Effect of warm needling plus oral medication on blood lipids in cerebral infarction patients

温针灸结合口服药物对脑梗死患者血脂的影响（英文）

Objective：To observe the effect of warm needling plus oral administration of rosuvastatin calcium tablets on blood lipids in cerebral infarction patients. Methods：A total of 125 eligible cases were randomly allocated into group A （n=42）, group B （n=40） and group C （n=43）. Cases in group A received warm needling plus oral administration of rosuvastatin calcium tablets, cases in group B received warm needling, whereas cases in group C received oral administration of rosuvastatin calcium tablets. Results：After treatment, the total cholesterol （TC）, triglyceride （TG）, low-density lipoprotein cholesterol （LDL-C） all dropped obviously in the three groups, with significant differences （allP〈0.05）, modified Barthel index （BI） scores all significantly rise （allP〈0.05）, and high-density lipoprotein cholesterol （HDL-C） remained unchanged （allP〉0.05）. After treatment, the changes of TC, TG and LDL-C in group A were significantly different from those in group B and group C （allP〈0.05）, while the changes showed no statistical significance between group B and group C （P〉0.05）. There were no between-group differences in HDL-C among the three groups （allP〉0.05）; the modified BI scores in groupA and groupB were significantly higher than that in group C （bothP〈0.05）, while there was no significant difference between group A and group B （P〉0.05）.After treatment, the total effective rate was significantly higher in group A than that in group B and group C （bothP〈0.05）, there was no significant difference between group B and group C （P〉0.05）. Conclusion：Warm needling and oral administration of rosuvastatin calcium tablets both can adjust blood lipids effectively in cerebral infarction patients with a similar therapeutic efficacy, while the effect gets better based upon combining both methods; acupuncture-moxibustion plays an important role in the recovery of nerve functions in cerebral infarction patients.

目的:观察温针灸结合口服瑞舒伐他汀钙片对脑梗死患者血脂的影响。方法:将125例符合纳入标准的脑梗死合并血脂异常的患者随机分为3组,其中A组42例,采用温针灸结合口服瑞舒伐他汀钙片治疗;B组40例,采用温针灸治疗;C组43例,口服瑞舒伐他汀钙片治疗。结果:治疗后,3组患者总胆固醇、甘油三酯、低密度脂蛋白均较本组治疗前明显下降(均P<0.05),改良Barthel指数(BI)评分均有明显增加(均P<0.05),高密度脂蛋白升高均不明显(均P>0.05);治疗后,在总胆固醇(TC)、甘油三酯、低密度脂蛋白变化方面,A组较B、C两组明显降低(均P<0.05),但B、C两组疗效相当(P>0.05),3组高密度脂蛋白结果无明显差异(均P>0.05);A、B两组改良BI评分较C组明显增加(均P<0.05),但A、B两组比较,无明显差异(P>0.05)。治疗后,A组总体疗效优于B组和C组(均P<0.01),B组与C组无统计学差异(P>0.05)。结论:温针灸及口服瑞舒伐他汀钙片均可有效的调节脑梗死患者的血脂水平,且两者效果相当,但两种方法联用降脂效果更加明显;针灸在脑梗死患者神经功能恢复过程中发挥着重要作用。