“醒脑开窍”配合“活血散风”针刺法治疗大动脉粥样硬化型脑梗死临床疗效观察

Clinical observation on acupuncture of “Xingnao Kaiqiao” combined with “activating blood and divergence wind” on main artery atherosclerosis cerebral infarction

[目的]通过"醒脑开窍"配合"活血散风"针刺法与"醒脑开窍"针刺法对比治疗大动脉粥样硬化型脑梗死,探讨以"醒神开窍、滋补肝肾、升清降浊、疏通经络"为指导治疗大动脉粥样硬化型脑梗死临床疗效观察。[方法]采取随机对照研究方法,将2014年3—12月间在天津中医药大学第一附属医院住院患者中符合纳入标准病例358例,随机分为治疗组180例,对照组178例,治疗组采用"醒脑开窍"配合"活血散风"针刺法;对照组采用"醒脑开窍"针刺法;两组均治疗1个月,随访3个月。同时两组患者均常规对症治疗。通过美国国立卫生院神经功能缺损评分(NHISS)、中国卒中量表(CCS)、脑卒中专门化生存质量量表(SS-QOL)量表观察治疗14 d、1个月、3个月的临床指标的变化,并进行统计分析。考核"醒脑开窍"配合"活血散风"针刺法治疗大动脉粥样硬化型脑梗死的疗效比较。[结果]入院时两组患者的基线资料及NHISS、CSS、SS-QOL指标具有可比性(P>0.05)。经过治疗,两组NHISS、SSQOL、CSS指标均有变化,但治疗组较对照组改善更加明显(P<0.05)。[结论]以"醒神开窍、滋补肝肾、升清降浊、疏通经络"为指导采用"醒脑开窍"配合"活血散风"针刺法对大动脉粥样硬化型脑梗死患者在身体水平及社会参与水平恢复方面较单纯"醒脑开窍"针刺法疗效更显著。

[Objective] By observing effect of acupuncture of ＂Xingnao Kaiqiao＂ combined with ＂activating blood and divergence wind＂ on main artery atherosclerosis cerebral infarction, to explore effect on main artery atherosclerosis cerebral infarction guiding by ＂Xingnao Kaiqiao, nourishing the liver and kidney, ascending lucidity and descending the turbid, dredging the meridians＂. [Methods] A random- ized control study, the March-December in 2014, at The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine hospitalized patients met the inclusion criteria of cases 358 cases, according to the order of treatment were randomly divided into treat- ment group 180 cases, 178 cases in the control group, treatment group was treated by ＂Xingnao Kaiqiao＂ with ＂activating blood and di- vergence wind＂ acupuncture; the control group was treated by ＂Xingnao Kaiqiao＂ acupuncture; treatment for one month, three-month fol- low-up, while patients were taking Western medicine symptomatic treatment. By observation of NHISS, CCS, SS-QOL scale on 14 days, a month, three-month of treatment, clinical indicators were analyzed before and after treatment between two groups. [Results] The study in- cluded 358 cases of patients, the treatment group 180 cases, 178 cases in the control group. Three groups of patients on admission base- line data and NHISS, CSS, SS-QOL index was comparable （P〉0.05）. But after treatment, NHISS, SS-QOL, CSS change in both groups, the treatment group improved significantly than the control group （P〈0.05）. [Conclusion] Effect of acupuncture of ＂Xingnao Kaiqiao＂ com- bined with ＂activating blood and divergence wind＂ on large artery atherosclerosis in patients with cerebral infarction is better than ＂Xingnao Kaiqiao＂ acupuncture simple.