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中医揿针“醒脑开窍”法治疗脑梗死急性期临床观察 被引量:3

Clinical observation on treating acute stage of cerebral infarction by the TCM press acupuncture of the Xingnao Kaiqiao therapy
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摘要 目的:观察中医揿针“醒脑开窍”法治疗脑梗死急性期的临床疗效。方法:使用随机数字表,将60例急性脑梗死患者(辨证属于气虚血瘀证)分为治疗组和对照组,两组患者均接受西医常规治疗,治疗组在西医常规治疗的基础上加用“醒脑开窍”中医揿针针刺疗法。观察治疗前后两组中医症状各项积分变化、神经功能缺损评分(National Institute of Health Stroke Scale,NIHSS)、吞咽功能缺损评分(洼田饮水试验)、血常规及肝肾功能检查。统计治疗后两组临床疗效。结果:两组临床症状均有所改善,治疗组总有效率优于对照组,差异有统计学意义(P<0.05)。两组的中医症状各项积分、神经功能缺损评分、吞咽功能缺损评分均有改善,且治疗组更为显著(P<0.05)。结论:中医揿针醒脑开窍治疗脑梗死急性期气虚血瘀证患者优于单用西医,值得进一步研究和推广应用。 Objective:To observe the clinical efficacy of the TCM press acupuncture of the Xingnao Kaiqiao therapy(醒脑开窍法)on acute stage of cerebral infarction.Methods:60 patients with acute cerebral infarction of the Qixu Xueyu syndrome(气虚血瘀证)were divided into the treatment group and control group.Both groups were treated with western medicine.The treatment group was treated by the TCM press acupuncture of the Xingnao Kaiqiao therapy more.Before and after the treatment,the integral changes of Chinese medicine symptoms,national institute of health stroke scale(NIHSS)were observed.Swallowing impairment score(watian drinking water test),blood routine test and liver and kidney function were tested.After the treatment,the clinical efficacy in two groups was counted.Results:The clinical symptoms in the two groups were improved,the total efficiency in the treatment group was better than that in the control group,and the difference was statistically significant(P<0.05).TCM symptoms neurological deficit score,swallowing function deficit score between two groups were improved,and those in the treatment group were more significant(P<0.05).Conclusion:The TCM press acupuncture of the Xingnao Kaiqiao therapy on acute stage of cerebral infarction of the Qixu Xueyu syndrome is better than Western medicine alone.It is worthy of application.
作者 黄成明 史汇江 宗国才 Huang Chengming
出处 《中医临床研究》 2020年第32期65-67,共3页 Clinical Journal Of Chinese Medicine
关键词 脑梗死急性期 气虚血瘀证 揿针 醒脑开窍 Acute stage of cerebral infarction The Qixu Xueyu syndrome Press acupuncture Xingnao Kaiqiao therapy
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