摘要
目的:观察醒脑开窍针法对合并糖尿病和不同血糖水平脑卒中的疗效,分析糖尿病和血糖水平是否为影响针刺疗效的因素。方法:采用回顾性调查方法,分析741例醒脑开窍针法治疗的脑卒中患者,其中合并有糖尿病患者124例,非糖尿病患者617例,统计合并糖尿病患者与非糖尿病患者以及脑卒中患者入院时血糖正常与否与脑卒中病情严重程度和针刺疗效的差异。结果:①合并糖尿病的脑卒中患者与非糖尿病脑卒中患者在病情严重程度基本一致的情况下针刺疗效上差异无显著性意义(Z=-1.667,P>0.05)。②脑卒中患者入院时血糖正常与异常在针刺疗效上差异有非常显著性意义(Z=-5.144,P<0.01),并且在治疗前后神经功能缺损及伴随症状评分方面差异有显著性意义(t=-5.1222,-5.2130,-3.5670,P<0.05)。结论:①血糖水平的控制情况对针刺疗效产生主要的影响。②是否合并糖尿病对针刺疗效无明显影响。
AIM:To observe the curative effect of xingnao kaiqiao acupuncture method in tr eating stroke patients with diabetes and different blood glucose levels, and to analyze whether diabetes and blood glucose are the factors that influence the cu rative effect of acupuncture. METHODS:The retrospective method was used to analyze the data of 741 stroke pa tients treated by xingnao kaiqiao acupuncture method,including 124 with diabetes (diabetic group)and 617 without diabetes (non-diabetic group).The differences i n the severity of stroke and curative effect of acupuncture were compared betwee n the diabetic and non-diabetic groups, as well as between the stroke patients with normal and abnormal blood glucose. RESULTS: ①There was no obvious difference in the curative effect of acupunctu re between the diabetic and non-diabetic groups, whose serious degrees of strok e were almost the same,(Z=-1.667, P >0.05).②There was very significant differe nce in the curative effect of acupuncture(Z=-5.144, P< 0.01),and significant di fference in the scores of neurologic impairment and complications between the st roke patients with normal and abnormal blood glucose levels(t=-5.122 2,-5.213 0,-3.567 0,P< 0.05). CONCLUSION:①The condition of blood glucose control can greatly influence the curative effect of acupuncture.②Whether accompanied with diabetes has no obviou s effect on the efficacy of acupuncture.
出处
《中国临床康复》
CSCD
2004年第22期4526-4527,共2页
Chinese Journal of Clinical Rehabilitation
