Clinical Observation On The Treatment Of Acute Cerebral Infarction With Acupuncture And Medicine

Research purposes:Through the observation of clinical indexes of patients with acute cerebral infarction (NIHSS index), biochemical index (plasma D-dimer (DD)), evaluation of curative effect (disease curative effect evaluation of the change), evaluate the curative effect of combined acupuncture and medicine advantages and safety in the treatment of acute cerebral infarction, and provide clinical basis for the combination of acupuncture and medicine treatment program optimization.the optimal treatment program for the combination of acupuncture and medicine clinical evidence.Research methods:63patients met the diagnostic criteria and inclusion criteria in patients with acute cerebral infarction, randomized divided into simple drug treatment group (control group) and32cases of electro-acupuncture combined with drug therapy group (treatment group)31cases.Treatment: control group:A. oral medicine:clopidogrel75mg, once every night; B. intravenous drug: Shengmai injection60ml plus normal saline250ml intravenous drip,1times a day; sulfadiazine sodium injection of tanshinone Ⅱ A80ml added250ml saline or5%glucose solution250ml intravenous drip, once a day; safflower yellow sodium chloride injection80ml/100mg, intravenous drip, once a day (more than two kinds of intravenous drip optional); Xingnaojing injection20ml plus normal saline250ml intravenous drip, once daily. And to control blood pressure, blood sugar and antiplatelet therapy according to the patient’s condition. Treatment group:plus Electroacupuncture Treatment, based on the treatment in control group acupoints: upper limb:Jianyu, Quchi, Hegu, Waiguan; lower extremity:blood, Yanglingquan, Zusanli, Xuanzhong, JieXi, Taichong, sanyinjiao. Distribution:Baihui acupuncture, acupuncture Sishencong;Taiyang, Jiache, Dicang, Lian Quan and about1.5inches (i.e. swallow three needles), combined with symptomatolofec. Operation method:acupuncture body acupuncture with0.3*40mm disposable sterile needle, using iodophor disinfection with acupoints, lifting and thrusting, twirling needling manipulation to get gas, the use of XS-998B type electric acupuncture therapeutic instrument,2pairs of wires are respectively connected to the upper limbs, lower limbs Hegu Quchi, Zusanli, hang a bell. The frequency of F2, and related to the rhythmic contraction of muscle group, patients can tolerate the principle, for30min after needle. Using the0.3*40mm disposable sterile needle, needle, iodophor disinfection acupoint needle backward, and a slight twist to the needle to gas.1times a day, for6times a week,1days of rest, for a course of treatment, a total of2courses of treatment.To observe the clinical indexes, recording two groups before and after treatment (Comprehensive Evaluation on the condition of the limbs motor function, language function, patients and doctors), detection of biochemical index (DD). By the United States National Institutes of Health Stroke Scale (NIHSS) to evaluate the curative effect of clinical indicators. Application of SPSS19.0software for statistical analysis.The results:1clinical indicators:before and after treatment, treatment group, compared the NIHSS scores were significantly improved in group, there was statistically significant (P<0.01). The NIHSS score of the treatment group with significant statistical difference compared with the control group (P<0.01);2biochemical indexes:before and after treatment, treatment group, control group and DD value were significantly improved, and the difference was significant (P<0.01). After treatment, the treatment group compared with the control group, DD value improvement rate has a very significant difference (P<0.01);3Evaluation of clinical therapeutic effect:after treatment, curative effect evaluation of nerve function, the treatment group was significantly better than the control group. Among them, the treatment group0cases were cured,29cases markedly effective, effective2cases, invalid0cases; the control group0cases were cured,17cases markedly effective, effective15cases, invalid in0cases.4Safety evaluation:the two groups were no adverse reaction.Conclusion:1Acupuncture and medication in the treatment of cerebral infarction is effective;2Medical therapy in the treatment of acute cerebral infarction is better than that of acupuncture combined with medicine;3Acupuncture and medicine could significantly reduce the content of plasma D-two dimer in treatment of acute cerebral infarction.