电针治疗对脑缺血患者的临床分析  

Clinical analysis of electroacupuncture treatment in patients with cerebral ischemia

作　　者：金深辉[1] 张明晓[1] 梁冬冬[1] 王均炉[1] 

机构地区：[1]温州医科大学附属第一医院麻醉科,浙江温州325000

出　　处：《中国现代医生》2017年第23期73-76,共4页China Modern Doctor

基　　金：国家自然科学基金(81273926)

摘　　要：目的探讨电针治疗对脑缺血患者的临床效果。方法选取本院2015年6月~2016年11月收治的脑缺血患者148例,采用随机数字表法分为两组,对照组患者74例实施常规治疗,观察组患者74例联用电针治疗。于治疗前后行日常生活能力、运动功能、神经功能评定,并行临床指标检测,比较两组患者的治疗效果。结果治疗后,两组患者血清Bcl-2、超氧化物歧化酶、日常生活能力评分、Fugl Meyer评分增加(P<0.05)。两组患者胶质纤维酸性蛋白、丙二醛、髓鞘碱性蛋白、S100β、神经元特异性烯醇化酶、神经功能缺损评分降低(P<0.05)。观察组患者血清Bcl-2、超氧化物歧化酶、日常生活能力评分、Fugl Meyer评分、治疗总有效率高于对照组(P<0.05)。观察组患者胶质纤维酸性蛋白、丙二醛、髓鞘碱性蛋白、S100β、神经元特异性烯醇化酶、神经功能缺损评分低于对照组(P<0.05)。结论电针治疗可提高脑缺血患者的日常生活能力、运动功能、神经功能,并改善机体氧化应激水平,具有较高的临床价值。Objective To investigate the clinical effect of electroacupuncture on patients with cerebral ischemia. Methods A total of 148 patients with cerebral ischemia in our hospital from June 2015 to November 2016 were enrolled. The patients were divided into two groups according to the random number table method. The patients in the control group（n=74） were treated with routine therapy. 74 patients in the observation group were treated with elec- troacupuncture treatment. The daily life ability, motor function and neurological function were evaluated and the clini- cal indicators were measured before and after treatment. The treatment effect between the two groups was compared. Results After treatment, serum Bcl-2, superoxide dismutase, daily living ability score and Fugl Meyer score were in- creased in both groups（P〈0.05）. The glial fibrillary acidic protein, malondialdehyde, myelin basic protein, S10013, neuron- specific enolase, neurological deficit score decreased in the two groups（P〈0.05）. The serum Bcl-2, superoxide dismu- tase, daily living ability score, Fugl Meyer score, and the total effective rate of treatment were higher in the observation group than those in the control group（P〈0.05）. The levels of glial fibrillary acidic protein, malondialdehyde, myelin ba- sic protein, SlOOp, neuron specific enolase and neurological deficit score were lower in the observation group than those in the control group（P〈0.05）. Conclusion Electroacupuncture can improve the daily life ability, motor function, neurological function of the patients with cerebral ischemia and improve the level of oxidative stress, which has high clinical value.

关 键 词：电针 脑缺血 运动功能 神经功能 

分 类 号：R246[医药卫生—针灸推拿学]