头穴丛刺联合补阳还五汤加减对缺血性中风(气虚血瘀型)患者血液流变学的影响

摘要

Objective:To observe the impact of clustering scalp-acupuncture combined with modified Buyang Huanwu decoction on hemorheology in the patients suffering from ischemic stroke of qi-deficiency and blood-stasis pattern,and to discuss the clinical effect of the therapy.Methods:50 patients who met the criterion were randomly divided into the observation group (n =25) and the control group (n =25).Both groups were given routine treatments,such as anticoagulation therapy,thrombolytic therapy,as well as improving brain circulation;on which basis,the control group was also given modified Buyang Huanwu decoction;whereas,the observation group was treated with clustering scalp-acupuncture and modified Buyang Huanwu decoction.Hemorheology changes were observed before and after four-week treatment in the two groups.Results:After treatment,whole blood high-shear viscosity,whole blood low-shear viscosity,plasma viscosity,platelet adsorption rate,fibrinogen,and blood sedimentation were all significantly decreased compared to those before treatment in both groups,and the differences were statistically significant(P ＜0.01);in which,the observation group improved more significantly than the control group(P ＜ 0.05,P ＜ 0.01).Conclusion:The therapy of the clustering scalp-acupuncture combined with modified Buyang Huanwu decoction can obviously improve the indicators of hemorheology in patients with ischemic stroke of qi-deficiency and blood-stasis pattern,with its better clinical curative effect.%目的:观察头穴丛刺联合补阳还五汤加减对缺血性中风(气虚血瘀型)患者血液流变学的影响,从而探讨头穴丛刺联合补阳还五汤加减治疗缺血性中风(气虚血瘀型)的临床疗效.方法:将50例缺血性中风(气虚血瘀型)患者随机分为观察组与对照组,各25例.两组患者均给予抗凝、溶栓及改善脑循环等方面的常规药物治疗;对照组患者于常规治疗基础上加服补阳还五汤加减治疗;观察组患者于常规治疗基础上加以头穴丛刺联合补阳还五汤加减治疗.连续治疗4周,观察两组患者治疗前后血液流变学指标的变化.结果:治疗后,两组患者全血高切粘度、全血低切粘度、血浆粘度、血小板吸附率、纤维蛋白原、血沉均明显降低,与疗前比较,差异极显著(P＜0.01),观察组较对照组改善更为明显,差异显著(P ＜0.05或P＜0.01).结论:头穴丛刺联合补阳还五汤加减可明显改善缺血性中风(气虚血瘀型)患者血液流变学指标,说明该方法具有较好的临床疗效.