项针治疗缺血性中风的临床观察

The randomized controlled clinical study on treating cerebral ischemic stroke with nape needle

目的:观察项针配合常规针刺治疗缺血性中风的疗效。方法:162例缺血性中风患者,随机分为项针组和对照组。项针组取风池、完骨穴配合常规针刺取穴:肩髃、曲池、外关、合谷、伏兔、足三里、解溪及太冲等。对照组仅常规针刺取穴。每天针刺1次,连续治疗15次为一个疗程。以神经功能缺损程度评分为观察指标。结果:两组治疗后对缺血性中风患者神经功能缺损评分均有改善(P<0.05),项针组对面瘫、言语、上肢肌力、手肌力及步行能力的改善比对照组更为明显,项针组和对照组有效率分别为88.9%和79.0%(P>0.05);显效率分别为59.3%和30.9%(P<0.01)。结论:项针疗法治疗中风疗效确切,能显著地改善患者神经功能缺损评分。

Aim： To observe the influence of the nape needle therapeutical effect on patients with ischemic apoplexy. Methods： One hundred and sixty-two cases that were diagnosed as CIS in the acute stage or recover stage through the examination of CT or MRI to confirm and according to the severity of the symptom randomly were divided into two groups： the nape needle group and the control group.The nape needle group take Fengchi（GB 20） and Wangu（GB 12） combine with routine acupoints such as Jianyu（LI 15）,Quchi（LI 11）,Waiguan（SJ 5）,Hegu（LI 4）,Futu（ST 32）,Zusanli（ST 36）,Jiexi（ST 41）,Taichong（LR 3）.The control group takes the same routine acupoints as the nape needle group.All patients received the treatment of acupuncture once a day,with fifteen days as a period of treatment.Pre and post treatment of acupuncture,we gave a mark of the degree of neurologic impairment.Results： After treatment,the degrees of neurologic impairment of two groups were decreased.While to the recovery of facial palsy,language,myodynamia of upper limbs,myodynamia of hands and walking ability,nape needle therapy had more apparent in curative effect than routine acupoints therapy.For nape needle group and control group,the effective rate were respectively 88.9% and 79.0%,their obvious effects rate were 59.3% and 30.9% respectively.Conclusion：The nape needle therapy can not only relieve apparently physical signs of patients,but also improve the degree of neurologic impairment.This surely confirms the therapy method is scientific and practical and worth applying further.