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Clinical observation of acupuncture combined with arterial thrombectomy in the treatment of acute cerebral infarction
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DOI   10.11656/j.issn.1673-9043.2025.01.04
Key Words   acupuncture;arterial thrombectomy;acute cerebral infarction;clinical observation
Author NameAffiliationE-mail
ZHENG Na Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
DING Jing Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
LI Menghan Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China  
DU Yuanhao Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China jpjs_cn@sina.com 
XU Yingchun Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
WU Jiangying Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
WU Xiaozhe Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
GUO Ruijing Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
TIAN Zhen Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
HE Rundong Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
HUANG Di Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
LI Peiwen Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
LIU Wanyu Department of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China  
Abstract
    [Objective] To compare the efficacy of acupuncture combined with arterial thrombectomy and arterial thrombectomy in the treatment of acute cerebral infarction. [Methods] Total 80 patients with acute cerebral infarction were randomly divided into experimental group(40 cases) and control group(40 cases). The control group was given arterial thrombectomy,and the experimental group was treated with Baihui(GV20),Fengchi(PC6),Neiguan(PC6),Quchi(PC6),Sanyinjiao(SP6),Zusanli(ST36) and Taichong(LR3) once a day for 14 days. The 90-day modified Rankin score(mRS),90-day mRS Score 0-2,0-3 distribution ratio,and 14-day National Institute of Health stoke scale were observed in the two groups. Barthel index rating scale for daily living ability(Barthel index rating scale for daily living ability,NIHSS),BI rating scale and Fugl-Meyer Motor Function Rating Scale(FMA). [Results] The mRS Score of test group was lower than that of control group on the 90th day of disease onset,and there was a statistical difference between the two groups(P<0.05). The proportion of mRS 0-2 in test group was higher than that in control group on the 90th day of onset,the difference was statistically significant(P<0.05);the NIHSS score of test group on the 14th day of onset was lower than that in baseline period,the difference was statistically significant(P<0.01);the NIHSS score of control group on the 14th day was lower than that in baseline period,the difference was not statistically significant(P>0.05);the 14-day NIHSS score of experimental group was lower than that of control group,but the difference was not statistically significant(P>0.05). There was no significant difference in BI index between the two groups on the 14th day of onset compared with the baseline period(P>0.05). There was no significant difference in BI index between the experimental group and the control group on the 14th day of disease onset(P>0.05). FMA scores of test groups on the 14th day of onset were higher than those of baseline period,with significant statistical difference(P<0.01),and FMA scores of test groups on the 14th day of onset were higher than those of control group,but the difference was not statistically significant(P>0.05). [Conclusion] Acupuncture combined with arterial thrombectomy can improve the short-term and long-term prognosis of patients with acute cerebral infarction,and the efficacy is better than that of arterial thrombectomy alone.

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