针刺回阳九针穴对中风恢复期患者的康复效果及脑血流的影响

Effect of Acupuncture of Huiyang Nine Aupoints on Stroke Rehabilitation and Cerebral Blood Flow in Patients

目的：研究针刺回阳九针穴对中风恢复期患者的康复效果及脑血流的影响。方法：选择2015年11月—2017年2月本院共100例中风恢复期患者作为研究对象,采用随机数字表法将其均分为两组,每组各50例。对照组在恢复期服用通心络胶囊并根据患者实际情况进行常规治疗;观察组在此基础上采用针刺回阳九针穴治疗。观察指标：观察比较两组治疗效果,记录比较两组神经功能缺损评分（neurological function defect Scale,NFDS）和Barthel指数（the Barthel index of ADL）,并检测患者大脑前动脉（anterior cerebral artery,ACA）、大脑中动脉（middle cerebral artery,MCA）、大脑后动脉（posterior cerebral artery,PCA）平均动脉血流速度。结果：观察组患者临床总有效率98. 00%明显高于对照组82. 00%,差异有统计学意义（P 〈0. 05）。两组患者在接受治疗后,NFDS评分明显降低而ADL评分明显上升;治疗后观察组NFDS评分明显低于对照组而ADL评分明显高于对照组（P 〈0. 05）。与治疗前比较,两组大脑MCA、ACA、PCA平均动脉血流速度均有增快（P 〈0. 05）,与治疗前比较,两组大脑MCA、ACA、PCA平均动脉血流速度均有增快（P 〈0. 05）,治疗后观察组MCA、PCA平均动脉血流速度明显高于对照组（P 〈0. 05）。结论：针刺回阳九针穴能显著改善患者脑细胞的血液供给,利于受损脑组织的修复和患者的康复效果。

Objective： To study the acupuncture of Huiyang nine points on stroke rehabilitation effect and cerebral blood flow in patients. Methods： From November 2015 to February 2017,a total of 100 stroke recovery patients were selected as the subjects. The random number table was used to divide them into two groups,50 cases in each group. The control group received Tongxinluo Capsule at the recovery stage and received routine treatment according to the actual situation of the patients. On the basis of the observation group adopted Huiyang nine acupoints. The therapeutic effects of the two groups were observed and compared. The two groups＇ neurological deficit score and Barthel index were recorded and the average arterial blood flow velocity of the anterior cerebral artery,middle cerebral artery and posterior cerebral artery were measured. Results： The total effective rate of the observation group was 98%,which was higher than the control group＇ s 82%. The difference was statistically significant（P〈0.05）. The scores of NFDS in the two groups were significantly lower than those in the control group,while the scores of NFDS in the observation group were significantly lower than those in the control group（P〈0.05） after treatment and the ADL score was significantly higher than that in the control group after treatment. The ADL score was significantly higher than that in the control group. Compared with those before treatment,two groups＇ MCA,ACA,PCA and average cerebral artery blood flow velocity were increased（P〈0.05）. Compared with those before treatment,two groups＇ MCA,ACA,PCA and average cerebral artery blood flow velocity were increased（P〈0.05）. MCA,PCA and the average blood flow velocity after treatment in observation group were significantly higher than those of the control group（P〈0.05）. Conclusion： Acupuncture Huiyang nine acupoints can significantly improve the brain cells of patients with blood supply,conducive to the rehabilitation effect of the damaged brain tissue repair and patients.