醒脑开窍针法联合颞三针治疗急性脑梗死的疗效及对患者生活质量、血流动力学的影响

摘要 目的：评价醒脑开窍针法联合颞三针治疗急性脑梗死（ACI）的疗效及对患者生活质量、血流动力学的影响。方法：选入2022年1月~2022年12月我院收治的ACI患者70例，根据治疗方法不同分为常规组（常规治疗）和联合组（常规治疗+醒脑开窍针+颞三针），各35例。评价并比较两组的临床疗效、生活质量及血流动力学等指标。结果：联合组治疗总有效率94.29 %，显著高于常规组的74.29 %（P＜0.05）；与治疗前相比，两组治疗后NIHSS评分明显降低、BI和SS-QOL评分显著升高（P＜0.05），而联合组降低/升高幅度更大，与常规组差异显著（P＜0.05）；两组治疗前脑血流动力学指标无明显差异（P＞0.05），而治疗后，联合组大脑中动脉Vs、Vd、Vm明显高于常规组（P＜0.05）。结论：在常规治疗基础上应用醒脑开窍针联合颞三针，可有效提高ACI的临床疗效，增加大脑局部血流量，改善神经功能缺损症状，提高日常生活能力及生活质量。

Effect of Xingnao Kaiqiao Acupuncture Combined with Temporal Three-Needle on the Treatment of Acute Cerebral Infarction and Its Influence on Patient's Quality of Life and Hemodynamics

ABSTRACT Objective: To evaluate the therapeutic effect of the combination of the Xingnao Kaiqiao acupuncture method and the temporal three-needle in the treatment of acute cerebral infarction (ACI) and its impact on the quality of life and hemodynamics of patients. Methods: 70 ACI patients admitted to our hospital from January 2022 to December 2022 were selected and divided into a conventional group (conventional treatment) and a combined group (conventional treatment + Xingnao Kaiqiao acupuncture + temporal three-needle) based on different treatment methods, with 35 patients in each group. Evaluate and compare the clinical efficacy, quality of life, and hemodynamic indicators between the two groups. Results: The total effective rate of the combined group was 94.29 %, significantly higher than the 74.29 % of the conventional group (P<0.05). Compared with before treatment, the NIHSS scores of the two groups decreased significantly after treatment, while the BI and SS-QOL scores increased significantly (P<0.05), while the decrease/increase amplitude of the combined group was significantly greater than that of the conventional group (P<0.05). There was no significant difference in cerebral hemodynamic indicators between the two groups before treatment(P>0.05), but after treatment, the combined group had significantly higher levels of Vs, Vd, and Vm in the middle cerebral artery compared to the conventional group(P<0.05). Conclusion: On the basis of conventional treatment, the application of Xingnao Kaiqiao acupuncture combined with temporal three-needle can effectively improve the clinical efficacy of ACI, increase local cerebral blood flow, improve neurological deficits, and improve daily living ability and quality of life.