摘要
目的探究十二井穴刺络放血疗法结合体外冲击波对脑卒中后肱二头肌痉挛患者血液流变学的影响。方法选取2016年8月—2017年6月接受治疗的脑卒中后肱二头肌痉挛患者90例,按照随机数字表法分为2组,各45例。对照组给予常规针刺治疗,观察组采用十二井穴刺络放血联合体外冲击波治疗,对比2组临床疗效及治疗前后血液流变学指标变化。结果与对照组75.56%的总有效率相比,观察组93.33%的治疗总有效率较高,差异有统计学意义(P<0.05);观察组治疗后血小板聚集率为(53.46±5.33)%、血浆黏度为(1.30±0.27)mPa·s、血细胞比容为(43.12±1.76)%,均低于对照组的(63.75±5.51)%、(1.78±0.36)mPa·s、(46.11±2.18)%,差异有统计学意义(P<0.05)。结论十二井穴刺络放血疗法联合体外冲击波治疗可有效改善脑卒中后肱二头肌痉挛患者临床症状,降低血液黏度、血小板聚集率及血细胞比容,利于血液流变学的改善,值得推广应用。
Objective To investigate the effects of blood-splitting therapy of Twelve Wells and blood-sucking shock wave on blood rheology of patients with biceps tendon after stroke.Methods Ninety patients with biceps tendon after stroke from August 2016 to June 2017 were enrolled in our hospital.They were divided into two groups according to the random number table,with 45 cases in each.The control group received conventional acupuncture treatment.The observation group was treated with 12 well points and bloodletting combined with extracorporeal shock wave treatment.The clinical efficacy and changes of hemorheology indexes before and after treatment were compared.Results Compared with the total effective rate of 75.56%in the control group,the total effective rate of 93.33%in the observation group was higher,and the difference was statistically significant(P<0.05).In the observation group after treatment,the platelet aggregation rate was(53.46±5.33)%.The plasma viscosity was(1.30±0.27)mPa·s and the hematocrit was(43.12±1.76)%,which was lower than that of the control group(63.75±5.51)%,(1.78±0.36)mPa·s,(46.11±2.18)%,respectively.The difference was statistically significant(P<0.05).Conclusion Twelve well acupuncture and bloodletting combined with extracorporeal shock wave therapy can effectively improve the clinical symptoms of patients with biceps tendon after stroke,reduce blood viscosity,platelet aggregation rate and hematocrit,which is beneficial to the improvement of hemorheology,and is worthy of promotion.
作者
刘世伟
李红霞
LIU Shiwei;LI Hongxia(Department of Rehabilitation Medicine,Yidu Central Hospital of Weifang,Shandong Province,Weifang 262500,China;Department of Traditional Chinese Medicine Rehabilitation,Qingzhou People’s Hospital,Shandong Province,Weifang 262500,China)
出处
《中国中医药现代远程教育》
2020年第16期97-99,共3页
Chinese Medicine Modern Distance Education of China
基金
山东省潍坊市卫计委科研资助【No.2018-1-005】。
关键词
脑卒中
痉挛
十二井穴
刺络放血
体外冲击波
血液流变学
中风
cerebral apoplexy
spasm
twelve well points
pricking and bloodletting
extracorporeal shock wave
hemorheology
stroke
