针刺对不同分期脑梗死缺损神经功能恢复的影响  

Influence of acupuncture on neurologic impairment in patients with cerebral infarction in different stag

作　　者：宁丽娜[1,2] 马金娜[2] 熊杰[2] 石学敏[3] 

机构地区：[1]天津中医药大学,天津300193 [2]武警后勤学院附属医院,天津300162 [3]天津中医学院第一附属医院,天津300193

出　　处：《吉林中医药》2015年第8期852-854,共3页Jilin Journal of Chinese Medicine

摘　　要：目的研究不同针刺方法对急性期、恢复期、后遗症期脑梗死神经功能的影响。方法各期脑梗死患者240例,随机分为"醒脑组"和"对照组",每组120例,其中急性期80例,每组40例;恢复期患者80例,每组40例;后遗症期80例,每组40例,分别观察治疗前、治疗后2周、4周及6个月时斯堪的那维亚卒中量表SSS的动态变化及日常生活活动能力BI指数。结果醒脑组各期患者的SSS均明显高于对照组(P<0.05);治疗4周后,醒脑组BI均高于对照组(P<0.01),且急性期和恢复期均优于后遗症期(P<0.001)。结论醒脑开窍针刺法治疗脑梗死的疗效显著,及早介入,更有助于恢复损伤神经功能和日常生活能力。Objective To observe the influence of different kinds of acupuncture on the neurology function of the brain occlusion patients in acute stage,restoration stage and sequelae stage. Methods 240 patients with cerebral infarction were divided into ＂Xingnao group＂and ＂Control group＂with 120 cases in each group,among which,80 cases in acute stage with 40 cases in each group,80 cases in restoration stage with 40 cases in each group and 80 cases in sequelae stage with 40 cases in each group. The dynamic variation of SSS was observed before and after treatment for 2weeks,4 weeks,6 months and the BI was used to evaluate the activities of daily living. Result The SSS of patients in＂Xingnao＂groups were obviously higher than that in control groups（ P 〈0. 05）; After 4-weeks treatment,the BI value of patients in ＂Xingnao＂groups was obviously higher than that in control groups（ P 〈0. 01） and the patients in acute stage and in restoration stage were higher（ P 〈0. 001）. Conclusion ＂Xingnao Kaiqiao＂acupuncture has evident efficacy. It should be used as early as possible,which is more helpful to the restoration of the neurologic impairment and activities of daily living in patients.

关 键 词：针刺 脑梗死 急性期 恢复期 后遗症期 神经功能 

分 类 号：R246.6[医药卫生—针灸推拿学]