通督调神针法对缺血性中风恢复期脑血流的影响
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摘要
目的观察通督调神针法对缺血性中风恢复期脑血流的影响,并探讨其作用机制。方法患者50例随机分为两组,对照组给予常规治疗,治疗组在对照组的基础上配合针刺通督调神法治疗,疗程15 d;观察两组患者治疗前后左侧大脑中动脉收缩期峰速、舒张期峰速、平均流速、搏动指数及阻力指数的变化。结果两组治疗后左侧大脑中动脉收缩期峰速、舒张期峰速、平均流速均高于治疗前(P<0.01),且治疗组高于对照组(P<0.01)。左侧大脑中动脉搏动指数、阻力指数方面,两组治疗前后比较及组间比较差异均无统计学意义(P>0.05)。结论常规治疗配合通督调神针法能够增加缺血性中风患者脑血流,安全有效。
Objective: To observe the effect of Tongdu Tiaoshen acupuncture method on cerebral blood flow in the recovery period of ischemic stroke,and to discuss it mechanism. Methods: 50 cases were randomly divided into the control group and the treatment group,with 25 cases in each. The control group was given routine treatment;the treatment group was added Tongdu Tiaoshen acupuncture method on the basis. The treatment course lasted for 15 days. The following data was observed: arterial systolic velocity,arterial diastolic velocity,mean flow velocity in left brain,pulsatility index and resistance index of the two groups before and after treatment. Results:After treatment,arterial systolic velocity,arterial diastolic velocity and mean flow velocity in left brain were higher than those before treatment(P < 0.01),and the treatment group was higher than the control group(P < 0.01). There was no significant difference between the two groups in arterial pulsation index and resistance index before and after treatment(P > 0.05). Conclusion: Routine treatment combined with Tongdu Tiaoshen acupuncture can increase cerebral blood flow in patients with ischemic stroke,and is safe and effective.
Objective: To observe the effect of Tongdu Tiaoshen acupuncture method on cerebral blood flow in the recovery period of ischemic stroke,and to discuss it mechanism. Methods: 50 cases were randomly divided into the control group and the treatment group,with 25 cases in each. The control group was given routine treatment;the treatment group was added Tongdu Tiaoshen acupuncture method on the basis. The treatment course lasted for 15 days. The following data was observed: arterial systolic velocity,arterial diastolic velocity,mean flow velocity in left brain,pulsatility index and resistance index of the two groups before and after treatment. Results:After treatment,arterial systolic velocity,arterial diastolic velocity and mean flow velocity in left brain were higher than those before treatment(P < 0.01),and the treatment group was higher than the control group(P < 0.01). There was no significant difference between the two groups in arterial pulsation index and resistance index before and after treatment(P > 0.05). Conclusion: Routine treatment combined with Tongdu Tiaoshen acupuncture can increase cerebral blood flow in patients with ischemic stroke,and is safe and effective.
引文
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[2]陈薇,胡玉英.中医药治疗缺血性中风研究进展[J].中西医结合心脑血管病杂志,2012,10(4):474-475.
[3]赵宇辉,孙忠人,邹秋贤,等.针灸预防中风的疗效观察[J].国际中医中药杂志,2012,34(12):1126-1127.
[4]魏天谊,姜惟.缺血性脑卒中的中医治法[J].吉林中医药,2014,34(2):130-131.
[5]赵建国,高长玉,顼宝玉,等.脑梗死和脑出血中西医结合诊断标准(试行)[J].中国中西医结合杂志,2006,26(10):948-949.
[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[7]谢琛璠.经颅多普勒超声在烟雾病间接手术效果评估中的应用研究[D].北京:中国人民解放军军事医学科学院,2016.
[8]徐巧巧,陈生立,曾儒欣,等.缺血性脑卒中患者血流动力学改变及其临床意义[J].温州医科大学学报,2010,40(3):296-297.
[9]徐春兰.针刺调节气体信号分子对脑出血大鼠脑血肿组织纤溶系统影响的实验研究[D].上海:上海中医药大学,2016.
[10]尹洪娜.经颅多普勒检测针刺百会透前顶穴对大脑中动脉血流速度的影响[D].哈尔滨:黑龙江中医药大学,2005.
[11]冯晓东,刘娇,陈立典.电针对局灶性脑缺血大鼠学习记忆能力的影响及其机制[J].中国康复理论与实践,2013,19(3):227-230.
[12]林浴坤,陶静,陈斌,等.电针对局灶性脑缺血再灌注损伤大鼠学习记忆功能的影响[J].中国康复理论与实践,2014,20(9):831-834.
[13]张晨茜,储浩然,程红亮,等.针刺风池、风府穴对缺血性脑卒中患者血浆内皮素的影响[J].上海针灸杂志,2012,31(1):15-17.
[14]龙海萍.刺血疗法对椎动脉型颈椎病增效作用及对椎动脉血流影响的临床研究[D].贵阳:贵阳中医学院,2015.
[15]邢克欣,尚德阳.论任督冲三脉与肾关系[J].辽宁中医药大学学报,2014,16(10):85-87.