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电针治疗对急性脑梗死患者神经功能和炎性因子的影响

《中国中医药现代远程教育》[ISSN:1672-2779/CN:11-5024/R]

文章信息/Info

  • Title:电针治疗对急性脑梗死患者神经功能和炎性因子的影响

  • 卷期:2024年22卷16期

  • 作者:李文豪1，杜庆周1，徐子莉1，郑向楠2

  • 1济宁医学院附属医院康复医学科 山东济宁,272029；2济宁市妇幼保健计划生育服务中心内科 山东济宁,272100

  • Author(s):LI Wen-hao1，Du Qing-zhou1，Xu Zi-li1，Zheng Xiang-nan2

  • (1.Affiliated Hospital of Jining Medical University,Jining,272029 Shandong,China;(2.Jining Maternal and Children Care Hospital and Family Planning Service Center,Jining, 272100,shandong,China

  • 关键词急性脑梗死；电针疗法；神经功能；炎性因子；相关分析

  • Keywords:acute cerebral infarction; Electroacupuncture therapy; Neural function; Inflammatory factors; Analysis of correlation

  • 摘要:目的：观察电针治疗急性脑梗死患者的临床疗效和对神经功能和炎性因子的影响作用。方法：选取济宁医学院附属医院2020年6月1日-2022年3月1日收治的急性脑梗死患者60例，随机分为对照组和电针组各30例。对照组采用西医常规疗法；电针组采用头针和体针结合的电针疗法。结果：电针组总有效率92.86%（26/28）高于对照组68.97%（20/29），差异有统计学意义，P<0.05。经过一个疗程（2周）的治疗后，2组神经功能缺损程度均较治疗前有好转，经过一个疗程（2周）的治疗后，2组神经炎性因子[IL-10、TNF-ɑ、IL-17]水平均较治疗前有好转，且治疗后，电针组更优，差异有统计学意义。结论：电针疗法对急性脑梗死有较好疗效，能显著改善患者的神经功能和炎性因子水平，提高患者生活质量，且安全可靠，值得推广。                                                                                                                                                                                

  • AbstractTo observe the clinical effect of electroacupuncture on patients with acute cerebral infarction and its influence on neural function and inflammatory factors. Methods: 60 patients with acute cerebral infarction admitted to the Affiliated Hospital of Jining Medical College from June 1, 2020 to March 1, 2022 were randomly divided into the control group and the electroacupuncture group with 30 patients in each group. The control group was treated with routine western medicine; The electroacupuncture group was treated with scalp acupuncture combined with body acupuncture. Results: The total effective rate of the electroacupuncture group was 92.86% (26/28) higher than that of the control group (68.97% (20/29), with a statistically significant difference (P<0.05). After a course of treatment (2 weeks), the degree of neural function defect in the two groups improved compared with that before treatment. After a course of treatment (2 weeks), the degree of neuroinflammatory factors [IL-10, TNF] in the two groups- ɑ、 The levels of IL-17] were improved compared with those before treatment, and the electroacupuncture group was better after treatment, with a statistically significant difference. Conclusion: Electroacupuncture therapy has a good effect on acute cerebral infarction, can significantly improve the patient's neural function and inflammatory factor level, improve the patient's quality of life, and is safe and reliable, which is worth promoting.

    急性脑梗死是因脑动脉急性闭塞所致的脑组织坏死。常以突然昏仆，半身不遂，口舌㖞斜，不语或言语謇涩，偏身麻木为主症，发病时间不固定，有时在活动状态发病，有时在安静状态或者睡眠状态都可以发病。一旦发病以后，病情变化往往比较迅速，可能会在短时间内发展到比较严重的程度，当然，也有病例是呈现渐进性加重或者阶段性加重，并会伴有头晕、头痛、手足麻木或无力、一过性言语不利等先兆症状。重者可出现神志障碍，神昏或神志恍惚或迷蒙或昏愦，甚者伴见牙关紧闭，二便失禁，肢体拘紧，躁扰不宁，四肢不温，痰涎壅盛等危候。目前，急性脑梗死的现代医学治疗主要侧重于使用药物联合应用，最终达到溶解血栓、缩小梗死病灶、恢复脑组织的供血和改善微循环等目的，但是不太理想的是不良反应比较多。

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