华佗中风方联合针刺回阳九针穴对中风患者血流动力学的影响
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摘要
目的:观察华佗中风方联合针刺回阳九针穴康复手段对中风患者血流动力学的影响。方法:从我院2014年3月至2017年6月就诊的中风患者中选取66例作为研究对象,随机均分为2组,常规组33例给予常规西医治疗,研究组33例给予华佗中风方联合针刺回阳九针穴治疗,比较两组患者治疗疗效及血流动力学的情况。结果:治疗后研究组红细胞比容、血浆黏度、全血高切还原黏度、全血低切还原黏度均显著低于常规组,差异有统计学意义(t=20. 931,t=3. 857,t=4. 461,t=5. 175,P<0. 05);两组纤维蛋白原、血沉、全血低切黏度、全血高切黏度均无明显差异,差异无统计学意义(t=0. 387,t=1. 126,t=1. 644,t=1. 175,P>0. 05);研究组中医症候总评分明显高于常规组,差异有统计学意义(t=4. 107,P<0. 05);研究组治疗后总有效率96. 97%显著高于常规组治疗总有效率78. 79%,差异有统计学意义(χ~2=5. 121,P<0. 05)。结论:中风患者给予华佗中风方联合针刺回阳九针穴康复手段疗效显著,可有效改善其血流动力学指标。
Objective: To investigate the effect of Hua Tuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point on hemodynamics in patients with stroke. Methods: 66 stroke patients treated in our hospital from March 2014 to June2017 were randomly divided into two groups,33 cases in the conventional group were given conventional western medicine treatment,and 33 cases in the study group were given Huatuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point. The curative effect and hemodynamics of the two groups were compared. Results: After treatment,the hematocrit,plasma viscosity,whole blood high shear reduction viscosity and whole blood low shear reduction viscosity of the study group were significantly lower than those in the conventional group( t = 20. 931,t = 3. 857,t = 4. 461,t = 5. 175,P < 0. 05). The fibrinogen,erythrocyte sedimentation rate,whole blood low shear viscosity and whole blood high shear viscosity between the two groups had no significant difference( t = 0. 387,t = 1. 126,t = 1. 644,t = 1. 175,P > 0. 05). The total scores of TCM symptoms in the study group were significantly higher than those in the conventional group( t = 4. 107,P < 0. 05). The total effective rate in the study group was significantly higher than that in the conventional group( 96. 97% vs 78. 79%),the difference was statistically significant( χ~2= 5. 121,P < 0. 05). Conclusion: Huatuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point can effectively ameliorate the hemodynamics in patients with stroke.
Objective: To investigate the effect of Hua Tuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point on hemodynamics in patients with stroke. Methods: 66 stroke patients treated in our hospital from March 2014 to June2017 were randomly divided into two groups,33 cases in the conventional group were given conventional western medicine treatment,and 33 cases in the study group were given Huatuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point. The curative effect and hemodynamics of the two groups were compared. Results: After treatment,the hematocrit,plasma viscosity,whole blood high shear reduction viscosity and whole blood low shear reduction viscosity of the study group were significantly lower than those in the conventional group( t = 20. 931,t = 3. 857,t = 4. 461,t = 5. 175,P < 0. 05). The fibrinogen,erythrocyte sedimentation rate,whole blood low shear viscosity and whole blood high shear viscosity between the two groups had no significant difference( t = 0. 387,t = 1. 126,t = 1. 644,t = 1. 175,P > 0. 05). The total scores of TCM symptoms in the study group were significantly higher than those in the conventional group( t = 4. 107,P < 0. 05). The total effective rate in the study group was significantly higher than that in the conventional group( 96. 97% vs 78. 79%),the difference was statistically significant( χ~2= 5. 121,P < 0. 05). Conclusion: Huatuo Zhongfeng Prescription combined with acupuncture on Huiyang Jiuzhen point can effectively ameliorate the hemodynamics in patients with stroke.
引文
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[2]曹金婷.针刺“五泉穴”联合华佗再造丸治疗中风运动性失语38例[J].中医研究,2014,27(6):67~69
[3]李俊,王珊,陈瑶,等.针刺回阳九针穴联合加味补中益气汤治疗急性脑梗死的疗效观察[J].世界中医药,2017,12(2):398~400
[4]李俊,訾璐.针刺回阳九针穴对卒中后遗症患者血液流变学的影响[J].中西医结合研究,2017,9(1):1~3
[5]胡小军,余长江,沈玉杰,等.针刺回阳九针穴对中风后遗症患者脑血流的影响[J].湖北中医药大学学报,2017,19(1):78~80
[6]徐磊,王敏,李飞,等.针刺结合康复训练治疗中风后肢体痉挛疗效观察[J].中国针灸,2017,37(7):696~700
[7]佚名.中风病诊断、疗效评定标准[J].陕西中医,1988(9)
[8]李其勇.回阳九针穴治疗椎动脉狭窄颈性眩晕急性发作[J].中国中医急症,2017,26(8):1481~1483
[9]王敏,高淑红,张伯儒,等.针药并用治疗缺血性中风后丘脑痛的临床观察[J].天津中医药,2014,31(5):269~271
[10]刘锋,李响.针灸治疗持续性植物状态的研究进展[J].环球中医药,2013,6(8):632~635
[11]胡小军,余长江,李俊,等.回阳针法治疗椎动脉狭窄颈性眩晕瘀血阻络证55例分析[J].重庆医学,2016,45(16):2265~2267