|
Objective: To observe the effect of acupuncture combined BYHWD convalescent patients with cerebral infarction and subtraction of high homocysteine and nerve function, to broaden the treatment of this disease and provide a basis for improved efficacy. Research Methods: cerebral recovery (Qi and Blood) combined with high homocysteine 135 patients, according to the order of admission to 1:1:1 randomized acupuncture combined group (acupuncture group ), Chinese medicine treatment group (CMB), the conventional treatment group (conventional group) of the 45 cases. Conventional group used to improve cerebral blood circulation, anti-platelet aggregation, and promote brain metabolism, blood pressure, lipid and symptomatic treatment. Medicines on the basis of conventional therapy plus oral BYHWD Modified: Astragalus 30g, red peony root 10g, Chuan Xiong 10g, Angelica tail 6g, dried earthworm 12g, peach kernel 10g, safflower 6g, Salvia 20g, leeches 6g, chicken cuneata 30g, subtraction with the disease. Day one, decoction clothing, 2 times / day. Acupuncture group Medicines drug treatment, plus acupuncture Baihui Sishencong, skull shoulder Yu, Qu pool, foreign relations, Hegu, a sea of blood, Zusanli, Yanglingquan, Hong Leong, Sanyinjiao, Xie River , Taichong. Methods of operation: Point routine disinfection, Hua card on the 30th with a 1-1.5 inch disposable sterilized needles, acupuncture was gas underwent reinforcing-reducing techniques, needle 30min, 15 lpm pin 1, pin in order to maintain a sense, every day 1, 5 times / week. Three groups were continuous treatment a month. Respectively, before treatment, 2 weeks, 1 month of treatment, the use of two-step enzymatic conversion of plasma homocysteine levels, using NHISS in standard clinical effect. Statistical analysis using SPSS 13.0 software results. Results of a study, acupuncture, Chinese medicine and conventional therapy on plasma homocysteine levels in three groups of treatment could reduce 1.1 convalescent patients with cerebral infarction plasma homocysteine levels. Three treatment levels of plasma homocysteine was no significant difference (p gt; 0.05), comparable. 2 weeks of treatment and one month later: the conventional group before and after treatment compared almost no change, but no statistically significant difference (p gt; 0.05), while the acupuncture group and TCM group before and after treatment (in this group) were significantly change (p gt; 0.01). (See Table 2 and Figure 1-3) 1.2 acupuncture combined treatment on the impact of homocysteine have an advantage for 2 weeks and one month after the acupuncture group, compared with the conventional medicine group, with statistically significant difference (p lt; 0.01), while the acupuncture group on homocysteine decreased more significantly than traditional Chinese medicine group, statistically (p lt; 0.01) (Table 3, Figure 2,3,5, 6) 2, acupuncture, Chinese medicine and conventional treatments for neurological deficit score (NHISS) score of 2.1 acupuncture, Chinese medicine and conventional therapy could improve neurological function in patients with cerebral infarction treatment NHISS in three groups, but without any statistical Learn the difference (p gt; 0.05), comparable. Treatment two weeks, a month, three groups before and after each group, there are statistically significant, (p values were lt; 0.01; lt; 0.01; lt; 0.05), described acupuncture combined with Chinese medicine and conventional therapy has restore neurological function of patients with cerebral infarction. 2.2 acupuncture combined therapy on recovery of nerve function impairment in patients with cerebral infarction has certain advantages acupuncture, Chinese medicine and conventional treatment can effectively reduce neurological damage in patients with cerebral infarction, before and after each group, there are statistically significant, However, the degree of improvement point of view, traditional Chinese medicine group than the conventional group, acupuncture group than the traditional Chinese medicine group, better than the conventional group (Table 4, Table 5, Figure 7-12) 3, plasma homocysteine levels were positively correlated with NHISS in plasma homocysteine through the levels and NHISS in the correlation analysis, we found three sets of plasma homocysteine levels and neurological deficits were positively correlated (p lt; 0.05) ( Table 6 13 - 15). Conclusions: 1. Acupuncture combined with Chinese medicine treatment can reduce infarct and convalescent plasma homocysteine levels. 2 acupuncture combined with Chinese medicine, conventional treatment NHISS in convalescent patients with cerebral infarction has improved, can improve neurological function, improve patient quality of life. The treatment of acupuncture combined with more advantages. 3 infarction patients convalescent plasma homocysteine levels and NHISS in positive correlation. 4 acupuncture combined therapy is the treatment of cerebral infarction patients with high recovery hyperhomocysteinemia in YOUJIA method.
|