透穴针刺法配合功能锻炼治疗急性脑梗死的研究

摘要

Objective It is to observe the clinical curative effect of point-through-point acupuncture combined with func-tional exercise on acute cerebral infarction and blood rheology in the patients .Methods 120 cases of patients with acute cere-bral infarction were selected and divided into observation group (n=60)and control group (n=60) by random number table method.Both the groups were given symptomatic support therapy such as anti platelet aggregation , nutrition,improving circula-tion,lipid regulation, plaque stabilization, controlling blood pressure and other risk factors ,the control group was given func-tional exercise on the basis of conventional treatment;the observation group was given point-through-point acupuncture on the basis of the control group .Two weeks was one treatment course and after one course , the clinical curative effect ,the changes of NIHSS scores, ADL scores, blood rheology indexes before and after treatment were observed in both groups .Results The total effective rate in observation group was higher than that in control group (P<0.05).NIHSS score and ADL score after treat-ment were all improved significantly in both groups compared with that before treatment (P<0.05), and the improvements in observation group were more significantly (P<0.05).There was no significant difference in red blood cells deposited between the two groups before and after treatment (P>0.05), but the levels of whole blood viscosity ,plasma viscosity,fibrinogen after treatment were lower than that before treatment in both groups (P<0.05), and the decrease was more obvious in observation group(P<0.05).Conclusion Point-through-point acupuncture combined with functional exercise has exact effect on acute cerebral infarction ,which can effectively improve nervous function ,ADL and blood rheology indexes ,so it is worthy of clinical popularization and application .%目的：观察透穴针刺法配合功能锻炼治疗急性脑梗死的临床疗效及对患者血液流变学的影响。方法选择急性脑梗死患者120例，按住院号后3位采用随机数字表法分为观察组60例和对照组60例，2组均给予抗血小板聚集、营养神经、改善循环、调脂、稳固斑块、控制血压等危险因素对症支持治疗，观察组在此基础上给予透穴针刺法治疗。2组均以2周为1个疗程，1个疗程后观察2组临床疗效及治疗前后NIHSS评分、ADL评分、血液流变学指标变化情况。结果观察组总有效率明显高于对照组（ P＜0．05）；2组治疗后NIHSS评分及ADL评分均较治疗前明显改善（P均＜0．05），且观察组改善程度明显优于对照组（P均＜0．05）；2组治疗前后红细胞压积组间、组内比较差异均无统计学意义（P均＞0．05）；2组治疗后全血黏度、血浆黏度、纤维蛋白原水平均较治疗前明显降低（P均＜0．05），且观察组明显低于对照组（P均＜0.05）。结论透穴针刺法配合功能锻炼治疗急性脑梗死疗效确切，可明显改善患者神经功能、日常生活活动能力及血液流变学指标，值得推广应用。