针刺对大面积脑梗塞术后病人神经功能的影响

Clinical study on the effect of acupuncture on the neural function in extensive cerebral infarction-postoperative patients

目的探讨治疗大面积脑梗塞术后病人的最佳方法。方法将本病患者60例随机分为治疗组(30例)和对照组(30例)。对照组采用西药(甘露醇、罗氏芬等)常规治疗,治疗组在对照组治疗基础上,术后9 d加用针刺(采用“醒脑开窍”针刺法:取内关、水沟、三阴交、极泉、委中等穴,并合用头针和体针)治疗10 d(1次/日),以Ch inese Stroke Seale评分法及临床疗效评定标准进行治疗前后的功能评价。结果采用针刺法能明显改善患者的神经功能缺损程度,治疗组总有效率为40%,对照组总有效率为13%,经统计学处理(P<0.05),两组间差异有显著性意义。结论治疗组疗效优于对照组。采用针刺配合西药治疗大面积脑梗塞有协同作用,疗效更好。

Objective To seek a best method for treating extensive cerebral infarction-postoperative patients. Methods Sixty patients were randomly allocated to a treatment group （30 cases ） and a control group （30 cases）. The control group was routinely treated with western medicines （mannito and rocephin ） and the treatment group, with those for the control group plus electroacupuncture at 9 days after the operation （brain-activating and orifice-opening acupuncture was performed and points Neiguan, Shuigou, Sanyinjiao, Jiquan and Weizhong selected. That was combined with scalp and body acupunctures）. The treatment was given for 10 days （one time per day）. Chinese stroke scale and the clinical criteria for assessing the curative effect were used to evaluate the function before and after treatment. Results Acupuncture could obviously reduce neurological deficits in the patients. The total efficacy rate was 4.0% in the treatment group and 13% in the control group. Statistical analysis showed a significant difference between the two groups （P〈0.05）. Conclusion The curative effect was better in the treatment than in the control group. Combined use of acupuncture and western medicine has a synergic and better effect on extensive cerebral infarction.