针刺治疗脑梗死恢复期神经功能评估的多中心随机对照研究  

A Multi-center Randomized Controlled Trial on Acupuncture for Patients with Convalescent Cerebral Infarction

作　　者：杨志新[1,2] 卞金玲[1,2] 许军峰[1,2] 申鹏飞[1,2] 熊杰[3] 郭家奎[4] 张智龙[5] 李军[1,2] 石学敏[1,2] 

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]天津市针灸研究所,天津300193 [3]天津市武警医学院附属医院,天津300162 [4]天津中医药大学第二附属医院,天津300150 [5]天津市中医院,天津300140

出　　处：《上海中医药杂志》2008年第11期33-36,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划973计划(2006CB504504);天津市科技攻关重大科技项目(05YFGDSF02300)

摘　　要：目的探讨醒脑开窍针刺治疗脑梗死恢复期的临床疗效。方法234例脑梗死恢复期患者随机分为醒脑开窍针刺组(醒脑组)和传统针刺组(传统组)。醒脑组116例接受醒脑开窍针刺和常规基础治疗,传统组118例接受传统针刺和常规基础治疗。治疗4周后,进行两组神经功能评估。结果治疗后,神经功能缺损评分(NIHSS)、斯堪的纳维亚量表(SSS)、卒中量表(CSS)、Barthel指数的改善醒脑组优于传统组(P<0.001)。结论醒脑开窍针刺在改善神经功能缺损评分和日常生活能力方面明显优于传统针刺法。Objective To investigate the clinical effects of brain-arousing and orifice-opening acupuncture in the treatment of conyaleseent cerebral infarction. Methods Total 234 subjects were randomized into two groups： observation group in which 116 cases were treated with this acupuncture and routine modalities, and control group in which 118 cases were treated with conventional acupuncture and routine modalities. After 4-week treatments, the nerve functions were evaluated. Results After treatments, NIHSS, SSS, CSS and Barthel index were improved more significantly in observation group than in control group （P〈 0.001）. Conclusion Brain-arousing and orificeopening aeupuncture is quite effective in the improvement of convalescent cerebral infarction and patients＇ daily activities.

关 键 词：脑梗死恢复期 醒脑开窍针法 随机对照试验 神经功能评估 

分 类 号：R246[医药卫生—针灸推拿学]