective rate,neurologic impairment scores,rheoencephalogram and TCM syndrome score were compared between the two groups.Results After treatment, the total clinical efficiency of the treatment group was 96.27%,the total effective rate of control group was 75.47%,and the treatment group compared with the control group improved significantly,the difference was statistically significant (P<0.05).The neurologic impairment scores of the two groups were decreased,the treatment group compared with the control group decreased more obviously (P<0.05).Rheoencephalogram rising time,wave amplitude and inflow volume velocity of two groups were improved.The improvement of the patients in the treatment group was more significant than that of the control group (P<0.05).TCM syndrome score of two groups were decreased,compared with the control group,the treatment group decreased more obviously (P <0.05).Conclusion The opposing needling had a better clinical treatment for the acute cerebral infarction.It can improved the brain blood circulation,slow nerve function damage,coordinate the body balance,improve the effect of the rehabilitation treatment.