Objective: To research the protective effect of acupuncture on the cardiac performance and cerebral function in acute ischemic stroke (AIS) patients. Methods: Forty AIS patients were randomly divided into acupuncture ...Objective: To research the protective effect of acupuncture on the cardiac performance and cerebral function in acute ischemic stroke (AIS) patients. Methods: Forty AIS patients were randomly divided into acupuncture group (n=20) and medication group (n=20) according to their admission sequence. Acupoints, bilateral Neiguan (PC 6) and Tongli (HT 5) were punctured with Gauge-28 filiform needles, once daily, with 10 sessions being a therapeutic course. Patients of the medication group were treated with oral administration of persantine and aspirin as well as intravenous drip of 20% mannitol, low molecular dextran and compound Danshen (red sage root) injectio. Cerebral infarction volume, ECG (heart rate, ST Ⅱ and T Ⅱ), plasma CGRP, thromboxane (TX) B 2 and 6-Keto-prostanglandin (PG) F1a and scores of the neurological deficit were used as the indexes. Results: After 2 courses of treatment, self comparison of pre-and post treatment of each group showed that the therapeutic effects of acupuncture in reducing infarction volume ( P<0.01), lowering heart rate (HR, P<0.01) and ST Ⅱ ( P<0.01), raising T Ⅱ wave amplitude ( P<0.01), elevating plasma CGRP ( P<0.001) and 6-keto-PGF 1a ( P<0.01) and reducing plasma TXB 2 ( P< 0.01) were superior to those of medication group. Conclusion: Acupuncture of acupoints of the Pericardium Meridian and Heart Meridian has a significant protective action on the cardiac performance and cerebral function in acute ischemic stroke patients.展开更多
目的：探讨心电图评分系统在急性肺栓塞（acute pul monary embolization，APE）中的应用价值。方法：选择2001-2005年入院经强化螺旋CT确诊的94例APE患者，采集24h内的标准12导联心电图，按照Daniel心电图评分系统计算得分。应用超声...目的：探讨心电图评分系统在急性肺栓塞（acute pul monary embolization，APE）中的应用价值。方法：选择2001-2005年入院经强化螺旋CT确诊的94例APE患者，采集24h内的标准12导联心电图，按照Daniel心电图评分系统计算得分。应用超声心动图测量APE患者肺动脉收缩压（SPAP）。结果：APE中最常见的心电图改变是胸前导联T波倒置，尤其多见于V1和V2导联，分别为69例（73.4%）和58例（61.7%）。APE患者心电图评分平均为（6.5±4.0）分，与SPAP呈正相关（r=0.801，P〈0.01）。与SPAP〈50mmHg患者比较，SPAP≥50mmHg患者心电图评分明显增高[（9.0±3.0）分∶（3.2±2.3）分，P〈0.01]。心电图评分≥7预测SPAP≥50mmHg的敏感性、特异性、准确性、阳性预测价值、阴性预测价值分别为81.1%、95.1%、87.2%、95.6%、79.6%。结论：心电图评分系统可以对APE患者的严重程度进行危险分层。展开更多
文摘Objective: To research the protective effect of acupuncture on the cardiac performance and cerebral function in acute ischemic stroke (AIS) patients. Methods: Forty AIS patients were randomly divided into acupuncture group (n=20) and medication group (n=20) according to their admission sequence. Acupoints, bilateral Neiguan (PC 6) and Tongli (HT 5) were punctured with Gauge-28 filiform needles, once daily, with 10 sessions being a therapeutic course. Patients of the medication group were treated with oral administration of persantine and aspirin as well as intravenous drip of 20% mannitol, low molecular dextran and compound Danshen (red sage root) injectio. Cerebral infarction volume, ECG (heart rate, ST Ⅱ and T Ⅱ), plasma CGRP, thromboxane (TX) B 2 and 6-Keto-prostanglandin (PG) F1a and scores of the neurological deficit were used as the indexes. Results: After 2 courses of treatment, self comparison of pre-and post treatment of each group showed that the therapeutic effects of acupuncture in reducing infarction volume ( P<0.01), lowering heart rate (HR, P<0.01) and ST Ⅱ ( P<0.01), raising T Ⅱ wave amplitude ( P<0.01), elevating plasma CGRP ( P<0.001) and 6-keto-PGF 1a ( P<0.01) and reducing plasma TXB 2 ( P< 0.01) were superior to those of medication group. Conclusion: Acupuncture of acupoints of the Pericardium Meridian and Heart Meridian has a significant protective action on the cardiac performance and cerebral function in acute ischemic stroke patients.
文摘目的：探讨心电图评分系统在急性肺栓塞（acute pul monary embolization，APE）中的应用价值。方法：选择2001-2005年入院经强化螺旋CT确诊的94例APE患者，采集24h内的标准12导联心电图，按照Daniel心电图评分系统计算得分。应用超声心动图测量APE患者肺动脉收缩压（SPAP）。结果：APE中最常见的心电图改变是胸前导联T波倒置，尤其多见于V1和V2导联，分别为69例（73.4%）和58例（61.7%）。APE患者心电图评分平均为（6.5±4.0）分，与SPAP呈正相关（r=0.801，P〈0.01）。与SPAP〈50mmHg患者比较，SPAP≥50mmHg患者心电图评分明显增高[（9.0±3.0）分∶（3.2±2.3）分，P〈0.01]。心电图评分≥7预测SPAP≥50mmHg的敏感性、特异性、准确性、阳性预测价值、阴性预测价值分别为81.1%、95.1%、87.2%、95.6%、79.6%。结论：心电图评分系统可以对APE患者的严重程度进行危险分层。
