任脉灸联合祛瘀生新针刺法治疗痰瘀阻络型急性脑梗死的临床研究

Clinical Study of Conception Vessel Moxibustion Combined with Dispelling Stasis and Promoting Regeneration Acupuncture for Treating Acute Cerebral Infarction of Phlegm Stasis Blocking Collaterals

目的:探讨任脉灸联合祛瘀生新针刺法治疗痰瘀阻络型急性脑梗死的疗效及安全性。方法:选取2021年8月—2022年8月于深圳市宝安区中医院脑病科住院治疗的76例急性脑梗死病人,采用随机数字表法分为对照组和观察组,每组38例,对照组采用常规西医及祛瘀生新针刺法治疗,观察组在对照组治疗基础上加用任脉灸治疗,观察两组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数及改良Ranin量表(mRS)评分变化,比较两组临床疗效,记录不良反应。结果:观察组临床疗效总有效率为97.4%,高于对照组的78.9%,差异有统计学意义(P<0.05)。治疗3周后,两组NIHSS评分较治疗前明显降低,Barthel指数评分较治疗前明显升高,且观察组NIHSS评分低于对照组,Barthel指数评分高于对照组,差异均有统计学意义(P<0.05);随访3个月后,观察组预后良好率高于对照组,差异有统计学意义(94.7%与81.6%,P<0.05)。两组病人均未发生严重不良反应。结论:任脉灸联合祛瘀生新针刺法治疗中风病急性期痰瘀阻络型病人疗效确切,可改善病人神经功能、日常生活能力,预后及安全性较好。

Objective:To explore the efficacy and safety of conception vessec moxibustion combined with dispelling stasis and promoting regeneration acupuncture for the treatment of acute cerebral infarction of phlegm stasis blocking collaterals.Methods:Seventy-six patients with acute cerebral infarction were divided into control group and observation group by random number table method,with 38 cases in each group.The patients of control group were treated with conventional Western medicine and dispelling stasis and promoting regeneration acupuncture,and the patients of observation group were treated with conception vessec moxibustion on the basis of control group.The National Institutes of Health Stroke Scale(NIHSS)score,Barthel index score and mRS Score before and after treatment were compared between the two groups.The clinical efficacy of the two groups was compared,and adverse reactions were recorded.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(97.4%vs 78.9%,P<0.05).At 3 weeks of treatment,NIHSS score of both groups was significantly less than that before treatment,and Barthel index score was significantly more than that before treatment,and NIHSS score of observation group was less than that of control group,and Barthel index score was more than that of control group,the differences were statistically significant(P<0.05).At 3 months of follow-up,the better prognosis rate of the observation group was higher than that of the control group,and the difference was statistically significant(94.7%vs 81.6%,P<0.05).No serious adverse reactions occurred in both groups.Conclusion:Conception vessec moxibustion combined with dispelling stasis and promoting regeneration acupuncture for the treatment of acute cerebral infarction of phlegm stasis blocking collaterals coula improve the neurological function,daily life ability,and prognosis,with better safety.