醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响  

Effect of Xingnao Kaiqiao Acupuncture Combined with Temporal Three-Needle on the Treatment of Acute Cerebral Infarction and Its Influence on Patient's Quality of Life and Hemodynamics

作　　者：古丽尼尕尔·阿布力孜 苏比努尔·艾尼瓦 吴扬 马海婷[1] 苗紫烟 周钰[1] Gulinigaer·Abulizi;Subinur·Ainiva;WU Yang;MA Hai-ting;MIAO Zi-yan;ZHOU Yu(Department of Acupuncture andMassage,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830000,China)

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,新疆乌鲁木齐830000

出　　处：《现代生物医学进展》2024年第3期502-506,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81960898)。

摘　　要：目的:评价醒脑开窍针法联合颞三针治疗急性脑梗死(ACI)的疗效及对患者生活质量、血流动力学的影响。方法:选入2022年1月~2022年12月我院收治的ACI患者70例,根据治疗方法不同分为常规组(常规治疗)和联合组(常规治疗+醒脑开窍针+颞三针),各35例。评价并比较两组的临床疗效、生活质量及血流动力学等指标。结果:联合组治疗总有效率94.29%,显著高于常规组的74.29%(P<0.05);与治疗前相比,两组治疗后NIHSS评分明显降低、BI和SS-QOL评分显著升高(P<0.05),而联合组降低/升高幅度更大,与常规组差异显著(P<0.05);两组治疗前脑血流动力学指标无明显差异(P>0.05),而治疗后,联合组大脑中动脉Vs、Vd、Vm明显高于常规组(P<0.05)。结论:在常规治疗基础上应用醒脑开窍针联合颞三针,可有效提高ACI的临床疗效,增加大脑局部血流量,改善神经功能缺损症状,提高日常生活能力及生活质量。Objective:To evaluate the therapeutic effect of the combination of the Xingnao Kaiqiao acupuncture method and the temporal three-needle in the treatment of acute cerebral infarction(ACI)and its impact on the quality of life and hemodynamics of patients.Methods:70 ACI patients admitted to our hospital from January 2022 to December 2022 were selected and divided into a conventional group(conventional treatment)and a combined group(conventional treatment+Xingnao Kaiqiao acupuncture+temporal three-needle)based on different treatment methods,with 35 patients in each group.Evaluate and compare the clinical efficacy,quality of life,and hemodynamic indicators between the two groups.Results:The total effective rate of the combined group was 94.29%,significantly higher than the 74.29%of the conventional group(P<0.05).Compared with before treatment,the NIHSS scores of the two groups decreased significantly after treatment,while the BI and SS-QOL scores increased significantly(P<0.05),while the decrease/increase amplitude of the combined group was significantly greater than that of the conventional group(P<0.05).There was no significant difference in cerebral hemodynamic indicators between the two groups before treatment(P>0.05),but after treatment,the combined group had significantly higher levels of Vs,Vd,and Vm in the middle cerebral artery compared to the conventional group(P<0.05).Conclusion:On the basis of conventional treatment,the application of Xingnao Kaiqiao acupuncture combined with temporal three-needle can effectively improve the clinical efficacy of ACI,increase local cerebral blood flow,improve neurological deficits,and improve daily living ability and quality of life.

关 键 词：急性脑梗死 醒脑开窍针 颞三针 疗效 生活质量 血流动力学 

分 类 号：R743[医药卫生—神经病学与精神病学] R245[医药卫生—临床医学]