针刺配合穴位注射对脑梗死恢复期患者高同型半胱氨酸血症的影响

发布时间：2019-01-19 08:31

【摘要】：目的观察针刺配合穴位注射对脑梗死恢复期患者高同型半胱氨酸血症的影响。方法将120例脑梗死恢复期伴高同型半胱氨酸血症的患者随机分为A组、B组和C组,每组40例。3组患者均接受常规西医治疗及康复治疗,A组在此基础上采用醒脑开窍法针刺治疗,B组采用注射用腺苷钴胺穴位注射治疗,C组采用醒脑开窍法针刺配合穴位注射治疗。观察3组治疗前后血浆同型半胱氨酸(HCY)水平、Barthel指数(BI)评分和美国国立卫生研究院卒中量表(NIHSS)评分的变化情况。结果 3组治疗后各项指标(HCY水平、BI评分及NHISS评分)与同组治疗前比较,差异均具有统计学意义(P0.01)。C组治疗后各项指标与A组和B组比较,差异均具有统计学意义(P0.05,P0.01)。B组治疗后HCY水平与A组比较,差异具有统计学意义(P0.05)。结论针刺配合穴位注射能显著改善脑梗死恢复期伴高同型半胱氨酸血症患者的HCY水平,提高患者日常生活活动能力及神经功能。
[Abstract]:Objective to observe the effect of acupuncture combined with acupoint injection on hyperhomocysteinemia in convalescent patients with cerebral infarction. Methods 120 patients with hyperhomocysteinemia during convalescence of cerebral infarction were randomly divided into three groups: group A, group B and group C. On this basis, group A was treated with acupuncture with Xingnao Kaiqiao method, group B with acupoint injection of adenosine cobalamin, and group C with acupuncture combined with acupoint injection. The changes of plasma homocysteine (HCY) level, Barthel index (BI) score and (NIHSS) score of the National Institutes of Health (NIH) were observed before and after treatment. Results the indexes (HCY level, BI score and NHISS score) after treatment in the three groups were significantly different from those before treatment in the same group (P0.01). C group compared with group A and group B after treatment). The differences were statistically significant (P0.05P0.01). B group after treatment HCY level compared with group A, the difference was statistically significant (P0.05). Conclusion Acupuncture combined with acupoint injection can significantly improve the level of HCY in patients with hyperhomocysteinemia in convalescence of cerebral infarction, and improve the activity of daily living and neurological function of patients.
【作者单位】：上海市徐汇区中心医院;
【基金】：上海市徐汇区卫计委科研项目(SHXH201340)
【分类号】：R246.6

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