针刺'四海之腧'治疗急性缺血性中风的临床分析

摘要

Objective:To observe and analyze the therapeutic effect of Four Seas'Shu on acute ischemic stroke.Methods :59 patients with acute ischemic stroke were randomly divided into the Four Seas'Shu (29) and blank control (30) groups and gave corresponding treatment respectively. Compared the scores of NIHSS, the clinical effect and the changes of objective indexes such as fibrinogen (FIB), lipoprotein (Lpa), c - reactive protein (Crp) and homocysteine (HCY) between two groups. Results: ( 1 ) After treatment the scores of NIHSS between two groups both dropped differently (P ＜0. 01 ), but the Four Seas'Sbu group declined more than control group(P ＜0. 01 ); (2) There was statistically difference on clinical effect between the two groups(P ＜0. 01 ),and the efficacy of Four Seas'Shu was better than the control group; (3)After treatment the objective indexes of Four Seas' Shu group dropped all into different levels ( P ＜ 0. 05 ), while the control group had hardly changes except the Crp (P ＞ 0. 05 )and the Crp values of Four Seas'Shu declined significantly greater than Control group (P ＜ 0. 05 ). Conclusion: The Acupuncture Four Seas' Shu has definitely clinical effect on acute ischemic stroke and also effectively reduce the level of risk factors for stroke.%目的:观察并分析针刺"四海之腧"对急性缺血性中风的临床疗效.方法:将59例符合纳入标准的急性缺血性中风患者随机分成四海之腧组(29例)和空白对照组(30例),每组分别给予相应处理,比较治疗前后各组别神经功能缺损评分、临床疗效及纤维蛋白原(FIB)、脂蛋白(Lpa)、C反应蛋白(Crp)、同型半胱氨酸(HCY)等客观指标量值的变化.结果:经过治疗两组神经功能缺损评分均有不同程度的下降(P<0.01),但四海之腧组的下降幅度明显比空白对照组大(P<0.01);两组间的疗效比较有统计学差异(P<0.01),其中四海之腧组比空白对照组好;治疗后四海之腧组各客观指标均有不同程度的下降(P<0.05);空白对照组则除Crp外均无明显变化(P>0.05);四海之腧的Crp下降幅度明显大于空白对照组(P<0.05).结论:四海之腧针刺法对急性缺血性中风具有确切的临床疗效;四海之腧针刺法能有效地降低各种中风危险因素的水平.