摘要
Objective: To study the clinical effects of acupuncture therapy for acute stroke. Methods: 150 patients suffered from acute stroke were randomly divided into two groups: drug group, acupuncture group. To apply routine drug treatment of Neurology for drug group: pisacetam 250mL, Salvia injection 20mL added into normal sodium 250mL for intravenous drip, once a day. For acupuncture group applied "calm the liver and suppress yang" acupuncture therapy beside drugs. Modified Scandinavian Stroke Scale ( SSS ) and activities of daily living (ADL) scale (Barthel Index) were used for evaluation, as well as biochemistry/hemorheology determination. Results: The scale showed significant difference as compared with the drug group, biochemistry index had non-significant difference, and hemorheological index had partly improved. Conclusion: The scale could synchronously reflect the clinical symptom and changes of patient with stroke.Acupuncture therapy has a significant improvement of acute stroke treatment.
目的:研究针刺治疗急性期中风的临床疗效。方法:150例中风急性期患者随机分为两组:药物组、针刺组,药物组采用神经内科常规药物治疗,脑复康250 mL,丹参注射液20 mL 加入生理盐水250 mL 中,静脉点滴,每日一次。针剌组除应用药物外,加"平肝潜阳法"针刺治疗。采用改良爱丁堡由斯堪的那维亚卒中量表(Scandinavian StrokeScale,SSS)、日常生活活动量表(ADL)(Barthel 指数)、血脂和血液流变学进行治疗前后对照观察。结果:量表结果显示针刺组与药物组相比有显著性差异,生化指标无特异性差异,血液流变学指标部分改善。结论:该量表能够较好的同步反映中风患者的临床症状及其变化,针刺疗法对急性期中风具有显著疗效。
基金
the Science Foundation of Shanghai Municipal Commission of Science and Technology(05DZ19745,06DZ19732,064319053,07DZ19722,07DZ19733)
the National Basic Research Program of China(973 Program,2005CB523306)
Shanghai Leading Academic Discipline Project(B112 and T0302)