摘要
目的:探讨舒血宁注射液联合循经刮痧治疗对急性脑梗死(ACI)患者脑血流灌注及神经功能的影响。方法:回顾性分析2023年1—12月宁津县中医院收治的80例ACI患者资料,根据治疗方法的不同将其分为研究组和对照组,各40例。对照组采用双联抗血小板治疗,研究组在对照组基础上采用舒血宁注射液联合循经刮痧治疗。两组均连续治疗3周。对比两组神经功能、血流动力学指标、不良反应发生情况。结果:治疗1、2周、1个月后,两组美国国立卫生研究院卒中量表评分均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组平均血流流速、舒张末期流速、收缩期峰值流速均较治疗前加快,且研究组均快于对照组;两组平均血流量均较治疗前增大,且研究组大于对照组,差异均有统计学意义(P<0.05)。研究组不良反应发生率为17.50%,高于对照组的12.50%,但两组比较,差异无统计学意义(P>0.05)。结论:舒血宁注射液联合循经刮痧治疗能更有效地改善ACI患者神经功能,促进脑血流灌注,且安全性良好。
Objective:To explore the effects of ShuXueNing injection combined with scraping follow meridians treatment on cerebral blood perfusion and neurological function of patients with acute cerebral infarction(ACI).Methods:Retrospectively analyzed data of 80 ACI patients attended to Ningjin County Hospital of Traditional Chinese Medicine from January to December 2023,and were divided into a control group and a study group by random number table method,with 40 cases in each group.The control group received double antiplatelet therapy,while the study group received ShuXueNing injection combined with scraping follow meridians therapy on the basis of the control group.Both groups were treated continuously for 3 weeks.Compare the efficacy of the two groups.The neurological function,hemodynamic indexes and occurrence of adverse reactions were compared between the two groups.Results:After 1,2 weeks and 1 month of treatment,the scores of the National Institutes of Health Stroke Scale in both groups were lower than those before treatment,and the study group were lower than the control group,the difference were statistically significant(P<0.05).After treatment,the mean hemodynamic flow rate,end-diastolic flow rate and peak systolic flow rate in both groups were faster than those before treatment,and the study group were faster than those in the control group,the mean blood flow rate in both groups were larger than those before treatment,and the study group was larger than the control group,the difference were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 17.50%,which was higher than 12.50%in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion:ShuXueNing injection combined with scraping follow meridians treatment can more effectively improve neurological function and promote cerebral blood perfusion in patients with ACI,and the safety is good.
作者
张志刚
ZHANG Zhigang(Department of Neurology,Ningjin County Hospital of Traditional Chinese Medicine,Dezhou 253000,China)
出处
《中国伤残医学》
2025年第8期67-70,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
急性脑梗死
舒血宁注射液
循经刮痧
双联抗血小板
脑血流灌注
神经功能
Acute cerebral infarction
ShuXueNing injection
Scraping follow meridians
Cerebral blood perfusion
Neurological function
作者简介
张志刚(1991-),男,汉族,本科,主治医师,研究方向:中医脑血管病诊疗。
