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[1]王玥,黃雷,張婷.針灸聯合丁苯酞治療大面積腦梗死術后早期療效研究[J].陜西中醫雜志,2022,(3):367-370.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.024]
　WANG Yue,HUANG Lei,ZHANG Ting.Clinical effect of acupuncture with butylphthalide on early intervention after large-scale cerebral infarction[J].,2022,(3):367-370.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.024]
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針灸聯合丁苯酞治療大面積腦梗死術后早期療效研究

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《陜西中醫》雜志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期數:: 2022年3期

頁碼:: 367-370

欄目:: 針灸經絡

出版日期:: 2022-03-05

文章信息/Info

Title:: Clinical effect of acupuncture with butylphthalide on early intervention after large-scale cerebral infarction

作者:: 王玥; 黃雷; 張婷; (湖南中醫藥大學第一附屬醫院,湖南長沙 410007)

Author(s):: WANG Yue; HUANG Lei; ZHANG Ting; (The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,China)

關鍵詞:: 腦梗死; 針灸; 丁苯酞軟膠囊; 早期干預; 血流動力學

Keywords:: Cerebral infarction; Acupuncture; Butylphthalide; Early intervention; Hemodynamics

分類號:: R 255.2

DOI:: DOI:10.3969/j.issn.1000-7369.2022.03.024

文獻標志碼:: A

摘要:: 目的:探討針灸聯合丁苯酞軟膠囊對大面積腦梗死術后早期干預的臨床療效。方法:將98例大面積腦梗死術后患者分為觀察組和對照組,每組49例,對照組采用常規治療,觀察組在對照組基礎上給予針灸聯合丁苯酞軟膠囊治療。比較兩組臨床療效、神經功能、生活質量及顱內血流動力學。結果:觀察組治療總有效率為87.76%,高于對照組的71.43%(P<0.05)。治療后,兩組患者美國國立衛生研究院卒中量表(NIHSS)評分較治療前下降(P<0.05),Barthel指數評分(BI)、SF-36生活質量量表評分較治療前升高(均P<0.05),且觀察組各項評分改善程度優于對照組(均P<0.05)。治療后,兩組患者大腦前動脈(ACA)、中動脈(MCA)平均血流速度均較治療前升高,且觀察組ACA、MCA平均血流速度高于對照組(均P<0.05)。結論:針灸聯合丁苯酞軟膠囊對大面積腦梗死術后患者進行早期干預療效較好,有助于改善患者腦血流動力學和神經功能損傷,提高日常生活能力及生活質量。

Abstract:: Objective:To investigate the clinical effect of acupuncture with butylphthalide on early intervention after large-scale cerebral infarction.Methods:98 cases of patients with large-scale cerebral infarction after operation were divided into observation group and control group,49 cases in each group.The control group received conventional treatment,and the observation group was given acupuncture with butylphthalide treatment on the basis of the control group.The clinical effect,neurological function,quality of life and intracranial hemodynamics were compared between the two groups.Results:The total effective rate of the observation group was 87.76%,significantly higher than 71.43% of the control group(all P<0.05).After treatment,NIHSS scores in the two groups were decreased compared with before treatment(all P<0.05),while BI and SF-36 scores were increased compared with before treatment(all P<0.05).The improvement of scores in the observation group was better than that in the control group(all P<0.05).After treatment,the mean flow velocity of ACA and MCA in the two groups were increased compared with before treatment,and the mean flow velocity of ACA and MCA in the observation group were higher than those in the control group(all P<0.05).Conclusion:The early intervention of acupuncture with butylphthalide and moxibustion in patients with large-scale of cerebral infarction was effective,which was helpful to improve the state of cerebral hemodynamics and neurological damage,improve the ability of daily life and quality of life.

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備注/Memo

備注/Memo:: 基金項目:湖南省自然科學基金資助項目(2020JJ8066)

更新日期/Last Update: 2022-03-09

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