醒脑开窍针刺法配合低分子肝素钙治疗进展性脑梗塞的疗效观察  

The Efficacy of Xingnaokaiqiao Acupuncture Method Combined with Low Molecular Heparin Calcium in Treating Progressive Ischemic Stroke

作　　者：张利斌 何芸[2] 

机构地区：[1]山东省鱼台县中医院,山东鱼台272300 [2]陕西省安康市中心医院神经内科,陕西安康725000

出　　处：《河北医学》2016年第9期1438-1441,共4页Hebei Medicine

基　　金：山东省卫生厅科研基金资助项目;(编号:2005HW116)

摘　　要：目的:对醒脑开窍针刺法联合低分子肝素钙治疗进展性脑梗塞的疗效进行临床评价。方法:对我院近年来收治的80例进展性脑梗塞患者进行随机平行分组,按照随机数字表随机分为治疗组与对照组各40例,两组患者均给予常规西医治疗方案(包括低分子肝素钙治疗),治疗组在此基础上加用中医醒脑开窍针刺法治疗,对两组患者治疗前、后的神经功能、日常生活能力评分等指标进行比较。结果:治疗14d后,治疗组NIHSS评分、BI指数均较同期对照组改善明显(P<0.05),且PT、APTT水平均较同期对照组明显升高(P<0.05),具有统计学意义。结论:醒脑开窍针刺法联合低分子肝素钙治疗进展性脑梗塞疗效理想,可显著促进神经功能恢复、提高生活能力,可能与其改善凝血功能机制有关。Objective ： To evaluate the clinical efficacy of Xingnaokaiqiao acupuncture method with low molecular heparin calcium treating progressive ischemic stroke. Methods： 80 patients with progressive ische- mic stroke admitted in our hospital in recent years were selected as the research objects, according to the ran- dom parallel grouping randomly divided into treatment group and the control group （n = 40） , two groups of patients were given conventional western medicine treatment, including low molecular heparin calcium treatment） , the treatment group on the basis of that combined with Xingnaokaiqiao acupuncture method of tradi- tional Chinese medicine treatment, before and after treatment, the index such as nerve functions, daily life a- bility score of the patients were compared. Results： After 14 days treatment, the NIHSS score , BI index of the treatment group had significantly improved than the same period the control group （P 〈 0.05 ） , and the level of PT, APTF of the control group were obviously higher than the same period （ P 〈 0.05 ）, the results had sta- tistical significance. Conclusion： Xingnaokaiqiao acupuncture method combined therapy with low molecular heparin calcium progressive ischemic stroke curative effect is ideal. It can significantly promote the neural function recovery and improve the living ability, to improve the function of blood coagulation mechanism.

关 键 词：进展性脑梗塞 醒脑开窍针刺法 低分子肝素钙 中西医结合 

分 类 号：R743.3[医药卫生—神经病学与精神病学]