头针腹针治疗中风后疗效观察与研究

Curative Effect Observation and research of Head Acupuncture and Abdomen-acupuncture-therapy on Apoplexy

目的:观察头针、腹针治疗中风后的临床疗效及各种针法对不同证型中风的临床疗效。方法:用2×2析因试验设计法将152例中风后患者按入院先后顺序随机分为4组各38例,A组:一般疗法+体针;B组:一般疗法+头针;C组:一般疗法+腹针;D组:一般疗法+头针+腹针。均每周治疗3次,连续治疗5周,15次后及3个月后观察不同针法及不同证型的疗效。结果:腹针组3个月后患者疗效显著,并与头针有交互作用,相关指标有统计学意义。Fulg-Meyer积分法3个证型间15次后气虚血瘀证型疗效优于风痰瘀阻证型。在自身比较上,阴虚风动证型治疗前与治疗15次后比较无意义,其余各证型治疗前后比较均有意义。Barthel氏ADL指数积分各证型间治疗前后比较无统计学意义。各证型自身治疗前后比较均有统计学意义。结论:腹针疗法治疗中风后患者安全有效,证型上以气虚血瘀型疗效最佳。

Objective ： To observe the curative effect of head acupuncture and abdomen-acupuncture-therapy on apoplexy, and compare different curative effects of different techniques of needling on different syndromes of apoplexy. Method： 152 cases with apoplexy were divided into 4 groups by 22 factorial experiment design. A group was treated by general treatment and body acupuncture. B group was treated by general treatment and head acupuncture. C group was treated by general treatment and abdomen-acupuncture-therapy. D group was treated by general treatment, head acupuncture and abdomen-acupuncture-therapy. The 4 groups were treated 5 times every week and after 3 weeks the curative effects were observed under 3 syndromes. Result： After 3 months the effect of C group was remarkable, showed interaction with head acupuncture, and correlated indexes had statistical significance. Fulg-Meyer integration showed that the syndrome of deficiency of qi and blood stasis was better than that of the syndrome of anemogenous phlegm blocking among the 3 syndromes after 15 times treatment The self-comparison showed that the syndrome of stirring of wind due to deficiency of yin had no statistical significance between before treatment and after 15 times＇treatment. The other syndromes showed statistical significance in AP： PA comparison. Barthel＇s ADL exponential integral comparison showed no statistical significance between the syndromes in different groups in AP：PA comparison, but showed statistical significance in self-comparison in each syndrome. Conclusion： Abdomen-acupuncture-therapy on apoplexy is a kind of safe and effective method.