[1]徐靖尧,赵晨钰,孙凯旋,等.针刺与运动疗法对脑梗死相关心脏损伤的影响[J].西部中医药,2026,39(02):167-172.[doi:10.12174/j.issn.2096-9600.2026.02.33]
　XU Jingyao,ZHAO Chenyu,SUN Kaixuan,et al.Effects of Acupuncture and Therapeutic Exercise on Cardiac Injury Associated with Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2026,39(02):167-172.[doi:10.12174/j.issn.2096-9600.2026.02.33]
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针刺与运动疗法对脑梗死相关心脏损伤的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年02期
页码:
167-172
栏目:
特色医疗
出版日期:
2026-02-15

文章信息/Info

Title:
Effects of Acupuncture and Therapeutic Exercise on Cardiac Injury Associated with Cerebral Infarction
作者:
徐靖尧, 赵晨钰, 孙凯旋, 吴佳梦, 王丽, 张辰
解放军总医院第八医学中心，北京 100091
Author(s):
XU Jingyao, ZHAO Chenyu, SUN Kaixuan, WU Jiameng, WANG Li, ZHANG Chen
The Eighth Medical Center of the General Hospital of the People’s Liberation Army, Beijing 100091, China
关键词:
脑梗死; 心脏损伤; 醒脑清心针刺法; 有氧抗阻运动
Keywords:
cerebral infarction; cardiac injury; mind-awakening and heart-clearing acupuncture; combined aerobic and resistance exercise
分类号:
R246.6
DOI:
10.12174/j.issn.2096-9600.2026.02.33
文献标志码:
B
摘要:
目的探讨醒脑清心针刺法联合有氧抗阻运动对脑梗死引发的心脏损伤康复效果的影响。 方法选取60例脑梗死引发的心脏损伤患者，按照随机数字表法分为对照组和研究组各30例。对照组予常规基础治疗联合有氧抗阻运动，研究组在对照组基础上予醒脑清心针刺法治疗。比较两组患者中医证候积分、脑梗死相关指标［梗死灶最大层直径、脑水肿体积、美国国立卫生研究院脑梗死量表（National institute of health stroke scale，NIHSS）评分］、心肌损伤指标［心肌肌钙蛋白I（cardiac troponin I，cTnI）、肌酸激酶同工酶（creatine kinase isoenzyme，CK-MB）、心肌酶肌酸激酶（creatine kinase，CK）、乳酸脱氢酶（lactate dehydrogenase，LDH）］、心电图结果及临床疗效。 结果治疗后，两组患者中医证候积分及总积分均降低（P＜0.05），研究组低于对照组（P＜0.05）；两组患者梗死灶最大层直径及脑水肿体积均减小（P＜0.05），NIHSS评分均降低（P＜0.05），且研究组改善程度优于对照组（P＜0.05）；两组患者cTnT、CK-MB、CK、LDH水平均降低（P＜0.05），研究组低于对照组（P＜0.05）；研究组患者ST-T段改变和心律失常情况较对照组减少（P＜0.05）；总有效率研究组［96.67%（29/30）］高于对照组［83.33%（25/30）］（P＜0.05）。 结论早期有氧抗阻运动联合醒脑清心针刺对脑梗死引发的心脏损伤具有一定疗效，能够提高患者生活质量。
Abstract:
ObjectiveTo survey the effects of mind-awakening and heart-clearing acupuncture, and combined aerobic and resistance exercise on the rehabilitation of cardiac injury associated with cerebral infarction. MethodsSixty patients were allocated to the control group and the study group according to random number table method. Patients in the control group received conventional basic therapy plus combined aerobic and resistance exercise. In addition to the control regimen, patients in the study group also underwent mind-awakening and heart-clearing acupuncture. To compare TCM syndrome scores, parameters related to cerebral infarction including maximum diameter of the infarct on its largest slice, cerebral edema volume and NIHSS scores, cardiac injury-related indexes such as cTnI, CK-MB, CK and LDH, ECG/EKG findings and clinical effects between the two groups. ResultsAfter treatment, TCM syndrome scores and total scores decreased in the two groups (P<0.05), the study group was lower than the control group (P<0.05); the two groups showed a reduction in the maximum diameter of the infarct on its largest slice, and cerebral edema volume (P<0.05), and decreased NIHSS scores (P<0.05), and the improvements of the study group were better than these of the control group (P<0.05); the levels of cTnI, CK-MB, CK and LDH decreased in the two groups (P<0.05), the study group was lower than the control group (P<0.05); patients in the study group had a lower incidences of ST-T segment changes and arrhythmias than these in the control group (P<0.05); total effective rate of the study group was [96.67%(29/30)], higher than [83.33%(25/30)] of the control group (P<0.05). ConclusionEarly combined aerobic and resistance exercise joined with mind-awakening and heart-clearing acupuncture could alleviate cardiac injury associated with cerebral infarction, and improve the patients’ quality of life.

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备注/Memo

备注/Memo:
北京市卫生健康科技成果和适宜技术推广项目（22yz0115）。徐靖尧（1994—），女，主治医师。研究方向：中医药防治脑血管疾病。Email：931562432@qq.com。
更新日期/Last Update: 2026-02-15