子午流注纳甲法治疗急性缺血性脑卒中的临床疗效观察  

Clinical observation on the therapeutic effect of midnight-noon ebb-flow Najia method on acute ischemic stroke

作　　者：陈雪芹 张娴 魏玉艳 左政 CHEN Xueqin;ZHANG Xian;WEI Yuyan;ZUO Zheng(Nanhua County Peoples Hospital,Chuxiong 675000,China;The Second Clinical Medicine School,Yunnan University of Chinese Medicine,Kunming 650500,China)

机构地区：[1]南华县人民医院,楚雄675000 [2]云南中医药大学第二临床医学院,昆明650500

出　　处：《中华中医药杂志》2024年第3期1578-1581,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81960897)。

摘　　要：目的:探讨子午流注纳甲法对急性缺血性脑卒中(AIS)的临床疗效。方法:将60例AIS患者随机分为治疗组和对照组,每组30例。治疗组参照徐凤子午流注纳甲法逐日按时取穴,根据天干划分经络敏感时限、就诊时辰,以流注时穴配病穴进行针刺治疗;对照组采用常规针刺治疗。比较两组治疗前后美国国立脑卒中量表(NIHSS)评分、日常生活能力(ADL)评定、凝血指标的综合疗效。结果:治疗组总有效率为96.67%(29/30),优于对照组[80.00%(24/30)](P<0.05);治疗组治疗后ADL评分显著高于对照组(P<0.01),NIHSS评分、凝血主要指标均显著低于对照组(P<0.05,P<0.01)。结论:子午流注纳甲法治疗AIS临床疗效显著,可能与子午流注纳甲法按时针刺增加大脑侧支血流灌注,稳定血脑屏障、调节凝血功能和纤维蛋白原有关。Objective:To investigate the effects of midnight-noon ebb-fow Najia method on acute ischemic stroke(AIS).Methods:Sixty patients of AIS were randomly divided into treatment group and control group,with 30 patients in each group.The treatment group selected acupoints on time every day according to the midnight-noon ebb-flow Najia method of XU Feng.according to the daily menstruation and the time of treatment,acupuncture treatment was performed by matching the Liuzhu time acupoints with diseased acupoints;the control group selected conventional acupuncture according to the clinical symptoms.The comprehensive efficacy of the degree of national institute of health stroke scale(NIHSS)score,activities,daily living(ADL)and coagulation index were compared between the two groups.Results:The total response rate of treatment group was 96.67%(29/30),significantly better than 80.00%(24/30)of control group(P<0.05);the ADL score was significantly higher than the control group(P<0.01),NIHSS score and coagulation index of patients were significantly lower than that of control group(P<0.05,P<0.01).Conclusion:The clinical efficacy of the midnight-noon ebb-flow Najia method in treating AIS is significant,which may be related to the increase of cerebral collateral blood perfusion,blood-brain barrier,blood coagulation function and fibrinogen.

关 键 词：针刺 子午流注纳甲法 急性缺血性脑卒中 按时选穴 

分 类 号：R277.7[医药卫生—中医学]