手十二井刺络放血配合拮抗肌推拿对中风患者认知和血液动力学的影响

Effects of Bloodletting of Twelve Well Acupoints in Hands and Antagonistic Muscle Massage on Cognition and Hemodynamics of Stroke

目的探讨手十二井刺络放血配合拮抗肌推拿对中风患认知和血液动力学的影响作用。方法选取2017年1月—2019年12月期间在医院进行治疗的103例脑卒中患者,根据数字表法随机分为对照组52例和观察组51例;对照组采用拮抗肌推拿手法对患者进行治疗,观察组在对照组基础上联合手十二井刺络放血法对患者进行治疗;对两组患者治疗前后的认知功能、神经功能缺损NIHSS评分、日常活动MBI评分以及血液动力学做出对比与研究。结果两组患者治疗前认知功能4个维度组间比较均无统计学意义(P>0.05);治疗后1周观察组较治疗前效果有明显提升(P<0.05),对照组较治疗前虽略有改善但无统计学意义(P>0.05),观察组与对照组组间比较具有统计学意义(P<0.05);治疗后1个月两组患者较治疗前均得到显著提升(P<0.05),但是组间比较,观察组效果更显著(P<0.05);两组患者治疗前神经功能缺损情况NIHSS评分比较均无统计学意义(P<0.05),治疗后1周与1个月两组患者较治疗前均得到显著改善(P<0.05),但是组间比较,观察组效果更显著(P<0.05);两组患者治疗前日常活动MBI评分比较均无统计学意义(P<0.05),治疗后1周与1个月两组患者较治疗前均得到显著改善(P<0.05),但是组间比较,观察组效果更显著(P<0.05);治疗后两组患者血液动力学指标均得到显著改善(P<0.05),组间比较,观察组效果显著高于对照组(P<0.05)。结论手十二井刺络放血配合拮抗肌推拿在中风患者治疗中能有效提高患者认知功能和MBI评分,同时改善患者神经受损和血液动力学指标。

Objective To explore the effects of bloodletting of twelve well acupoints in hands combined with antagonistic muscle massage on the cognition and hemodynamics of stroke patients.Methods A total of 103 stroke patients who were treated in our hospital from January 2017 to December 2019 were randomly divided into control group(52 cases)and observation group(51 cases)according to the digital table method.The control group was treated with antagonistic muscle massage.The observation group was treated with the combination of bloodletting of twelve well acupoints in hands on the basis of the control group.The cognitive function,neurological deficit NIHSS score,daily activity MBI scoreand hemodynamics of the two groups were compared and researched.Results There was no significant difference in the four dimensions of cognitive function between the two groups before treatment(P>0.05).The effect of the observation group one week after treatment was significantly improved compared with that before treatment(P<0.05).There was a slight improvement but no statistical significance(P>0.05).After one month of treatment,the effect of the observation group was more significant(P<0.05).There was no statistically significant difference in NIHSS scores between the two groups before treatment(P<0.05)and 1 week and 1 month after treatment,the NIHSS scores in the two groups were significantly improved(P<0.05).But the effect of the observation group was more significant(P<0.05).There was no statistically significant difference in MBI scores of daily activities before treatment in the two groups(P<0.05).And 1 week and 1 month after treatment,the two groups'MBI scores were significantly improved than before treatment(P<0.05)and the effect of the observation group was more significant(P<0.05).The hemodynamics before treatment of the two groups had no significance(P<0.05).After treatment,the hemodynamic parameters of the two groups were significantly improved(P<0.05).The effect of the observation group was significantly higher(P<0.05).Conclusion The bloodletting of twelve well acupoints in hands combined with antagonistic muscle massage can effectively improve patients'cognitive function and MBI score as well as improve nerve damage and hemodynamic indexes in patients.