微创手术联合早期针灸治疗高血压脑出血的临床研究  

Clinical Study of Minimally Invasive Surgery Combined with Early Acupuncture and Moxibustion for Treatment of Hypertensive Cerebral Hemorrhage

作　　者：常久魁 刘晓荣 郑建辉[1] 周晋[1] 刘维田[1] 徐雅彪 张国栋[1] 

机构地区：[1]河北省唐山市丰润区人民医院脑二科,河北唐山064000 [2]河北省唐山市丰润区中医院中风一科,河北唐山064000

出　　处：《现代生物医学进展》2016年第20期3928-3931,共4页Progress in Modern Biomedicine

摘　　要：目的：探究微创手术联合早期针灸治疗高血压脑出血的临床疗效。方法：采用随机数字表法将本院2012年3月到2014年3月住院治疗的63例高血压脑出血患者分为研究组（34例）和对照组（29例）,研究组给予微创手术与早期针灸（拔除引流管后第2-4天）治疗,对照组给予微创手术与常规针灸（拔除引流管后2周）治疗,分别于治疗前、针灸治疗后第2周和第4周对所有患者进行神经功能缺损及日常生活活动能力判定,对比两组疗效。结果：治疗第2周、4周后,两组神经功能缺损评分在逐渐下降（P〈0.05）,而日常生活活动能力评分在逐渐上升（P〈0.05）,且研究组治疗2周、4周后的神经功能缺损评分均低于对照组（P〈0.05）,日常生活活动能力评分均高于对照组（P〈0.05）;研究组的总有效率为91.2%,显著高于对照组的62.1%（P〈0.05）。结论：微创手术联合早期针灸治疗可显著改善高血压脑出血患者的神经功能及活动能力,临床疗效显著,且疗效优于微创手术联合常规针灸治疗。Objective： To explore the clinical efficacy of minimally invasive surgery combined with early acupuncture and moxibustion for treatment of hypertensive cerebral hemorrhage. Methods： 63 cases of patients with hypertensive intracerebral hemorrhage treated in our hospital from March 2013 to March 2014 who were divided into research group（34 patients） and control group （29 patients） by random number table method. Research group was treated with minimally invasive surgery combined with early acupuncture and moxibustion （from the second day to the fourth day after removal of the drainage tube）, while control group was treated with minimally invasive surgery combined with conventional acupuncture and moxibustion （2 weeks after removal of the drainage tube）, determined the neurologic impairment and activity ability of daily life of all patients before treatment, the second week and the fourth week after acupuncture and moxibustion, compared the efficacy in two groups. Results： The neurologic impairment scores of two groups were gradually declined after treatment of the second week and the the fourth week, while the activity ability of daily life scores were gradually risen （P〈0.05）, and the neurologic impairment scores after treatment of the second week and the fourth week in research group were lower than control group（P〈0.05）, the activity ability of daily life scores were higher than control group（P〈0.05）; The total effective rate of research group was 91.2%, which was significantly higher than 62.1% of the control group （P〈0.05）. Conclusions： Minimally invasive surgery combined with early acupuncture and moxibustion treatment can significantly improve the neurologic impairment and activity ability of daily life in patients with hypertensive cerebral hemorrhage, the clinical efficacy is significant, and the efficacy is better than minimally invasive surgery combined with conventional acupuncture and moxibustion treatment.

关 键 词：微创手术 针灸 早期 高血压脑出血 

分 类 号：S858.216.9[农业科学—临床兽医学]