摘要
目的:针灸治疗对急性脑梗塞患者神经功能、血清SES及PAC-1水平的影响。方法:急性脑梗塞患者160例,按照随机数字表法均分为观察组和对照组,每组80例。对照组患者给予脑梗死的基础治疗,观察组患者在此基础上加用针灸治疗。观察两组患者的神经功能、血液流变学指标、血清SES及PAC-1水平并进行比较分析。结果:治疗前两组患者NIHSS、BI及FMA评分比较,差异均无统计学意义(P>0.05);同组治疗前后相比,两组患者NIHSS评分显著降低,观察组明显低于对照组,治疗后两组患者的BI及FMA评分均显著高于治疗前,且观察组升高更明显,差异有统计学意义(P<0.05)。治疗前两组患者全血浆黏度、血栓形成系数及心排血指数比较,差异均无统计学意义(P>0.05);治疗后两组患者的全血浆黏度、血栓形成系数、心排血指数均低于治疗前,且观察组全血浆黏度、血栓形成系数下降程度高于对照组,但观察组心排血指数下降程度低于对照组,差异均有统计学意义(P<0.05)。治疗前两组患者SES、PAC-1水平比较,差异均无统计学意义(P>0.05);与治疗前相比,治疗后两组患者的SES、PAC-1水平均显著降低,且观察组降低更明显,差异有统计学意义(P<0.05)。结论:针灸能有效促进急性脑梗死患者神经功能恢复,降低血清SES、PAC-1水平,提高生活质量。
Objective:To observe effect of acupuncture and moxibustion on the nerve function,serum SES and PAC-1 levels in patients with acute cerebral infarction.Methods:Totally 160 patients with acute cerebral infarction were randomly divided into observation group and control group,80 cases in each group.The patients in the control group were given the basic treatment of cerebral infarction,and the patients in the observation group were treated with acupuncture and moxibustion on this basis.The nerve function,blood rheology index,serum SES and PAC-1 levels were observed and compared between the two groups.Results:Two groups’NIHSS,BI and FMA scores before treatment had no significant differences(P>0.05).Compared with those before and after treatment,NIHSS scores of the two groups were significantly decreased.The observation group’s was significantly lower than the control group’s after treatment.BI and FMA of the two groups were significantly higher than those before treatment,and the observation group’s increased more significantly.The difference was statistically significant(P<0.05).Two groups’plasma viscosity coefficient of thrombosis and cardiac index comparison before treatment had no significant differences(P>0.05)after treatment.The two groups’thrombosis formation coefficient and cardiac index were lower than those before treatment,and the observation group’s total plasma viscosity and thrombosis coefficient were lower than those of the control group but the observation group’s cardiac index was lower than that of the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of SES and PAC-1 between the two groups(P>0.05).After treatment,the levels of SES and PAC-1 in the two groups were significantly lower than those before treatment,and the decrease in the observation group was more obvious,with a statistically significant difference(P<0.05).Conclusion:Acupuncture and moxibustion can effectively promote the recovery o
作者
周媛
牛淑芳
张秋菊
ZHOU Yuan;NIU Shufang;ZHANG Qiuju(Acupuncture and Rehabilitation Department,Haikou Hospital of Traditional Chinese Medicine,Haikou 570000,Hainan,China)
出处
《中华中医药学刊》
CAS
北大核心
2019年第2期414-416,共3页
Chinese Archives of Traditional Chinese Medicine
基金
海南省医药卫生科研基金项目(16A200008)
