脑循环功能治疗仪联合针刺治疗急性脑梗死患者的临床效果及其对患者神经功能恢复的影响

林文 林国贤 王国民 张艺泠

[摘要] 目的 探讨对于急性脑梗死应用脑循环功能治疗仪与针刺联合治疗对患者的疗效及神经功能恢复情况的影响。方法 方便选取2019年1—12月于福建医科大学附一闽南医院就诊的急性脑梗死患者72例，其中36例在基础治疗的同时给予针刺治疗，为对照组;另36例在基础治疗与针刺治疗的同时应用脑循环功能治疗仪，为研究组，两组均连续治疗21 d，观察两组治疗前后的CSS與BI评分，同时观察急性脑梗死疗效。结果 研究组治疗后CSS（9.72±3.87）分，BI（64.73±15.32）分;对照组治疗后CSS（14.83±4.33）分，BI（48.27±14.61）分，与研究组比较，差异有统计学意义（t=5.279、4.665，P<0.05）。研究组总有效率94.4%，对照组63.9%，差异有统计学意义（χ2=10.190，P<0.05）。结论 对于急性脑梗死的治疗，在针刺的基础上联合应用脑循环功能治疗仪较单纯应用针刺对患者的疗效更佳，可有效促进患者神经功能的恢复，改善生活质量。

[关键词] 脑循环功能治疗仪;针刺;急性脑梗死;神经功能;疗效

[中图分类号] R4          [文献标识码] A          [文章编号] 1674-0742（2020）10（c）-0164-03

[Abstract] Objective To investigate the effects of combined treatment of cerebral circulation function therapy instrument and acupuncture on patients with acute cerebral infarction and the recovery of nerve function. Methods A total of 72 patients with acute cerebral infarction who were treated in Fujian Medical University Affitiated Minan Hospital from January to December 2019 were conveniently selected. Among them， 36 patients were treated with acupuncture at the same time as the basic treatment and served as the control group; the other 36 patients were treated with basic treatment and acupuncture Cerebral Circulation Function Therapeutic Apparatus was used during treatment. Both groups were treated continuously for 21 d. The CSS and BI scores of the two groups were observed before and after treatment， and the curative effect of acute cerebral infarction was also observed. Results CSS （9.72±3.87） points and BI （64.73±15.32） points after treatment in the study group; CSS （14.83±4.33） points and BI （48.27±14.61） points after treatment in the control group. Compared with the study group，the difference was statistically significant（t=5.279， 4.665， P<0.05）. The total effective rate was 94.4% in the study group and 63.9% in the control group，the difference was statistically significant（χ2=10.190， P<0.05）. Conclusion For the treatment of acute cerebral infarction， combined application of cerebral circulatory function therapy device on the basis of acupuncture is better than acupuncture alone， which can effectively promote the recovery of patients' nerve function and improve the quality of life.

[Key words] Cerebral Circulation Function Therapy Device; Acupuncture; Acute Cerebral Infarction; Nerve Function; Curative Effect

急性脑梗死是指颅内动脉血管因动脉粥样硬化渐进性狭窄突然梗死或其它来源的栓子突然性阻塞颅内动脉，导致血流受阻，受阻血管供应的脑组织缺血缺氧而坏死[1]。颅内血管对中枢神经系统进行供应，当血管阻塞后，脑组织坏死，进而导致神经系统受损，致残率、致死率极高，对社会、家庭的经济生活具有严重危害[2]。如何提高急性脑梗死的治疗效果，降低致死率与致残率，改善患者预后，是神经内科研究的重点。随着科学技术的发展，越来越多的医疗器械被研发出来，其中脑循环功能治疗仪是针对神经内科疾病新研发的一项产品。为进一步提高急性脑梗死患者疗效，同时验证脑循环功能治疗仪的治疗效果，该研究方便选取2019年1—12月于该院就诊的急性脑梗死患者72例，其中对照组在基础治疗的同时进行针刺治疗，研究组在对照组基础上联合应用脑循环功能治疗仪，对比两组疗效及神经功能恢复情况，现报道如下。