十宣穴点刺放血对脑梗死患者术后神经功能及血清胱抑素C水平的影响

Intervention Effect of Bloodletting at Shixuan(EX-UE11) Points on Neurological Function in Patients After Surgery for Cerebral Infarction and Its Effect on the Level of Cystatin C in Serum

目的观察十宣穴点刺放血对老年脑梗死患者术后神经功能异常的干预效果及对血清胱抑素C(Cys C)水平的影响。方法选取老年脑梗死手术患者90例,随机分为两组,对照组应用常规手术治疗,治疗组联合应用十宣穴点刺放血治疗,对比术后神经功能以及Cys C水平。结果治疗前两组患者神经功能比较无明显差异(P>0.05),治疗后各个时间点治疗组患者神经功能显著优于对照组(P<0.05);治疗前两组患者血清Cys C水平无明显差异(P>0.05),治疗后各个时间点治疗组患者血清Cys C水平均显著低于对照组(P<0.05);治疗前两组患者MAS(改良Ashworth量表)分级比较无明显差异(P>0.05),治疗后各个时间点治疗组患者MAS分级显著优于对照组(P<0.05)。结论老年脑梗死患者手术之后应用十宣穴点刺放血治疗,有利于改善患者神经功能,降低Cys C水平。

Objective To observe the intervention effect of bloodletting at Shixuan（EX-UE11） points on neurological dysfunction in elderly patients after surgery for cerebral infarction and its effect on the level of cystatin C（Cys C） in serum. Method Ninety elderly patients who were going to receive surgery for cerebral infarction were randomized into two groups. The control group was intervened by conventional surgery, while the treatment group was additionally intervened by bloodletting at Shixuan points. The neurological function and Cys C level after the surgery were compared. Result There was no significant difference in the neurological function between the two groups before the intervention（P〈0.05）, while the neurological function of the treatment group was significantly superior to that of the control group at each time point after the intervention（P〈0.05）. There was no significant difference in the serum level of Cys C between the two groups before the intervention（P〈0.05）, while the serum level of Cys C in the treatment group was significantly lower than that in the control group at each time point after the intervention（P〈0.05）. There was no significant difference in the Modified Ashworth Scale（MAS） grading between the two groups before the intervention（P〈0.05）, while the MAS grading in the treatment group was significantly superior to that in the control group at each time point after the intervention（P〈0.05）. Conclusion Bloodletting at Shixuan points after surgery for cerebral infarction in the elderly patients can help improve neurological function and decrease Cys C level.