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辰巳时针刺治疗脑卒中


□ 张慧玲 张芬梅 樊锡风 曾 奕

  文章编号:0255-2930(2007)09-0665-03
  中图分类号:R 246.6文献标识码:A
  
  [摘 要] 目的:观察辰巳时针刺治疗脑卒中患者的临床疗效。方法:将120例脑卒中患者随机分成观察组和对照组各60例。观察组采用辰巳时针刺(即7:00—11:00针刺)治疗,对照组用不定时或随到随针治疗,观察临床疗效及血脂、血凝指标。结果:观察组临床疗效愈显率(53.3%)、总有效率(93.3%)明显高于对照组(35.0%、78.3%);观察组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LCL-C)明显下降,高密度脂蛋白胆固醇(HDL-C)明显升高,血浆纤维蛋白原(FG)明显降低(均P<0.01),其调脂抗凝效果明显优于对照组(P<0.05)。结论:辰巳时针刺治疗脑卒中效果明显,通过提高降脂抗凝的作用而达到防治脑卒中的目的。
  [主题词] 中风/针灸疗法;刺法;时间因素
  
  Acupuncture at 7:00 am—11:00 am division fortreatment of stroke
  ZHANG Hui-ling1, ZHANG Fen-mei2, FAN Xi-feng1, ZENG Yi (1. TCM Section, The Third Hospital, Hebei Medical University, Shijiazhuang 050051, China; 2. Hospital ofHebei Normal University)
  ABSTRACT Objective To observe clinical therapeutic effect of the needling method of selecting time on stroke. Methods One hundred and twenty cases of stroke were randomly divided into an observation group and a control group, 60 cases in each group. The observation group were treated with acupuncture between 7:00—11:00 and the control group with acupuncture at any time. Their therapeutic effects, blood lipids and blood coagulation indexes were observed. Results The cured-markedly effective rate and the total effective rate were 53.3% and 93.3% in the observation group, which were significantly higher than 35.0% and 78.3% in the control group, respectively; total cholesterol (TC), triglyceride (TG), low density lipoprotein-cholesterol (LDL-C) significantly decreased and HDL-C significantly raised, fibrinogen (FG) significantly reduced in the observation group (all P<0.01), the lipids regulatingand anti-coagulation effects were significantly better than the control group (P<0.05). Conclusion Acu-puncture between 7:00—11:00 achieves significant effect on stroke through increasing the lipids-decreasing and anti-coagulation effects.
  KEY WORDS Stroke/am ther; Needling Methods; Time Factors
  
  目前,我国脑卒中的患病率为719/10万,且有逐年上升的趋势。据报道,中风1周后的病人73%~86%有偏瘫或行动困难[1],给社会和家庭带来沉重的负担。笔者2000年1月—2005年1月间根据中医时间医学的理论,采用辰巳时针刺对60例脑卒中患者疗效和有关生化指标进行观察,效果显著,现总结报告如下。
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