针刺治疗急性脑梗死超早期的动态疗效观察  

Dynamic observation on the clinical effect of acupuncture therapy on acute cerebral infarction in super early stage

作　　者：熊杰[1] 魏茂提[2] 杜元灏[3] 石学敏[3] 

机构地区：[1]武警医学院附属医院中医科,天津300162 [2]武警医学院卫生勤务学系,天津300162 [3]天津中医学院第一附属医院,天津300190

出　　处：《武警医学院学报》2008年第7期561-564,共4页Acta Academiae Medicinae CPAPF

基　　金：天津市科技攻关项目(05YFGDSF02300)

摘　　要：【目的】研究急性脑梗死超早期介入针刺治疗的可行性及临床疗效观察。【方法】60例急性脑梗死超早期住院患者,随机分为两组,即常规西药组、针刺+西药常规组,每组30例。分别观察治疗后7、14、21 d患者神经功能功能缺损及临床疗效的动态变化。【结果】针刺组神经功能缺损改变、临床疗效均优于常规组(P<0.01)。同时针刺对首次发病患者的恶化率有一定的控制作用;针刺协同药物对血压、血糖、血脂有一定的良性调节作用。【结论】超早期可介入针刺治疗,无明显不良反应,且可控制病情恶化、提高临床疗效。[Objective] To investigate the feasibility and curative effect of acupuncture therapy on acute cerebral infarction in super early stage. [Methods] A total of 60 inpatients with acute cerebral infarction in super early stage were randomly divided into tow groups, routine medicine therapy group and acupuncture plus routine medicine therapy group （30 cases in each group）. Dynamic changes of the neurological impairment and the curative effect at the 7th , 14th, 21th day during treatment were observed. [Results] The improvement of the neurological impairment and the curative effect in acupuncture group was better than that in the routine medicine group （P 〈 0.01）. Meanwhile the acupuncture therapy could control the aggravation rate of the first onset patients, and cooperate with medicine in regulating the blood pressure, blood glucose and blood lipid during treatment. [Conclusions] Acupuncture therapy could control the aggravation rate and improve the curative effect in super early stage of cerebral infaraction without obvious adverse reaction.

关 键 词：针刺 急性脑梗死 临床治疗 

分 类 号：R245.3[医药卫生—针灸推拿学]