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Objective <p>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.</p> Methods <p>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.</p> Results <p>After treatment, the acupuncture-medication group had a higher total effective rate compared to the other three groups (<i>P</i>&lt;0.05). After the intervention, the National Institutes of Health stroke scale (NIHSS) score dropped in all groups (<i>P</i>&lt;0.05) and was lower in the acupuncture-medication group than in the other three groups (<i>P</i>&lt;0.05); all groups showed a decrease in the TCM symptom score (<i>P</i>&lt;0.05), and the acupuncture-medication group was significantly lower than the other groups (<i>P</i>&lt;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 (<i>P</i>&lt;0.05), and the acupuncture-medication group had higher blood flow velocities compared to the other three groups (<i>P</i>&lt;0.05). The acupuncture-medication group had the fewest number of complications among the four groups (<i>P</i>&lt;0.05), and there was no statistical significance when comparing the adverse reactions among the groups (<i>P</i>&gt;0.05).</p> Conclusion <p>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.</p>

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Efficacy of combined acupuncture and medication therapy for acute-stage cerebral infarction and its impact on cerebral blood flow

  • 期刊论文

  • 发表日期：

    2025年10月23日

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  • Yunxiao Gao,
  • Congcong Hu,
  • Pei Liang,
  • Haiyan Wang,
  • Jie Chen,
  • Junli An

摘要

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.