The Clinical Study On Treatment Of Atheroscherosis Brain Infarction By Acupuncture Oxygen

Objective: Undergraduate through the control that patients with ischemic cerebrovascular disease on the basis of conventional therapy, combination of acupuncture-limb-oxygen and oxygen inhalation therapy group and acupuncture acupuncture therapy with the right physical gesture of the difference, for the treatment of ischemic cerebrovascular disease provided new treatment programmes, combined with oxygen inhalation limbs treated with acupuncture and ischemic cerebrovascular disease clinical efficacy, reduce ischemic cerebrovascular disease patients disability, reduce patient morbidity.Methods: 1 Research Target: 135 cases of cerebral infarction in patients with atherosclerosis has adopted in accordance with the hospital were randomly divided into three groups after treatment, the treatment group A (therapy of the right physical gesture acupuncture combined with oxygen inhalation) 45 cases, the control group B (scalp acupuncture therapy with inhaled oxygen)) 47 cases, the control group C (therapy of acupuncture combined with the right physical gesture )in 43 cases, three groups of gender, age, disease stage and treatment of Western medicine, such as the statistical analysis, there was no significant difference (P> 0.05), and comparability.2 Therapeutic program: A treatment group (the right physical gesture acupuncture combined with oxygen inhalation therapy): Scalp Acupuncture and when placed supine position-limb; election acupuncture points: (1) Acupuncture site: use"generic international standardization programmes scalp acupuncture"Before slash the top temporal and temporal top after a slash treatment. (2) Operating: on the 28th 1.5-2.0 cents acupuncture fast-inch thorns (<30 degrees), 1.0-1.5 inch acupuncture to the first-subgaleal Pimao, about 40 mm deep,rapid acupuncture after Nianzhuai (200 to -- 220 r / min), each acupuncture Nianzhuai 1 min, 8 h stay acupuncture. Beginning at 30 min Nianzhuai 1 st, 2 nd repeat, and then every 2 h Nianzhuai 1, until the acupuncture. Day, 10 times as a treatment for diarrhea-filled. (3) expert acupuncture acupuncture and stay the course of the activities of the fair with limb and take the initiative to display the right physical gesture for the physical movement of patients could not, told his passive display-limb. Limb-bit:-limb function in different place and it is from the perspective of treatment designed a temporary position.①supine position: head on the pillow, face towards the side, pillows should be appropriate height, not in the thoracic spine flexion, the ipsilateral hip pad the bottom of a small pillow so that the pelvis forward sudden side to prevent the hip flexion, the Rotary, pading beneath a small pillow under the ipsilateral shoulder so that the process forward scapula, upper elbow extended, under pillows, wrist stretched to the back, fingers extended, thigh and lower extremity of the central put sandbags to prevent the hip outreach , and external rotation, a small pillow Wochu pad to prevent the extension of the knee;②side in the bottom of the lateral position: scapular side with forward stretch of shoulder flexion, extension of the elbow, wrist stretched to the back ,fingers extension, the affected leg extended, mild knee flexion and leg contralateral hip, knee flexion, Put a pillow, put a pillow back crowded, its trunk can be relied upon, from relaxed posture;③side in the top of the Lateral Position: ipsilateral upper extremity extending forward, shoulder flexion 90°, with a pillow below support contralateral upper extremity free display. Affected leg hip, knee flexion, under pillows, contralateral hip lower extremity extending mild knee flexion, crowded place a pillow back, the trunk was relaxed state. Acupuncture 15 minutes before continuing to low-flow oxygen inhalation (1.5 l / min), each suction 30 minutes. For once, and 10 times as a treatment for three consecutive courses. Control group B (oxygen inhalation combined scalp acupuncture therapy): Acupuncture 15 minutes before continuing to low-flow oxygen inhalation (1.5 l / min), each suction 30 minutes. Acupuncture Point Selection with the treatment group.Control group, Group C (acupuncture combined with normal limb position -therapy): Scalp Acupuncture combined with good physically placed supine position, and good physically for displaying the same treatment group.When the above three groups acupuncture acupuncture in 30 minutes, for once, and 10 times as a treatment for three consecutive observation treatment.3 Observation indexes:After treatment, observation of three groups of patients before and after treatment blood rheology and numerical changes in fibrinogen and neurological impairment score and determine efficacy. These results were analyzed.Results: 1 Three clinical efficacy between patientsWill be A, B and C group cured after treatment, significant progress, progress and the number of invalid constitution, the X2 line×out test results showed that theα= 0.05 level A, B and C group patients with cerebral infarction after treatment achieved good effect (P <0.05). X2 further segmentation by calculation and analysis, Normal limb position acupuncture combined with oxygen inhalation therapy group because of oxygen inhalation therapy group and scalp acupuncture combined with normal limb position acupuncture therapy group (p <0.01), and inhalation of oxygen combined with the scalp acupuncture therapy group scalp acupuncture combined with limb-bit comparison of the two treatment groups had no significant difference (p> 0.05).2 Three groups of patients with a neurological defect integral were significantly decreased, but the normal limb position acupuncture combined with oxygen inhalation therapy decreased to a larger group (p <0.05), a drop rate of the latter two there was no significant difference (p> 0.05).3 BI score changesThree groups before treatment indicators there was no significant difference (P> 0.05), after treatment groups were effective (P <0.05), the effect of the treatment group significantly, compared with the control group difference was significant (P <0.05), ADL ability obvious . Control group, there was no significant difference between the effects (P> 0.05).4 ABC three groups of patients before and after treatment indicators of changes in blood rheologyIt is show that the three groups before treatment indicators there was no significant difference (P> 0.05), after treatment were high shear viscosity of blood, whole blood low shear viscosity and fibrinogen than before treatment were significantly decreased (P <0.05 or P <0.01), the treatment group also significantly decreased plasma viscosity, hematocrit (P <0.05, P <0.01) after treatment for high blood group shear viscosity and whole blood low shear viscosity, and hematocrit compared to the control group there were significant differences (P <0.05). Further comparison to February 2 SNK-q test, B, C between the two groups had no significant difference in group A and B, and C between the two groups was significant differences, the above analysis shows that good limb-scalp acupuncture combined with oxygen Inhalation Therapy Unit in lowering blood high shear viscosity, whole blood low shear viscosity, hematocrit is superior to the control group.5 Three groups of four patients with carotid ultrasound of carotid plaque thickness and size changesIn this study 135 cases detected 82 cases of patients with plaque; for the remaining 40 cases of carotid artery lining - the thickness of the membrane thickening of the patients, 13 patients with carotid ultrasound patients with abnormal, the latter two observation of this paper is not (Another paper describes). Study results showed that the three groups for treatment of carotid artery atherosclerosis treatment have better outcomes, the treatment group more than the control group. Comparison between the control group, no significant difference was not significant.Conclusion:1 Normal limb position acupuncture combined with oxygen inhalation therapy in the treatment of cerebral arteriosclerosis than oxygen injections, acupuncture-limb-control group, is to improve clinical efficacy, reduce morbidity, improve activities of daily living, etc.2 Normal limb position acupuncture combined with oxygen inhalation therapy on the integrated whole blood viscosity reduction, hematocrit, and red blood cell aggregation index of plasma fibrinogen have decreased significantly, effective in improving the patient's blood flow change.3 Normal limb position acupuncture combined with the main oxygen inhalation therapy for the treatment of cerebral arteriosclerosis cerebral arteriosclerosis effective reduction of carotid artery plaque thickness and size of the reduction or elimination of cerebral infarction in patients with atherosclerotic disease risk factors .4 It is safe, effective and easy to provide patients with effective treatment, clinical value.