Clinical Observation Effects Of Acupuncture At Fenglong(ST40) On Blood-lipid And Plaque Of Artery In The Patient Of Cerebral Infarction

Objective:Clinical observation effects of acupuncture at Fenglong(ST40) on blood-lipid and plaque of artery in the patient of cerebral infarction.Methods:1.60patients with cerebral infarction were selected from the Department of Neurology and Department of Acupuncture, Fujian Province Hospital between January2012and October2012.Subjects were randomly divided into the Fenglong(ST40) group (experimental group)and ordinary acupuncture group (contrast group),30patients in each group. All patients knew and agreed the items.2. The ordinary treatment of the Department of Neurology:The patients in the two group are formulated according to the secondary prevention of stroke which is instituted by 《China guideline for cerebrovascular disease prevention and treatment》:aspirin100mg qd to anti-platelet, Atorvastatin20mg to reduce blood fat, meanwhile, combine treatment with make the plaque stable、remove free radical、improve circulation、trophic nerve and treat related diseases etc.3. Ordinary acupuncture group (contrast group):Base on the ordinary treatment of the Department of Neurology, patients take supine position, after disinfection, using one hand retaining Jiajiang brand needles to stick point fastly:Waiguan(SJ5)、Hegu(LI4)、Quchi(LI11)、Jianyu(LI15)、Zusanli(ST36)、Xuehai(SP10)、Fengshi(GB31)、Yanglingquan(GB34)、 Taichong(LR2)、Sanyinjiao(SP6) in affected side, and anterior oblique line of vertex-temporal in the other side. Needles were vertically stabbed into body muscles and parallel with scalp.4. Fenglong(ST40) Group (experimental group):Adding Fenglong(ST40) in affected side based on ordinary acupuncture group. 5. Needles were kept in points for30min once a day, five times a week,25days as one course, all patients were taken two courses of treatment. The changes of total cholesterol(TC)、High density lipoprotein(HDL-C)、Triacylglycerol (TG)、Low density lipoprotein(LDL-C)、 Apo-lipoprotein A(APROA)、Apo-lipoprotein B(APROB)、Carotid artery ultrasonography、 Vertebral artery ultrasonography were examined before and after treatment, at the same time estimated NIHSS and Barthel and observed the therapeutic effect. Finally use SPSS17.0to analyse the collected information.Result:A total of60cerebral infarction patients are enrolled and completed57cases, including28cases in Fenglong(ST40) Group and29patients in the other Group. There are significant differences between before treatment and after treatment in Fenglong groups (P<0.05), at the same time, we can distinguish between before and after therapy in control group. Compared the two groups, the levels of HDL-C、APROA in experimental group obviously changed than contrast group (P<0.01), intimal thickness and plaques area of carotid artery has statistics significance (P<0.05), the treatment improved better. The rest testing data are no statistically significant difference (P>0.05).Conclusion:Acupuncture at Fenglong(ST40) can effectively regulate the blood lipid of the stroke patients, particularly HDL-C、APROA, the plaque in artery also changed at the same time. As a result, though this way can increase the stability of the plaques and decrease the thickness of the carotid intima in order to reduce the risk of occasion of stroke take place again.