针刺联合养生益智汤对脑梗死患者凝血功能及神经功能的影响

摘要/Abstract

摘要： 目的探讨与分析针刺联合养生益智汤对脑梗死患者凝血功能及神经功能的影响。方法选择2018年2月—2022年3月在扬州市中医院诊治的86例脑梗死患者作为研究对象,根据1∶1随机数表法将患者分为针刺组43例与传统组43例。传统组给予中医养生汤治疗,针刺组在传统组治疗的基础上给予针刺治疗,针刺组与传统组均治疗观察4周,测定患者凝血功能与神经功能变化情况。结果治疗后针刺组治疗总有效率高于传统组,但差异无统计学意义（P>0.05）。针刺组治疗期间的肺部感染、尿路感染、静脉血栓、压疮等并发症发生率显著低于传统组,差异有统计学意义（P<0.05）。针刺组与传统组治疗后的认知功能与日常生活能力评分均显著高于治疗前（P<0.05）,治疗后针刺组也显著高于传统组,差异有统计学意义（P<0.05）。针刺组与传统组治疗后的凝血酶原时间、活化部分凝血酶原时间均显著高于治疗前（P<0.05）,治疗后针刺组显著高于传统组,差异有统计学意义（P<0.05）。结论针刺联合养生益智汤在脑梗死患者的应用能改善其认知功能、日常生活能力以及神经功能,减少并发症的发生,还可改善患者的凝血功能。

关键词: 针刺, 养生益智汤, 脑梗死患者, 认知功能, 神经功能, 凝血功能

Abstract: Objective To explore and analysis the effects of acupuncture combined with Health Nourishing and Intelligence Nourishing Soup on coagulation function and neurological function in patients with cerebral infarction. Methods From February 2018 to March 2022, 86 cases of patients with cerebral infarction diagnosed and treated in our hospital were selected as the research subjects. Accorded to the random number table method principle of 1:1, the patients were divided into the acupuncture group of 43 cases and the traditional group of 43 cases. The traditional group were treated with Health Nourishing and Intelligence Nourishing Soup, and the acupuncture group were treated with acupuncture on the basis of the traditional group. Results After treatment, the total effective rates of the acupuncture group was higher than that of the traditional group, but there was no statistically significant difference (P>0.05). The incidence rates of complications such as pulmonary infection, urinary tract infection, venous thrombosis and bedsore in the acupuncture group was significantly lower than that in the traditional group (P<0.05). The scores of cognitive function and daily living ability in both groups after treatment were significantly higher than those before treatment (P<0.05), and the scores of acupuncture group after treatment were also significantly higher than those in the traditional group (P<0.05). The prothrombin time and activated partial prothrombin time of the two groups after treatment were significantly higher than those before treatment (P<0.05), and the acupuncture group after treatment were also significantly higher than that of the traditional group (P<0.05). Conclusion The application of acupuncture combined with Health Nourishing and Intelligence Nourishing Soup in patients with cerebral infarction can improve cognitive function, daily living ability and neurological function, reduce the occurrence of complications, and improve the coagulation function of patients.

Key words: acupuncture, Health Nourishing and Intelligence Nourishing Soup, cerebral infarction patients, cognitive function, neurological function, coagulation function

中图分类号:

R247.9

茆阿文, 张军. 针刺联合养生益智汤对脑梗死患者凝血功能及神经功能的影响[J]. 中华养生保健, 2023, 41(4): 36-39.

MAO A-wen, ZHANG Jun. Effect of Acupuncture Combined with Yang Sheng Yi Zhi Decoction on Coagulation Function and Neurological Function in Patients with Cerebral Infarction[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(4): 36-39.

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