透穴刺法治疗中风后小脑性共济失调临床观察

Clinical observation on point-through-point acupuncture for treatment of cerebellar ataxia after apoplexy

目的:观察透穴刺法治疗中风后小脑性共济失调的临床疗效并对其安全性作出评价。方法:采用随机、平行对照、单盲、多中心的研究方法,对4家医院的224例患者按1∶1的比例分为治疗组和对照组各112例。治疗组采用透穴刺法,对照组采用普通刺法,对治疗前后的症状、体征进行观察,同时观察治疗前后对经颅多普勒(TCD)的影响。结果:治疗组总有效率为93.3%,明显优于对照组的77.4%,经统计学处理(P<0.01),差异具有非常显著性意义。透穴刺法能够明显改善患者基底动脉、椎动脉及小脑后下动脉TCD(Vs、Vm、Vd、PI、RI),其作用优于对照组。结论:透穴刺法治疗中风后小脑性共济失调疗效显著,安全性好,值得临床推广应用。

Objective To observe therapeutic effect of point-through-point acupuncture on cerebellar ataxia after apoplexy and evaluate the safety. Methods Random, parallel control, single blind and multicentral study method was used and 224 cases from 4 hospitals were divided equally into a treatment group and a control group, 112 cases in each group. The treatment group were treated with point-through-point acupuncture and the control group with general needling method. Their symptoms and signs, and the effect on transcranial Doppler＇s method （TCD） were investigated. Results The total effective rate was 93.3% in the treatment group which was better than 77.4% in the control group, with a significant difference between the two groups （P〈0.01）, and the point-through-point acupuncture could significantly improve TCD of basilar artery, vertebral artery and posterior inferior cerebellar artery （Vs, Vm, Vd, PI, RI）, superior to the control group. Conclusion The point-through-point acupuncture has obvious therapeutic effect on cerebellar ataxia after apoplexy and good safety.