摘要
目的:研究眼针联合电针对急性脑梗死后偏瘫患者神经功能缺损及t-PA、PAI-1、D-D水平影响。方法:选取我院收治的急性脑梗死后偏瘫患者94例,根据随机数字表法分为两组,各47例。对照组给予电针疗法,治疗组在对照组基础上给予眼针疗法,对比两组患者治疗后的临床疗效、Barthel指数评分和NIHSS评分、SF-36量表评分和t-PA、PAI-1、D-D水平。结果:经过治疗后,治疗组总有效率显著高于对照组(P<0.05);两组患者PAI-1、D-D水平均显著降低,t-PA水平显著升高(P<0.05),并且治疗组改善程度较大(P<0.05);两组患者Barthel指数评分显著升高,NIHSS评分显著降低(P<0.05),并且治疗组改善程度较大(P<0.05);两组患者SF-36量表评分均显著高于治疗前(P<0.05),并且治疗组升高程度较大(P<0.05)。结论:采用眼针联合电针治疗急性脑梗死后偏瘫取得较好的治疗效果,能够改善患者神经功能和血液流变学指标,安全性较高,值得在临床上推广应用。
Objective:To study the effects of eye acupuncture combined with electro-acupuncture on neurological deficits and the levels of t-PA,PAI-1 and D-D levels in patients with hemiplegia after acute cerebral infarction.Methods:94 patients met the inclusion criteria were randomly divided into the control group(n=47)and the treatment group(n=47).The control group was treated with electro-acupuncture;on which basis,the treatment group was also treated with eye acupuncture.The clinical efficacy,the scores of Barthel index,NIHSS and SF-36 scale,as well as the levels of t-PA,PAI-1 and D-D were observed and compared between the two groups after the treatment.Results:The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).The levels of PAI-1 and D-D were significantly decreased and t-PA level was significantly increased in both groups after the treatment(P<0.05);the improvement degrees of the treatment group were more significant than those in the control group(P<0.05).Barthel index score was significantly increased and NIHSS score was significantly decreased in the two groups after the treatment(P<0.05);of which the treatment group improved more(P<0.05).The scores of SF-36 scale were significantly increased in the two groups after the treatment(P<0.05),the increase was more significant in the treatment group(P<0.05).Conclusion:Eye acupuncture combined with electro-acupuncture can achieve a good therapeutic effect in the treatment of hemiplegia after acute cerebral infarction.The therapy can improve the patient's neurological function and hemorheology indicators with high safety,which is worthy of clinical application.
作者
王科
王琼芬
钟永强
黄璟
WANG Ke;WANG Qiongfen;ZHONG Yongqiang;HUANG Jing(The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China)
出处
《针灸临床杂志》
2020年第2期30-33,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
眼针
电针
急性脑梗死
偏瘫
神经功能缺损
Eye acupuncture
Electro-acupuncture
Hemiplegia
Acute cerebral infarction
Neurological deficits