文章摘要
常久魁 刘晓荣 郑建辉 周晋 刘维田 徐雅彪 张国栋.微创手术联合早期针灸治疗高血压脑出血的临床研究[J].,2016,16(20):3928-3931
微创手术联合早期针灸治疗高血压脑出血的临床研究
Clinical Study of Minimally Invasive Surgery Combinedwith Early Acupuncture and Moxibustion for Treatmentof Hypertensive Cerebral Hemorrhage
  
DOI:
中文关键词: 微创手术  针灸  早期  高血压脑出血
英文关键词: Minimally invasive surgery  Acupuncture and moxibustion  Early  Hypertensive intracerebral hemorrhage
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作者单位
常久魁 刘晓荣 郑建辉 周晋 刘维田 徐雅彪 张国栋 河北省唐山市丰润区人民医院脑二科 河北省唐山市丰润区中医院中风一科 
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中文摘要:
      目的:探究微创手术联合早期针灸治疗高血压脑出血的临床疗效。方法:采用随机数字表法将本院2012 年3 月到2014 年3 月住院治疗的63 例高血压脑出血患者分为研究组(34 例)和对照组(29 例),研究组给予微创手术与早期针灸(拔除引流管后第 2~4 天)治疗,对照组给予微创手术与常规针灸(拔除引流管后2 周)治疗,分别于治疗前、针灸治疗后第2 周和第4 周对所有患 者进行神经功能缺损及日常生活活动能力判定,对比两组疗效。结果:治疗第2 周、4 周后,两组神经功能缺损评分在逐渐下降 (P<0.05),而日常生活活动能力评分在逐渐上升(P<0.05),且研究组治疗2 周、4 周后的神经功能缺损评分均低于对照组(P<0. 05),日常生活活动能力评分均高于对照组(P<0.05);研究组的总有效率为91.2%,显著高于对照组的62.1%(P<0.05)。结论:微创 手术联合早期针灸治疗可显著改善高血压脑出血患者的神经功能及活动能力,临床疗效显著,且疗效优于微创手术联合常规针 灸治疗。
英文摘要:
      Objective:To explore the clinical efficacy of minimally invasive surgery combined with early acupuncture and moxibustion for treatment of hypertensive cerebral hemorrhage.Methods:63 cases of patients with hypertensive intracerebral hemorrhage treated in our hospital fromMarch 2013 to March 2014 who were divided into research group(34 patients) and control group (29 patients) by random number table method. Research group was treated with minimally invasive surgery combined with early acupuncture and moxibustion (fromthe second day to the fourth day after removal of the drainage tube), while control group was treated with minimally invasive surgery combined with conventional acupuncture and moxibustion (2 weeks after removal of the drainage tube), determined the neurologic impairment and activity ability of daily life of all patients before treatment, the second week and the fourth week after acupuncture and moxibustion, compared the efficacy in two groups.Results:The neurologic impairment scores of two groups were gradually declined after treatment of the second week and the the fourth week, while the activity ability of daily life scores were gradually risen (P<0.05), and the neurologic impairment scores after treatment of the second week and the fourth week in research group were lower than control group(P<0.05), the activity ability of daily life scores were higher than control group(P<0.05); The total effective rate of research group was 91.2%, which was significantly higher than 62.1% of the control group (P<0.05).Conclusion:Minimally invasive surgery combined with early acupuncture and moxibustion treatment can significantly improve the neurologic impairment and activity ability of daily life in patients with hypertensive cerebral hemorrhage, the clinical efficacy is significant, and the efficacy is better than minimally invasive surgery combined with conventional acupuncture and moxibustion treatment.
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