摘要
【目的】观察头穴温针灸疗法治疗缺血性脑卒中的临床疗效。【方法】将60例缺血性脑卒中患者随机分为观察组和对照组,每组各30例。2组均给予常规治疗,控制基础疾病,对照组给予针刺治疗,观察组给予头穴温针灸疗法,2周为1个疗程,共治疗4个疗程。治疗8周后,评价2组的临床疗效,观察2组患者治疗前及治疗2、4、8周后中医眩晕症状积分的变化情况,比较2组患者治疗前及治疗8周后经颅多普勒超声(TCD)检查基底动脉平均血流速度、美国国立卫生院卒中量表(NIHSS)评分的变化情况。【结果】(1)观察组总有效率为76.7%(23/30),对照组为56.7%(17/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的中医眩晕症状积分均明显改善(P<0.05),且观察组在改善中医眩晕症状积分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的基底动脉平均血流速度明显改善(P<0.05),且观察组在改善基底动脉平均血流速度方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的NIHSS评分明显改善(P<0.05),且观察组在改善NIHSS评分方面明显优于对照组,差异有统计学意义(P<0.05)。【结论】头穴温针灸疗法治疗缺血性脑卒中,能明显改善患者临床症状,提高患者生活质量,疗效显著。
Objective To observe the clinical efficacy of moxibustion with warming needle at scalp points for the treatment of ischemic stroke. Methods Sixty patients with ischemic stroke were randomly divided into observation group and control group,30 cases in each group. The two groups were given routine treatment for controlling basic disease,in addition,the control group was treated with acupuncture,and the observation group was treated with moxibustion with warming needle at scalp points. Two weeks constituted one treatment course,and the treatment covered 4 treatment courses. After 8 weeks of treatment,the total effective rate of the two groups was evaluated.The changes of traditional Chinese medicine(TCM)vertigo symptom score before treatment and after 2, 4,8 weeks of treatment,and mean basilar artery blood flow velocity examined by transcranial Doppler ultrasound(TCD),and National Institutes of Health Stroke Scale(NIHSS)score were compared between the two groups before treatment and after 8 weeks of treatments. Results(1)The total effective rate of the observation group was76.7%(23/30),while that of the control group was 56.7%(17/30). The therapeutic efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the TCM vertigo symptom scores of the two groups were improved(P<0.05),and the improvement in TCM vertigo symptom scores of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(3)After treatment,the mean basilar artery blood flow velocity of the two groups was improved(P<0.05),and the improvement in mean basilar artery blood flow velocity of the observation group was superior to that of the control group, the difference being statistically significant(P<0.05).(4)After treatment,the NIHSS scores of the two groups were improved(P<0.05),and the improvement in NIHSS scores of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion Moxibustion with warm needle at scalp points has obvious curative effects on clinical symptoms of the patients with ischemic stroke,thus promotes the quality of life.
作者
黄慈辉
林云鑫
庄泽钦
沈丹婷
江桦清
郑谅
HUANG Ci-Hui;LIN Yun-Xin;ZHUANG Ze-Qin;SHEN Dan-Ting;JIANG Hua-Qing;ZHENG Liang(The First Clinical Medical School of Guangzhou diversity of Chinese Medicine,Guangzhou 510405 Guangdong,China;The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第8期1640-1644,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广州中医药大学第一附属医院创新强院资助项目(编号:2017ZWB02)
杨文辉广东省名中医传承工作室资助项目(编号:粤中医办函[2019]5号)
广东省攀登计划广东大学生科技创新培育专项基金资助项目(编号:pdjhb0114)
广州中医药大学第一临床医学院创新强院团队孵化计划资助项目(编号:2018XXDT01)。
关键词
头穴
温针灸
缺血性脑卒中
生活质量
临床疗效
scalp points
moxibustion with warming needle
ischemic stroke
quality of life
clinical efficacy