不同取穴方法治疗缺血性中风临床观察

Clinical Observations on Treatment of Ischemic Stroke by Different Methods of Selecting Points

目的观察益肾调督、健脾化瘀针刺法治疗缺血性中风中经络气虚痰瘀阻络型患者治疗前后各项观测指标的变化,据此探讨此法在缺血性中风治疗中的疗效及临床应用价值。方法63例缺血性中风患者随机分为治疗组(32例)和对照组(31例),治疗组采用益肾调督、健脾化瘀针刺法;对照组采用以阳明经取穴为主的头体针配合的针刺法,10天为1疗程,3个疗程后观察疗效。结果治疗组愈显率56.3%,对照组29.0%,两组愈显率比较差异有统计学意义(P<0.05);两组治疗前后神经功能缺损程度评分减少和日常生活活动能力评分(ADL)增高有统计学意义(P<0.01);两组治疗后神经功能缺损程度比较,差异有统计学意义(P<0.05);两组治疗后日常生活活动能力评分比较差异无统计学意义(P>0.05)。结论益肾调督、健脾化瘀针刺法治疗缺血性中风气虚痰瘀阻络型疗效优于对照组,治疗组在改善神经功能缺损程度方面优于对照组。

Objective To observe changes in indices in ischemic stroke patients with meridian attack, qi deficiency and stagnation of phlegm in meridian after treatment with kidney-reinforcing, Du meridian-regulating, spleen-strengthening and stagnancy-removing acupuncture and thereby explore its efficacy and clinical application value in treating ischemic stroke. Methods Sixty-three ischemic stroke patients were randomly allocated to a treatment group （32 cases） and a control group （31 cases）. The treatment group was treated with kidney-reinforcing, Du meridian-regulating, spleen-strengthening and stagnancy-removing acupuncture and the control group, with combined scalp and body acupuncture based on main selection of the points of the Yangming meridian. Ten days composed one course of treatment. The therapeutic effect was evaluated after 3 courses of treatment. Results The cure and marked efficacy rate was 56.3% in the treatment group and 29.0% in the control group. There was a statistically significant difference in cure and marked efficacy rate between the two groups （P 〈 0.05 ）. Neural deficit score significantly decreased and activity of daily living （ADL） score significantly increased in both groups after treatment （P 〈 0.01 ）. There was a statistically significant difference in the degree of neural deficit between the two groups after treatment （P 〈 0.05 ）. There was no statistically significant difference in activity of daily living between the two groups after treatment （P 〉 0.05 ）. Conclusion Kidney-reinforcing, Du meridian-regulating, spleen-strengthening and stagnancy-removing acupuncture has a better therapeutic effect on ischemic stroke with meridian attack, qi deficiency and stagnation of phlegm in meridian than the method for the control group. Neural deficit is more improved in the treatment group than in the control group