火针疗法对脑梗死患者下肢深静脉血流速度的影响

Effect of Fire Needle Therapy on Blood Flow Velocity of Deep Vein in Lower Extremity of Cerebral Infarction Patients

目的观察火针疗法对脑梗死患者下肢血液回流速度及肢体功能的影响。方法收集脑梗死患者90例,随机分为对照组与治疗组各45例。对照组给予常规针刺治疗;治疗组给予火针疗法,取患侧血海、足三里、阳陵泉、太冲穴,采用速刺法,进针1~1.5寸后迅速拔出,不留针。两组均每日治疗1次,每周针刺5次,共治疗2周。治疗前后采用多普勒超声诊断仪测量患者患侧下肢静脉血流峰流速、平均血流速度及平均血流量;采用美国国立卫生研究院卒中量表（NIHSS）对患者神经功能缺损程度进行评价,采用Barthel指数评分法（MBI）对患者日常生活能力进行评价。结果治疗后治疗组峰流速较本组治疗前显著升高（P〈0.05）。治疗后治疗组患侧下肢血流峰流速及治疗前后峰流速差值均显著高于对照组（P〈0.05）。两组患者治疗前后平均血流速度、平均血流量比较差异均无统计学意义（P〉0.05）。两组治疗后两组患者NIHSS、MBI评分均较本组治疗前显著改善（P〈0.05）;治疗后NIHSS评分两组间比较差异无统计学意义（P〉0.05）,MBI评分治疗组高于对照组（P〈0.05）。结论火针疗法可提高脑梗死患者肢体深静脉血液回流速度,改善肢体运动功能。

Objective To observe the effect of fire needle therapy on blood flow velocity of lower extremity and limbs function of cerebral infarction （CI） patients. Methods Ninety CI patients collected were randomly divided into control group and treatment group, each of 45 cases. Control group was given routine needle therapy, and treat- ment group was given fire needle therapy. Xuehai （SP10）, Zusanli （ ST36）, Yanglingquan （GB34） and Taichong （LR3） of affected side were selected. Quick needling method was adopted. Pull out needles quickly after inserting 1 to 1. 5 Cun（ 寸）, without needle retaining. Both groups were treated once a day, 5 times each week, for 2 weeks. Doppler uhrasonography was applied to measure the peak flow, mean velocity and mean blood flow of blood in affected side lower extremity vein before and after treatment. National Institute of Health stroke scale （NIHSS） was adopted to evaluate degree of nervous functional defects of patients, modified Barthel index （MBI） to evaluate patients＇ activities of daily living. Results After treatment, peak flow in treatment group was significantly increased （ P 〈 0. 05 ）. Peak flow of blood in affected side lower extremity in treatment group was superior to that in control group （P 〈 0. 05 ）. The difference of peak flow before and after treatment in treatment group was superior to that in control group （P 〈 0. 05）. Mean velocity and mean blood flow in both groups before and after treatment had no significant diffe- rence （P 〉 0. 05）. After treatment, NIHSS and MBI scores in both groups were improved （P 〈0. 05）. NIHSS score between two groups after treatment had no significant difference （P 〉 0. 05）. MBI score in treatment group was higher than that in control group （P 〈 0. 05 ）. Conclusion Fire needle therapy might increase blood flow velocity of extremity deep vein and improve limbs motor function of patients.