CAJ | 학술논문

目的：观察原络配穴与补肾益寿胶囊对脑梗死患者肢体功能、血液流变学及血超敏C反应蛋白（hs‐CRP）的影响。方法将脑梗死肢体活动障碍患者120例按随机数字表法分为3组，在控制原发病等常规治疗与护理基础上，针刺组以原络配穴为配穴原则，予针刺治疗；药物组予口服补肾益寿胶囊；联合组予原络配穴联合口服补肾益寿胶囊，观察3组美国国立卫生院神经功能缺损（NIHSS）评分、血液流变学改变及血hs‐CRP在治疗前、后的变化。结果3组治疗后NIHSS评分、血液流变学指标及血hs‐CRP水平均明显改善（P＜0．01）；联合组各项指标改善程度优于针刺组与药物组（P＜0．01）。结论原络配穴与补肾益寿胶囊联合用于脑梗死患者可明显改善患者肢体功能，其机制可能与通过改善血液流变性及降低血hs‐CRP水平有关。
목적：관찰원락배혈여보신익수효낭대뇌경사환자지체공능、혈액류변학급혈초민C반응단백（hs‐CRP）적영향。방법장뇌경사지체활동장애환자120례안수궤수자표법분위3조，재공제원발병등상규치료여호리기출상，침자조이원락배혈위배혈원칙，여침자치료；약물조여구복보신익수효낭；연합조여원락배혈연합구복보신익수효낭，관찰3조미국국립위생원신경공능결손（NIHSS）평분、혈액류변학개변급혈hs‐CRP재치료전、후적변화。결과3조치료후NIHSS평분、혈액류변학지표급혈hs‐CRP수평균명현개선（P＜0．01）；연합조각항지표개선정도우우침자조여약물조（P＜0．01）。결론원락배혈여보신익수효낭연합용우뇌경사환자가명현개선환자지체공능，기궤제가능여통과개선혈액류변성급강저혈hs‐CRP수평유관。
Objective To study the effect of Yuan‐source Points and Collateral‐points combination and Bushen Yishou cap‐sule on hemorheology and hs‐CRP in patients with cerebral infarction .Methods A total of 120 patients with neurological function defects diagnosed with cerebral brain infarction were randomly divided into 3 groups ,who were given general treatment and nursing as usual ,Acupuncture group in general treatment based on Yuan‐source Points and Collateral‐points combination for enjoy points principles ,to acupuncture treatment ;drug group to oral Bushen Yishou capsule;combined group to Yuan‐source Points and Collat‐eral‐points combination and oral Bushen Yishou Capsule .Neurological function defects scores ,blood rheological properties and blood hs‐CRP were evaluated in all patients before and after treatment for 1 month .Results Three sets of results in treatment of limb function after scoring ,hemorheology and serum hs‐CRP levels were significantly improved (P<0 .01) .There was better improve‐ment in Combined group than these in Acupuncture group and Drug group respectively (P<0 .01) .Conclusion Yuan‐source Points and Collateral‐points combination combined with Bushen Yishou capsule can significantly improve neurological function and hemo‐rheology ,hs‐CRP levels in patients with cerebral infarction .