针刺治疗缺血性脑梗死后遗症期180例的随机对照临床试验

Clinical trials of acupuncture treatment for 180 ischemic cerebrovascular patients in sequel period by randomized and controlled methods

关键词:  针刺  脑梗死  后遗症期

Key words:  acupuncture  cerebral infarction  sequel period

摘要:

[目的]采用随机对照设计进行临床研究,对针刺治疗脑梗死后遗症期进行有效性和安全性评价,探讨醒脑开窍针刺法对脑梗死患者的神经功能的影响。[方法]选择符合纳入标准的180例缺血性脑卒中患者,均在西医常规治疗基础上随机分为常规针刺组及醒脑组,治疗4周后,以神经功能缺损程度评分(CSS)、斯堪的纳维亚量表(SSS)、美国国立卫生院神经功能缺损评分(NIHSS)、日常生活能力量表(BI指数)作为神经功能评价标准,比较两者的疗效。[结果]治疗4周后CSS评分,醒脑组疗效优于常规组;SSS评分,醒脑组增加程度高于常规组;NIHSS评分,醒脑组降低幅度高于常规组;日常生活能力(BI指数),醒脑组改变量显著高于常规组。[结论]"醒脑开窍"针刺明显改善脑梗死后遗症期患者神经功能,提高日常生活能力。

Abstract:

[Objective] To evaluate the efficacy and safety of acupuncture treatment for patients with cerebral infarction in sequel period by randomized and controlled methods.The neural function in patients with cerebral infarction treated by restoring consciousness and inducing resuscitation(XNKQ) technique was investigated.[Methods] One hundred and eighty patients with cerebral infarction were enrolled and randomly divided into conventional acupuncture group and XNKQ group based on the conventional Western medicine treatment.Comparative analysis was performed 4 weeks after treatment.[Results] Four weeks after treatment taking CSS,SSS,NIHSS and BI index as the evaluated parameters,the curative effects were compared between both groups.It was found that CSS score in XNKQ group was higher than the conventional group.The increased degree of SSS score in XNKQ group was higher than that of the conventional group.For NIHSS score the decreased amplitude in XNKQ group was lower than that of the conventional group.The ability of daily life(BI index) in XNKQ group was higher than that of the conventional group.[Conclusion] XNKQ acupuncture therapy can improve neurological function and the quality of life in patients with cerebral infarction.