中医针灸联合微创手术治疗高血压脑出血患者的效果

Effect of Traditional Chinese Medicine Acupuncture Combined with Minimally Invasive Surgery in the Treatment of Patients with Hypertensive Cerebral Hemorrhage

目的:探讨中医针灸联合微创手术治疗高血压脑出血患者的效果。方法:选取2018年2月—2022年2月贵州中医药大学第一附属医院收治的116例高血压脑出血患者作为研究对象,按照随机数表法将患者分为观察组和对照组,各58例,对照组予以微创手术治疗,观察组在此基础上联合中医针灸治疗。比较两组患者临床疗效,治疗前后神经功能、日常生活功能、下肢功能、氧化应激指标水平及生活质量。结果:观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组神经功能、日常生活功能、下肢功能、氧化应激、生活质量比较,差异无统计学意义(P>0.05);治疗后,两组美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分、超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malondialdehyde,MDA)水平较治疗前降低,日常生活能力量表(activity of daily living scale,ADL)评分、功能性步行量表(functional ambulation category scale,FAC)评分、Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment,FMA)评分及社会功能、心理功能、躯体功能、物质生活评分较治疗前升高,且观察组NIHSS评分、SOD、MDA水平低于对照组,ADL评分、FAC评分、FMA评分及社会功能、心理功能、躯体功能、物质生活评分高于对照组,差异有统计学意义(P<0.05)。结论:中医针灸联合微创手术治疗高血压脑出血患者,有利于提高临床疗效,促进神经功能、日常生活功能及下肢功能的恢复,同时改善氧化应激反应,提高生活质量。

Objective:To investigate the effect of traditional Chinese acupuncture combined with minimally invasive surgical in the treatment of patients with hypertensive cerebral hemorrhage.Method:A total of 116 patients with hypertensive cerebral hemorrhage who treated in the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from February 2018 to February 2022 were selected as the study objects,and they were divided into the observation group and the control group according to the random number table method,58 patients in each group.The control group was treated by minimally invasive surgery,and the observation group was treated combined with traditional Chinese acupuncture on this basis.The clinical efficacy,neurological function,daily living function,lower limb function,oxidative stress index level and quality of life before and after treatment were compared between two groups.Result:The total clinical effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in neurological function,daily living function,lower limb function,oxidative stress and quality of life between two groups(P>0.05).After treatment,the National Institutes of Health stroke scale(NIHSS)scores,superoxide dismutase(SOD)and malondialdehyde(MDA)levels in two groups were lower than those before treatment,the activity of daily living scale(ADL)scores,functional ambulation category scale(FAC)scores,Fugl-Meyer assessment(FMA)scores,social function,psychological function,physical function and material life scores were higher than those before treatment,and the NIHSS score,SOD and MDA levels in the observation group were lower than those in the control group,the ADL score,FAC score,FMA score and social function,psychological function,physical function,material life scores were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese acupuncture combined with minimally invasive surgical in the treatment of patients with hypertensive cerebral hemorrhage is beneficial to improve the clinical efficacy,promote the recovery of neurological function,daily life function and lower limb function,improve the oxidative stress response and improve the quality of life.