摘要
目的观察头穴丛刺治疗脑卒中后血管性痴呆的效果。方法按照随机数字表将江门市五邑中医院2018年1月—2020年1月收治的60例脑卒中后血管性痴呆分为两组,每组30例。两组均给予抗血小板聚集、改善脑循环等常规治疗,对照组予以常规针刺,观察组在对照组基础上予以头穴丛刺治疗。观察两组临床疗效、全血黏度、脑部血流动力学及神经功能。结果观察组治疗效果(93.33%,28/30)高于对照组(66.67%,20/30)。观察组10 s、60 s及120 s的全血黏度水平显著低于对照组(P<0.05)。治疗前,所有患者脑部血流动力学比较无明显差异(P>0.05);治疗后,观察组平均流速升高较对照组明显,RI及PI降低较对照组明显(P<0.05)。治疗前,所有患者神经功能比较无明显差异(P>0.05);治疗后,观察组NIHSS评分低于对照组,ESS评分高于对照组(P<0.05)。结论头穴丛刺治疗脑卒中后血管性痴呆的效果显著,可降低全血黏度水平,改善患者的脑部血流动力学和神经功能。
Objective To analyze the effect of cluster needling at scalp points on vascular dementia after stroke.Methods According to the random number table, 60 cases of post-stroke vascular dementia treated in Jiangmen Wuyi Hospital from January 2018 to January 2020 were divided into two groups, with 30 cases in each group.Both groups were given routine treatment such as anti-platelet aggregation and improving cerebral circulation, while the control group was given routine acupuncture, while the observation group was given cluster needling of scalp points on the basis of the control group. Clinical efficacy, whole blood viscosity, cerebral hemodynamics and neurological function were observed. Results The therapeutic effect of the observation group(93.33%,28/30) was higher than that of the control group(66.67%,20/30). The whole blood viscosity of the observation group in 10 s, 60 s and 120 s was significantly lower than that of the control group(P< 0.05). Before treatment, there was no significant difference in cerebral hemodynamics among all patients(P> 0.05). After treatment, the average flow velocity in the observation group increased significantly, while RI and PI decreased significantly(P< 0.05). Before treatment, there was no significant difference in neurological function among all patients(P >0.05). After treatment, the NIHSS score of the observation group was lower than that of the control group, and the ESS score was higher than that of the control group(P< 0.05).Conclusion Cluster needling of scalp points is effective in treating vascular dementia after stroke, which can reduce whole blood viscosity and improve cerebral hemodynamics and neurological function.
作者
李晓敏
余涛
陈荣浩
LI Xiaomin;YU Tao;CHEN Ronghao(Wuyi Hospital of Traditional Chinese Medicine,Jiangmen 519000,Guangdong,China)
出处
《实用中医内科杂志》
2021年第12期136-138,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
头穴丛刺
脑卒中后血管性痴呆
全血黏度
脑部血流动力学
神经功能
cluster needling at scalp point
vascular dementia after stroke
whole blood viscosity
cerebral hemodynamics
neurological function
