帖氏“飞针”法治疗急性脑梗死偏瘫:随机对照研究

发布时间：2018-04-20 23:08

本文选题：急性脑梗死 + 偏瘫　；参考：《中国针灸》2017年11期

【摘要】：目的:比较帖氏"飞针"配合常规西医与单纯常规西医治疗急性脑梗死偏瘫患者的疗效差异。方法:将120例患者随机分为观察组和对照组,各60例。对照组给予西医常规治疗,包括予抗血小板聚集、降脂、活血化瘀类中药、神经营养药物及对症处理等,大面积脑梗死或颅内压增高者应用甘露醇脱水、降颅压等治疗。观察组在对照组常规西医治疗基础上,加用"飞针"疗法,上肢取患侧肩毭、曲池、手三里、外关、合谷,下肢取患侧环跳、髀关、伏兔、足三里等,每天治疗1次,1周治疗6 d,共治疗2周。评价两组患者治疗前后简化Fugl-Meyer运动功能评分、神经功能缺损美国国立卫生研究院卒中量表(NIHSS)评分和针对日常生活活动能力的巴氏指数(Bathel index,BI)评分。结果:两组患者治疗后简式Fugl-Meyer评分、BI评分均明显升高(均P0.05),观察组治疗后Fugl-Meyer、BI评分均显著高于对照组(均P0.05);两组患者治疗后NIHSS评分均降低(均P0.05),观察组治疗后NIHSS评分显著低于对照组(P0.05)。结论:帖氏"飞针"配合常规西医治疗急性脑梗死偏瘫疗效确切,在改善偏瘫患者运动功能、神经功能缺损及日常生活能力方面疗效优于常规西医治疗,且痛感低。
[Abstract]:Objective: to compare the curative effect of Thessler's fly needle and routine western medicine on acute cerebral infarction hemiplegia. Methods: 120 patients were randomly divided into observation group (n = 60) and control group (n = 60). The control group was treated with routine western medicine, including anti-platelet aggregation, lipid lowering, traditional Chinese medicine for promoting blood circulation and removing stasis, neurotrophic drugs and symptomatic treatment. Patients with large area cerebral infarction or increased intracranial pressure were treated with mannitol dehydration and intracranial pressure reduction. In the observation group, on the basis of routine western medicine treatment in the control group, the patients were treated with "flying acupuncture", and the upper limbs were taken from the affected side shoulder, curved pool, hand Sanli, Waiguan, Hegu, lower extremity to take the loop jump of the affected side, Biguan, Fu rabbit, Zusanli, etc. Once a day, once a week for 6 days, a total of 2 weeks. The simplified Fugl-Meyer motor function score, the NIHSS score of the National Institutes of Health (NIH) and the Bathel Index (BI) score for ADL were evaluated in both groups before and after treatment. Results: after treatment, the simple Fugl-Meyer scores and BI scores in the two groups were significantly increased (all P 0.05), and the Fugl-Meyer BI scores in the observation group were significantly higher than those in the control group (all P 0.05), and the NIHSS scores in the two groups decreased after treatment (all P 0.05), and the NIHSS in the observation group after treatment were significantly higher than those in the control group (P < 0.05). The score was significantly lower than that in the control group (P 0.05). Conclusion: Thessler's "flying needle" combined with routine western medicine is effective in treating acute cerebral infarction hemiplegia. It is superior to routine western medicine in improving motor function, nerve function defect and daily living ability of hemiplegic patients, and the pain is low.
【作者单位】：郑州市中医院脑病科;北京中医药大学东直门医院脑一科;
【分类号】：R246.6

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