王应军，张娟，刘海玲，邓超，彭宏，黄启开

（湖南省宁乡县中医医院针灸科，湖南长沙410600）

四海之腧取穴法对脑梗塞恢复期患者血脂及凝血系统影响的研究

王应军，张娟，刘海玲，邓超，彭宏，黄启开

（湖南省宁乡县中医医院针灸科，湖南长沙410600）

目的观察“四海之腧”取穴法对脑梗塞恢复期患者的血脂水平及凝血系统的影响。方法将60例患者随机分为治疗组和对照组，每组各30例。两组患者均接受基础治疗，治疗组配合“四海之腧”取穴法，对照组配合常规针刺，3个疗程后，观察治疗前后血脂及凝血系统相关指标情况。结果两组患者治疗前后血脂水平和凝血系统指标比较差异均有统计学意义（P＜0.05），且治疗组疗效优于对照组（P＜0.05）。结论“四海之腧”取穴法可调节脑梗塞恢复期患者的血脂水平及血液流变学状态，疗效确切，值得临床推广应用。

脑梗塞；恢复期；“四海之腧”取穴法；血脂；凝血系统

〔Abstract〕Objective To observe the effects of"Si-Hai-Zhi-Shu"acupoint on blood lipids and blood coagulation system in patients with cerebral infarction at restoration stage.Methods Sixty patients were randomly divided into the treatment group and control group，30 cases in each group.The two groups were treated with basical treatment.Then the treatment group were treated by Acupuncturing"Si-Hai-Zhi-Shu"，and the control group was given conventinal acupuncture. After 3 courses of treatment，the blood lipids and blood coagulation system indicators were observed before and after treatment.Results The blood lipids levels and blood coagulation system indicators of both groups before and after treatment were statistically significant significance（P＜0.05），and the treatment group is obviously better than control group（P＜0.05）. Conclusion"Si-Hai-Zhi-Yu"acupoint can improve the level of blood lipids and hemarheology state.It is worthy of clinical application with good effect.

〔Keywords〕cerebral infarction；restoration stage；"Si-Hai-Zhi-Shu"acupoint；blood lipids；blood coagulation system

脑梗塞（cerebral ischaemic stroke，CIS）约占脑血管疾病的55%～80%［1］，为临床常见病、多发病，其发病率、致残率及死亡率较高，已成为当今世界医学重要的研究课题。本课题组前期研究成果表明［2］，四海之腧取穴法治疗脑梗塞恢复期的疗效确切，并在临床广泛推广应用，但对其相关的治疗机理研究尚不够深入。近年来的研究发现，高脂血症以及血液黏度升高是脑梗塞发生的高危因素［3］，基于此，本研究拟观察四海之腧取穴法对脑梗塞患者血脂、凝血系统的影响，以探讨四海之腧取穴法对脑梗塞恢复期的临床疗效机制，现将结果报道如下。……