摘要
目的:探寻治疗大面积脑梗死的较佳方法。方法:大面积脑梗死患者60例均行开颅去骨瓣减压术,术后随机分为针药组(30例)和药物组(30例)。两组均采用内科西药常规治疗,针药组在此基础上,术后第2天加用针刺,穴取膻中、中脘、气海、足三里、血海和水沟,治疗10天,以"中国脑卒中神经功能缺损程度评分法"及临床疗效评定标准进行治疗前后的功能评价。结果:手术死亡率为20.0%;术后采用针刺治疗能明显改善患者的神经功能缺损程度,针药组总有效率为40.0%,优于药物组的13.3%(P<0.05)。结论:开颅去骨瓣减压术能降低大面积脑梗死的死亡率;术后采用针刺配合西药治疗大面积脑梗死有协同作用,疗效好。
Objective To find a better therapy for extensive cerebral infarction. Methods Sixty cases with extensive cerebral infarction were treated by surgical decompression. After operation, they were randomly divided into an acupuncture plus medication group and a medication group, 30 cases in each group. The patients in the medication group were treated by routine western medicine, and the patients in the acupuncture plus medication group by the routine western medicine plus acupuncture 2 days after operation with Danzhong （CV 17）, Zhongwan （CV 12）, Qihai （CV 6）, Zusanli （ST 36）, Xuehai （SP 10） and Shuigou （GV 26） selected. They were treated for 10 days.The nervous functions were assessed by Chinese Stroke Nerve-lunction Rating bcale ana criteria for clinical therapeutic effect. Results After surgical decompression, the death rate was 20. 0% ; after operation, acupuncture could significantly improve the neurological functional deficit degree of the patient. The total effective rate of 40.0% in the acupuncture plus medication group was better than 13.3% inthe medication group （P〈0.05）. Conclusion The surgical decompression is able to decrease the death rate of extensive cerebral infarction; after the operation, acupuncture and western medicine have cooperative effect on extensive cerebral infarction with a good therapeutic effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2008年第12期869-872,共4页
Chinese Acupuncture & Moxibustion
基金
天津中医药大学第一附属医院"拓新工程"基金科研项目:0812
关键词
大面积脑梗死
手术后并发症
针刺疗法
益气活血开窍法
Massive Cerebral Infarction
Postoperative Complications
Acupuncture Therapy
Qi-replenishing Blood-regulating and Inducing Consciousness
