摘要
目的:探讨体针加穴位注射治疗缺血性脑卒中患者的临床疗效及对经颅多普勒(TCD)的影响。方法:60例缺血性脑卒中患者随机分为A、B 2组各30例,均在常规治疗基础上,B组配合体针治疗,A组体针结合当归颈夹脊穴位注射治疗。结果:治疗20d后,TCD检测病灶侧大脑前动脉(ACA)和中动脉(MCA)的平均血流速度(Vm)显示,2组均较治疗前明显上升,A组高于B组(均P<0.05)。临床疗效比较,A组基本痊愈率及总有效率均明显高于B组(23.3%、96.7%与10.0%、83.3%,P<0.01)。结论:体针结合穴位注射治疗缺血性脑卒中可提高临床疗效,且疗效与TCD检测的Vm呈正相关,提示TCD可作为脑卒中患者治疗前后脑供血变化的参考指标。
Objective：To explore the clinical effectiveness of acupuncture combined with acupoint-injection on TCD in the patients with ischemic stroke.Methods： Sixty cases of ischemic stroke were divided randomly into a treatment group（group A） and a control group（group B） with random number table,30 cases in each group.The study involved 31 males and 29 females.The patients in group A were treated with acupuncture（once a day,a total of 20 times） and acupoint-injection（once every two days,a total of 10 times）,and those in group B were treated with single needling（once a day,a total of 20 times）.The neurologic impairment scores were adopted to examine and compare the main pain score,and the clinical effectiveness was compared between two groups from the symptoms and signs in accordance with efficacy criteria.Results： After 20 days of treatment,there was significant difference in anterior cerebral artery blood velocity in systolic period（ACAVm） and middle cerebral artery blood velocity in systolic period（MCAVm） between groups A and B（P0.05）.The basic healing rate and total effective rate in group A were significantly higher than in group B（P0.01）.Conclusion：Acupuncture combined with acupoint-injection is a convenient and highly effective therapy for ischemic stroke.
出处
《中国康复》
2011年第5期333-335,共3页
Chinese Journal of Rehabilitation
基金
武汉市卫生科研基金(武卫[2010]42号)
关键词
针刺疗法
穴位疗法
水针
缺血性中风/针灸疗法
TCD
acupuncture
acupoint-injection therapy
hydro-acupuncture
ischemic stroke/acup-mox therapy
TCD
