通脑活络针刺法治疗急性缺血性脑卒中的临床观察.doc

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1、通脑活络针刺法治疗急性缺血性脑卒中的临床观察【摘要】　　目的观察通脑活络针刺法治疗急性缺血性脑卒中的临床疗效。方法将166例急性缺血性脑卒中患者随机分为2组。对照组80例予复方丹参注射液30mL加入0.9%氯化钠注射液500mL，每日1次静脉滴注；治疗组86例在对照组治疗基础上加用通脑活络针刺法治疗，每日1次。2组均15日为1个疗程，2个疗程后观察疗效。结果治疗组总有效率91.86%，对照组总有效率72.50%，2组比较差异有统计学意义（P＜0.05）；治疗组治疗前后神经功能缺损评分比较差异有统计学意义(P＜0.01)，2组治疗后神经功能缺损评分比较差异有统计学意义（P＜0.05）；2

2、组治疗后血液流变学指标比较差异有统计学意义（P＜0.05）。结论通脑活络针刺法能有效增加大脑组织细胞血液再灌注量，加速侧支循环重建，使偏瘫、失语等功能障碍的症状尽早改善和恢复，疗效确切。【关键词】脑缺血脑血管意外急性病针刺疗法　　TherapeuticeffectofTongnaohuoluoacupunctureonacuteischemiccerebralapoplexy　　【Abstract】ObjectiveToobservethetherapeuticeffectofTongnaohuoluoacupunctureonacuteischemiccerebralapoplexy

3、.Methods166patientswithacuteischemicstrokewererandomlydividedintotwogroups.80patientsincontrolgroupweretreatedbycomplexDansheninjection30mlin0.9%NS500mL，onceadayforintravenousinfusion；86patientsintreatmentgroup,onthebasisofcontrolgroupweretreatedbyTongnaohuoluoacupuncture，onceaday,withatreatment

4、courseof15daysforbothgroups.Thetherapeuticeffectswereobservedaftertwotreatmentcourses.ResultsThetotalefffctiverateintreatmentgroupwas91.86%，whichwas72.5%incontrolgroup,therewasasignificantdifferencebetweentwogroups(P<0.05)；therewasasignificantdifferenceinnervousfunctionscoringoftreatmentgroup

5、beforeandaftertreatment(P<0.01);aftertreatmenttherewasasignificantdifferenceinnervousfunctionscoringbetweentreatmentgroupandcontrolgroup(P<0.05)；thereweresignificantdifferencesinparametersofhemorrheologyaftertreatmentbetweentreatmentgroupandcontrolgroup(P<0.05).ConclusionTongnaohuoluoac

6、upuncturecanincreaseeffectivelythebloodsupplyforbraintissuecells,promotetherebuildingofcollateralcirculation,improveandrecoverthesymptomsoffunctiondisordersincludinghemiplegiaandlogomaniaasearlyaspossible,soitiseffectiveintreatingacuteischemicstroke.　　【Keywords】Cerebralischemia;Cerobrovascularsu

7、ddenevents；Acute4diseases；Acupuncturetherapy　　脑卒中是临床常见病、多发病，致残率高。脑卒中急性期的正确处理与患者的预后密切相关。目前，缺血性脑卒中的治疗西医以超早期内（发病<6h）溶栓治疗为主，但是，治疗时间窗过于短暂，溶栓药物重组人组织型纤溶酶原激活剂(rt-PA)和尿激酶都较昂贵，尚不适合西部地区基本群众的需要［1］。2005-06—2007-06，我们采用通脑活络针刺法治疗急性缺血性脑卒