文章摘要
古丽尼尕尔·阿布力孜,苏比努尔·艾尼瓦,吴 扬,马海婷,苗紫烟,周 钰.醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响[J].,2024,(3):502-506
醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响
Effect of Xingnao Kaiqiao Acupuncture Combined with Temporal Three-Needle on the Treatment of Acute Cerebral Infarction and Its Influence on Patient's Quality of Life and Hemodynamics
投稿时间:2023-06-22  修订日期:2023-07-17
DOI:10.13241/j.cnki.pmb.2024.03.019
中文关键词: 急性脑梗死  醒脑开窍针  颞三针  疗效  生活质量  血流动力学
英文关键词: Acute cerebral infarction  Xingnao Kaiqiao Acupuncture  Temporal Three-needle  Efficacy  Quality of life  Hemodynamics
基金项目:国家自然科学基金项目(81960898)
作者单位E-mail
古丽尼尕尔·阿布力孜 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000 gulini1993@163.com 
苏比努尔·艾尼瓦 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000  
吴 扬 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000  
马海婷 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000  
苗紫烟 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000  
周 钰 新疆医科大学第一附属医院针灸推拿科 新疆 乌鲁木齐 830000  
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中文摘要:
      摘要 目的:评价醒脑开窍针法联合颞三针治疗急性脑梗死(ACI)的疗效及对患者生活质量、血流动力学的影响。方法:选入2022年1月~2022年12月我院收治的ACI患者70例,根据治疗方法不同分为常规组(常规治疗)和联合组(常规治疗+醒脑开窍针+颞三针),各35例。评价并比较两组的临床疗效、生活质量及血流动力学等指标。结果:联合组治疗总有效率94.29 %,显著高于常规组的74.29 %(P<0.05);与治疗前相比,两组治疗后NIHSS评分明显降低、BI和SS-QOL评分显著升高(P<0.05),而联合组降低/升高幅度更大,与常规组差异显著(P<0.05);两组治疗前脑血流动力学指标无明显差异(P>0.05),而治疗后,联合组大脑中动脉Vs、Vd、Vm明显高于常规组(P<0.05)。结论:在常规治疗基础上应用醒脑开窍针联合颞三针,可有效提高ACI的临床疗效,增加大脑局部血流量,改善神经功能缺损症状,提高日常生活能力及生活质量。
英文摘要:
      ABSTRACT Objective: To evaluate the therapeutic effect of the combination of the Xingnao Kaiqiao acupuncture method and the temporal three-needle in the treatment of acute cerebral infarction (ACI) and its impact on the quality of life and hemodynamics of patients. Methods: 70 ACI patients admitted to our hospital from January 2022 to December 2022 were selected and divided into a conventional group (conventional treatment) and a combined group (conventional treatment + Xingnao Kaiqiao acupuncture + temporal three-needle) based on different treatment methods, with 35 patients in each group. Evaluate and compare the clinical efficacy, quality of life, and hemodynamic indicators between the two groups. Results: The total effective rate of the combined group was 94.29 %, significantly higher than the 74.29 % of the conventional group (P<0.05). Compared with before treatment, the NIHSS scores of the two groups decreased significantly after treatment, while the BI and SS-QOL scores increased significantly (P<0.05), while the decrease/increase amplitude of the combined group was significantly greater than that of the conventional group (P<0.05). There was no significant difference in cerebral hemodynamic indicators between the two groups before treatment(P>0.05), but after treatment, the combined group had significantly higher levels of Vs, Vd, and Vm in the middle cerebral artery compared to the conventional group(P<0.05). Conclusion: On the basis of conventional treatment, the application of Xingnao Kaiqiao acupuncture combined with temporal three-needle can effectively improve the clinical efficacy of ACI, increase local cerebral blood flow, improve neurological deficits, and improve daily living ability and quality of life.
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