摘要
[目的]比较针灸辅助治疗急性和亚急性脑梗死的临床效果。[方法]126例右利手脑梗死患者随机分为三组，每组42例：急性脑梗死组，内科系统治疗基础上d1～3开始针灸治疗；亚急性脑梗死组，在内科系统治疗基础上d8开始针灸治疗；对照组，仅予内科系统治疗。采用美国国立卫生院卒中量表（NIHSS）和Barthel指数（BI）对各组治疗效果作评估，并比较各组患者左右侧偏瘫者康复情况。[结果]脑梗死患者经针灸治疗后，右侧偏瘫者运动功能和日常生活能力得到显著改善（P〈0．01），且急性脑梗死组改善程度优于亚急性脑梗死组（P〈0．01）；而右利手左侧偏瘫者脑梗死患者在上述方面无明显改善（P〉0．05）。[结论]针灸治疗能显著改善右利手右侧偏瘫脑梗死患者运动功能和日常生活能力，且早期介入针灸治疗的疗效更好；尚未发现足够证据证明针灸治疗对右利手左侧偏瘫的治疗有效性。
[Objective]To investigate whether Acupuncture treatment in acute phase of cerebral infarction is more effective than in subacute phase. [Methods]One hundred twenty six right handed patients suffering from cerebral infarction were divided into three groups： 42 patients with acute cerebral infarction group received medical treatment and Acupuncture started 1 to 3 days after acute cerebral infarction, 42 patients with subacute cerebral infarction group received medical treatment and Acupuncture started 8 days after acute cerebral infarction, and 42 patients as control group： received medical treatment. Outcome measures included National Institutes of Health Stroke Scale （NIHSS） and Barthel index （BI）, right hemiparalysis and left hemiparalysis patients were respectively compared with the right hemiparalysis and left hemiparalysis in all the above named groups. [Results]Motor function and disability were improved in the Acupuncture groups in right Handed patients complaining of right Hemiparalysis （ P 〈0.01） and were not improved in right Handed patients complaining of left Hemiparalysis （ P 〉0.05）. The improvement in the acute cerebral infarction group was much better than in the subacute cerebral infarction group （ P 〈0.01）. [Conclusion]The Acupuncture treatment of right handed patients complaining of right Hemiparalysis following acute cerebral infarction are more likely to achieve improvement in motor function and functional disability. Study shows clear advantages of Acupuncture treatment of patients in acute phase of cerebral infarction.
出处
《医学临床研究》
CAS
2007年第3期443-446,共4页
Journal of Clinical Research
