早期缺血性中风不同针刺治疗方案的优化研究  

Study of Optimization of Different Acupuncture Treatment Protocols for the Early Stage of Ischemic Stroke

作　　者：胡智海[1] 王毅[1] 耿立芳[1] 崔丽[1] 陈雪佳[1] 陆佳[1] 宋峥雨[1] 

机构地区：[1]上海市中西医结合医院,上海200082

出　　处：《上海针灸杂志》2013年第10期802-804,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市虹口区卫生局立项课题(虹卫1104-16)

摘　　要：目的探讨早期缺血性中风的最优化针刺治疗方案。方法将符合纳入标准的90例患者随机分为A组、B组、C组,A组采用体针治疗,B组采用头体针治疗,C组采用头体针加穴位注射治疗。针刺治疗1个疗程后,观察各组患者治疗前后神经功能缺损评分、Fugl-Meyer运动功能评分及日常生活能力评分的变化。结果治疗后各组患者神经功能缺损评分、Fugl-Meyer运动功能与日常生活能力评分均有不同程度的改善,B组(头体针)临床疗效优于其他两组,差异有统计学意义(P<0.05)。结论头体针组合是治疗早期缺血性中风的最佳针刺治疗方法。Objective To investigate the optimal acupuncture treatment protocol for the early stage of ischemic stroke. Method Ninety patients meeting the inclusion criteria were randomly allocated to groups A, B and C. Group A received body acupuncture; group B, scalp-body acupuncture; group C, scalp-body acupuncture plus acupuncture point injection. The neurological deficit score, the Fugl-Meyer motor function score and the activities of daily living score were counted in different groups before and after treatment. Result The neurological deficit score, the Fugl-Meyer motor function score and the activities of daily living score improved in varying degrees in different groups after treatment. The clinical therapeutic effect was better in group B （scalp-body acupuncture） than in the other two groups; there were statistically significant differences （P〈0.05）. Conclusion A combination of scalp and body acupuncture is the optimal way for acupuncture to treat the early stage of ischemic stroke.

关 键 词：中风 针刺 早期 优化研究 脑梗死 

分 类 号：R246.6[医药卫生—针灸推拿学]