铜砭刮痧技术治疗腔隙性脑梗死的效果分析

Clinical efficacy of copper needle scraping technique in the patients with lacunar cerebral infarction

目的分析铜砭刮痧技术治疗腔隙性脑梗死的效果。方法选取113例腔隙性脑梗死患者,按照随机数字表法分为对照组56例和观察组57例。对照组予以常规西医治疗,观察组采用铜砭刮痧技术辅助西医治疗。比较两组的神经功能、脑血流动力学改善情况、认知功能评分及认知障碍发生情况。结果治疗1、2个疗程后,观察组的NIHSS均低于对照组,差异有统计学意义(P<0.05);治疗2个疗程后,观察组的脑血流量(CBF)、脑血容量(CBV)均高于对照组,血管阻力指数(RI)低于对照组(P<0.05);简易智力状态检查量表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分均高于对照组(P<0.05);认知障碍发生率低于对照组(P<0.05)。结论铜砭刮痧技术能有效改善腔隙性脑梗死患者的神经功能及脑血流动力学,对促进认知功能恢复并降低认知障碍发生风险均有积极意义。

Objective To observe the clinical efficacy of copper needle scraping technique in patients with lacunar cerebral infarction.Methods 113 patients with lacunar infarction were selected and randomly divided into the control group and observation group.The control group were treated with conventional Western medicine,while the observation group were treated with copper needle scraping technique and Western medicine.The neurological function,cerebral hemodynamic conditions,cognitive function scores,and incidence of cognitive impairment between the two groups patients were compared.Results After one or two courses of treatment,the NIHSSs of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After two courses of treatment,the cerebral blood flow(CBF)and cerebral blood volume(CBV)of the observation group were higher than those of the control group,while the vascular resistance index(RI)of the observation group was lower than that of the control(P<0.05).The Mini Mental State Examination(MMSE)and Montreal Cognitive Assessment(MoCA)of the observation group were higher than those in the control group,while the incidence of cognitive impairment was lower than that of the control group(P<0.05).Conclusion Copper needle scraping technique improves effectively the neurological function and cerebral hemodynamics in patients with lacunar cerebral infarction,and it is positive significance in promoting cognitive function recovery and reducing the risk of cognitive impairment.