Study on the Mechanism of Auricular Acupuncture Therapy Combined with Acupuncture and Moxibustion in Intervention of Ischemic Stroke Based on Hemorheology and Blood Lipid Indexes
基于血液流变学及血脂指标研究耳穴贴压联合针灸疗法干预缺血性脑卒中的机制研究

摘要

目的 基于血液流变学及血脂指标研究耳穴贴压联合针灸疗法干预缺血性脑卒中的机制，为脑卒中患者治疗寻求更加安全高效的方案。方法 选取84例例缺血性脑卒中患者，阳性药物对照组（A组）和耳穴贴压联合针灸治疗组（B组）各42例，选取同期体检健康人员45名，作为健康对照组（C组），对比三组治疗前后血液流变学及血脂指标水平。结果 治疗后4周和12周，两组的血脂指标水平均较治疗前明显改善，且B组和C组各项指标水平优于A组（P＜0.05）；两组的血液流变学指标水平较治疗前明显下降，且B组与C组各项指标水平低于A组（P＜0.05）。结论 耳穴贴压与针灸疗法联合治疗缺血性脑卒中，能够更加迅速、直接地促进患者血液流变学及血脂指标改善，对于缓解患者神经功能损伤及改善日常生活能力具有积极意义。

Abstract

Objective: To study the mechanism of auricular point sticking and pressing combined with acupuncture and moxibustion therapy in the intervention of ischemic stroke based on hemorheology and blood lipid indicators, and to seek a safer and more efficient treatment for stroke patients.
Methods 84 patients with ischemic stroke were selected, 42 patients in the positive drug control group (group A) and 42 patients in the ear acupoint sticking and pressing combined with acupuncture treatment group (group B), and 45 healthy persons in the same period were selected as the healthy control group (group C), and the levels of hemorheology and blood lipid indexes were compared before and after treatment in the three groups.
Results At 4 and 12 weeks after treatment, the levels of blood lipid indexes in both groups were significantly improved compared with those before treatment, and the levels of various indexes in Group B and Group C were better than those in Group A (P<0.05); The levels of hemorheology indexes in the two groups were significantly lower than those before treatment, and the levels of various indexes in Group B and Group C were lower than those in Group A (P<0.05).
Conclusion   The combination of ear point sticking and acupuncture therapy for ischemic stroke can promote the improvement of hemorheology and blood lipid index of patients more quickly and directly, and has positive significance for alleviating the neurological damage and improving the ability of daily life of patients.