针灸治疗急性缺血性脑血管病的临床效果分析  

Clinical effect analysis of acupuncture and moxibustion on acute ischemic cerebrovascular disease

作　　者：彭红霞[1] 张伟[1] 杨怡[1] 罗忠纯 朱俊平[1] 何虹[1] 王雪 黄仁飞 Peng Hongxia;Zhang Wei;Yang Yi;Luo Zhongchun;Zhu Junping;He Hong;Wang Xue;Huang Renfei

机构地区：[1]乐山市人民医院

出　　处：《中医临床研究》2019年第24期106-108,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨针灸治疗急性缺血性脑血管病的临床效果,为临床对该病的治疗提供依据。方法:选择134例急性缺血性脑血管病患者,随机分为观察组和对照组,各67例,对照组给予低分子右旋糖酐、肠溶阿司匹林、胞二磷胆碱、甘露醇等常规治疗,观察组在常规治疗的基础上给予针灸治疗。比较两组治疗效果、神经功能缺损评分、Fugl-Meyer评分、Barthel评分。结果:治疗后,观察组总有效率为95.52%明显高于对照组的77.61%(P<0.05);神经功能缺损评分,观察组为(11.42±2.39)分,对照组为(16.39±2.71)分,观察组低于对照组(P<0.05);Fugl-Meyer运动功能量表评分,观察组上下肢分别为(56.11±6.17)分、(24.58±3.52)分,对照组分别为(44.38±5.52)分、(18.28±2.81)分,观察组高于对照组(P<0.05);Barthel评分,观察组为(71.27±6.59)分,对照组为(58.52±5.47)分(P<0.05)。观察组治疗后炎性因子IL-6、TNF-α、CRP水平分别为(12.05±2.18)pg/mL、(2.38±0.42)ng/mL、(4.31±1.02)mg/L,对照组分别为(15.39±2.62)pg/mL、(3.47±0.57)ng/mL、(7.37±1.52)mg/L,观察组均低于对照组(P<0.05)。观察组67例中,针刺后1例出现心慌、出汗症状,1例患者出现肢体痉挛症状,均对症处理好转。结论:针灸治疗急性缺血性脑血管病疗效较好,可明显改善患者神经功能缺损,提高其肢体运动能力及日常生活能力。Objective: To explore the clinical effect of acupuncture and moxibustion on acute ischemic cerebrovascular disease, and to provide basis for clinical treatment of this disease. Methods: A total of 134 patients with acute ischemic cerebrovascular disease were randomly divided into the observation group and the control group, with 67 patients in each group. The control group was given routine treatment such as low-molecular dextran, enteric-coated aspirin, cytidine and mannitol, etc. The observation group was given acupuncture treatment on the basis of routine treatment. The therapeutic effect, neurological impairment score, fugl-meyer score and Barthel score were compared between the two groups. Results: After treatment, the effective rate of the observation group was 95.52%, which was significantly higher than that of the control group (77.61%)(P < 0.05). The scores of neurological defects were (11.42 ±2.39) in the observation group, which were lower than those in the control group,(16.39±2.71),(P < 0.05). The scores of Fugl-Meyer motor function scale were (56.11± 6.17) and (24.58± 3.52) in the observation group and (44.38 ±5.52) and (18.28 ±2.81) in the control group, respectively. The scores in the observation group were higher than those in the control group (P<0.05). Barthel score was (71.27±6.59) in the observation group and (58.52±5.47) in the control group (P < 0.05). After treatment, the levels of Il-6, TNF-α and CRP in the observation group were (12.05±2.18) pg/mL,(2.38±0.42) ng/mL,(4.31±1.02) mg/L, and (15.39±2.62) pg/mL,(3.47±0.57) ng/mL, and (7.37±1.52) mg/L, respectively. Among the 67 patients in the observation group, 1 patient showed symptoms of palpitation and sweating after acupuncture, and 1 patient showed symptoms of limb spasm, all of which were improved after symptomatic treatment. Conclusion: Acupuncture and moxibustion has good curative effect on acute ischemic cerebrovascular disease, which can obviously improve the nerve function defect of patients, and promote their limb m

关 键 词：针灸 急性缺血性脑血管病 临床效果 

分 类 号：R246.6[医药卫生—针灸推拿学]