Efficacy of combined acupuncture and medication therapy for acute-stage cerebral infarction and its impact on cerebral blood flow
10.1007/s11726-025-1527-8
- VernacularTitle:针药并用治疗急性期脑梗死疗效及对脑血流状况的影响
- Author:
Yunxiao GAO
;
Congcong HU
;
Pei LIANG
;
Haiyan WANG
;
Jie CHEN
;
Junli AN
- Publication Type:Journal Article
- Keywords:
Acupuncture Therapy;
Mind-refreshing and Orifice-opening Needling Method;
Acupuncture Medication Combined;
Cerebral Infarction;
Cerebrovascular Circulation;
Randomized Controlled Trial
- From:
Journal of Acupuncture and Tuina Science
2025;23(5):409-415
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of combined acupuncture and medication therapy in treating cerebral infarction in the acute stage and its impact on cerebral blood flow.Methods:A total of 160 patients with cerebral infarction were divided into 4 groups using the random number table method,with 40 cases in each group.Conventional treatment was given to all groups.Besides,the Chinese medication group received Tong Shen Fu Nao Wan;the acupuncture group received Xing Nao Kai Qiao(mind-refreshing and orifice-opening)needling therapy;the acupuncture-medication group received both Tong Shen Fu Nao Wan and Xing Nao Kai Qiao needling therapy.After 4 weeks of treatment,the clinical efficacy was assessed,and changes in the traditional Chinese medicine(TCM)symptom score and hemodynamics were compared among the four groups,as well as complications and adverse reactions.Results:After treatment,the acupuncture-medication group had a higher total effective rate compared to the other three groups(P<0.05).After the intervention,the National Institutes of Health stroke scale(NIHSS)score dropped in all groups(P<0.05)and was lower in the acupuncture-medication group than in the other three groups(P<0.05);all groups showed a decrease in the TCM symptom score(P<0.05),and the acupuncture-medication group was significantly lower than the other groups(P<0.05).After treatment,the blood flow velocity of the bilateral anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)increased in every group(P<0.05),and the acupuncture-medication group had higher blood flow velocities compared to the other three groups(P<0.05).The acupuncture-medication group had the fewest number of complications among the four groups(P<0.05),and there was no statistical significance when comparing the adverse reactions among the groups(P>0.05).Conclusion:Compared to the separate use,the combined use of acupuncture and medication enhances the clinical efficacy,accelerates cerebral blood circulation,and boosts the recovery in treating cerebral infarction.
