头针配合体针治疗中风假性球麻痹疗效观察

Effect of Scalp Acupuncture Combined with Traditional Body Acupuncture on Pseudobulbar Palsy Induced by Stroke

目的观察头针配合体针治疗中风假性球麻痹的疗效。方法按会诊顺序将59例中风假性球麻痹患者分为头体针组40例和体针组19例,头体针组采用头针配合体针治疗,体针组采用体针治疗,根据患者的神志、语言、肢体运动功能等进行综合评分,评定临床疗效。结果头体针组临床治愈30例、有效9例、无效1例,总有效率97·5%;体针组临床治愈9例、有效7例、无效3例,总有效率84·2%,临床治愈率两组间有显著性差异(P<0·05);总有效率无显著性差异(P>0·05)。结论头针配合体针可改善中风患者的神志、语言、肢体运动功能及假性球麻痹,临床治愈率高于传统体针疗法。

Objective To observe clinical therapeutic effect of scalp acupuncture combined with traditional body acupuncture on pseudobulbar palsy induced by ischemic or hemorrhagic apoplexy. Methods 59 inpatients with pseudobulbar palsy induced by stroke were divided into the scalp acupuncture combined with body acupuncture group （n=40） and body acupuncture group （n= 19）. Cases of the scalp acupuncture combined with body acupuncture group were treated by scalp acupuncture combined with traditional body acupuncture. Cases of the body acupuncture group were treated only by traditional body acupuncture. Therapeutic effect of two groups was assessed according to patients＇ consciousness, language and limb functions, Results In the scalp acupuncture combined with body acupuncture group, 30 cases were cured and 9 were remarkably effective, with a total effective rate of 97.5%. While in the body ac- upuncture group, 9 cases were cured, and 7 were remarkably effective, with a total effective rate of 84.2%. There was a significant difference between two groups in clinical cure rate （ P〈0.05）, but no difference in total effective rate （ P〉0.05）. Conclusion Scalp acupuncture combined with traditional body acupuncture can obviously improve the consciousness, language and limb functions and pseudobulbar palsy of stroke patients and obtain a better effect compared with traditional body acupuncture.