[1]夏道宽,蒋同伯,杨道海,等.温针灸对脑梗死恢复期气虚血瘀型患者炎性因子、神经因子及高凝状态的影响[J].陕西中医,2020,(10):1485-1488.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.041]
　XIA Daokuan,JIANG Tongbo,YANG Daohai,et al.Warm acupuncture and moxibustion for inflammatory factor and nerve factor in patients with cerebral infarction recovery Qixu Xueyu type and the effects of hypercoagulability[J].,2020,(10):1485-1488.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.041]
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温针灸对脑梗死恢复期气虚血瘀型患者炎性因子、神经因子及高凝状态的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年10期
页码:
1485-1488
栏目:
针灸经络
出版日期:
2020-10-05

文章信息/Info

Title:
Warm acupuncture and moxibustion for inflammatory factor and nerve factor in patients with cerebral infarction recovery Qixu Xueyu type and the effects of hypercoagulability
作者:
夏道宽1; 蒋同伯1; 杨道海1; 杨霄月1; 张业贵2△
1.江苏省淮安市中医院(淮安223001); 2.江苏省淮安市第三人民医院(淮安 223021)
Author(s):
XIA Daokuan; JIANG Tongbo; YANG Daohai; et al.
Huai'an Traditional Chinese Medicine Hospital in Jiangsu Province(Huai'an 223001)
关键词:
脑梗死;  恢复期;  气虚血瘀型;  温针灸;  炎性因子;  神经因子;  高凝状态
Keywords:
Cerebral infarction;  Recovery period;  Qixu Xueyu type;  Warm acupuncture and moxibustion;  Inflammatory factor;  Nerve factor;  Hypercoagul-ability
分类号:
R743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.041
文献标志码:
A
摘要:
目的:探讨温针灸在脑梗死恢复期气虚血瘀型患者治疗中的应用价值,观察其对炎性因子及神经因子的影响。方法:将脑梗死恢复期气虚血瘀型的90例患者纳入研究,用随机数字表法分组。对照组45例采用西医治疗,观察组45例温针灸联合西药,治疗4周后比较疗效。结果:治疗后观察组血浆IL-1β、Hcy、PAF低于对照组,相比较差异有统计学意义(P<0.05)。治疗后观察组血浆BDNF、VEGF高于对照组(P<0.05)。治疗后观察组全血低切黏度、全血高切黏度、纤维蛋白原均低于对照组(P<0.05)。治疗后2周、4周时观察组NIHSS评分低于对照组(P<0.05)。观察组总有效率93.33%,高于对照组的75.56%,差异有统计学意义(P<0.05)。观察组不良反应总发生率24.44%,对照组22.22%,组间比较差异无统计学意义(P>0.05)。结论:对于脑梗死恢复期气虚血瘀型患者而言联合温针灸可减轻炎症反应,保护神经功能,促进侧支循环形成。
Abstract:
Objective:To explore the application value of warm acupuncture and moxibustion in the treatment of patients with cerebral infarction in recovery period Qixu Xueyu type,and to observe its effect on inflammatory factor and nerve factor.Methods:90 patients with cerebral infarction recovery Qixu Xueyu type were included in the study and divided into two groups by random number table.45 cases in the control group were treated with western medicine,and 45 cases in the observation group were treated with warm acupuncture and moxibustion combined with western medicine.The clinical efficacy was compared after 4 weeks of treatment.Results:Plasma levels of IL-1β,Hcy,and PAF in the observation group were lower than those in the control group after treatment.The differences were statistically significant(P<0.05).The BDNF and VEGF in the observation group were higher than those in the control group after treatment,the differences were statistically significant(P<0.05).The low blood viscosity of whole blood in the observation group after treatment,and whole blood high-cut viscosity were lower than the control group,the difference was statistically significant(P<0.05).NIHSS score of the observation group at 2 and 4 weeks after treatment were lower than that of the control group(P<0.05).The total effective rate in the observation group was 93.33%,which was higher than the control group 75.56%.The difference was statistically significant(P<0.05).The total incidence of adverse reactions was 24.44% in the observation group and 22.22% in the control group,with no significant difference(P>0.05).Conclusion:The combination of warming acupuncture and moxibustion can reduce the inflammatory reaction,protect the nerve function and promote the formation of collateral circulation for the patients with cerebral infarction in the recovery period Qixu Xueyu type.

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更新日期/Last Update: 2020-10-10