基于舌象变化探讨祛瘀生新针法治疗急性期缺血性脑卒中的临床研究  

Clinical study on treating acute ischemic stroke by the Quyu Shengxin acupuncture based on the change of tongue picture

作　　者：杨政坤 谢苑芳 吴永睿 Yang Zhengkun

机构地区：[1]深圳市宝安区中医院,广东深圳518000

出　　处：《中医临床研究》2021年第26期91-93,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:根据中医舌诊中舌象的变化规律探索其作为中医标准衡量祛瘀生新针法治疗缺血性脑卒中的临床疗效指标。方法:随机选取深圳市宝安区中医院2018年1月-2019年8月收治的80例缺血性脑卒中患者为研究对象,对其行回顾性分析,以治疗方式为依据,将患者分为两组,对照组患者行常规西医治疗,观察组在对照组基础上采用祛瘀生新针法治疗,对比两组患者治疗前后血清血管内皮生长因子(Vascular Endothelial Growth Factor,VEGF)水平、美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分以及舌色变化。结果:与对照组对比,观察组治疗后的血清VEGF水平升高(P<0.05),NIHSS评分降低(P<0.05);治疗前,两组患者舌色均以红色为主,其中对照组16例,观察组17例,经治疗后,两组患者舌色红色、绛色例数减少,淡红、淡白、淡暗例数增加,观察组对舌色的改善作用显著优于对照组。结论:与常规西药治疗相比,祛瘀生新针法治疗可更大程度的改善舌微循环充盈及舌表面血流量,进而改善神经功能缺损状态,促进神经功能恢复和提高患者生活质量,治疗缺血性脑卒中的临床效果更显著。Objective:To explore the clinical efficacy index of the method of the Quyu Shengxin acupuncture(祛瘀生新针法)on ischemic stroke according to the changing law of TCM tongue diagnosis.Methods:80 patients with ischemic stroke were retrospectively analyzed,and the patients were divided into categories based on treatment methods.In the two groups,patients in the control group were received conventional western medicine,and the observation group was treated with the method of removing blood stasis and the Shengxin acupuncture on the basis of the control group.Results:Compared with the control group,the serum VEGF level in the observation group was increased after treatment(P<0.05),and the NIHSS score was decreased(P<0.05).Before treatment,the tongue color in the two groups was mainly red.Among them,there were 16 cases in the control group,and there were 17 cases in the observation group.After treatment,the number of cases of red and crimson tongues in the two groups were decreased,and the number of cases of pale red,pale white,and dark tongues were increased,and the observation group had a significant improvement in tongue color.Conclusion:Compared with conventional western medicine,the Quyu Shengxin acupuncture can improve tongue microcirculation filling and tongue surface blood flow to a greater extent,thereby improving the patient’s neurological deficit state,promoting neurological function recovery and improving the patient’s quality of life.The clinical effect of treating ischemic stroke is more significant.

关 键 词：祛瘀生新针法 缺血性脑卒中 舌象变化 

分 类 号：R743[医药卫生—神经病学与精神病学]