醒脑开窍针刺法治疗亚急性期脑出血的动态疗效观察

Dynamic therapeutic effect of XingNao KaiQiao acupuncture on cerebral hemorrhage in subacute stage

目的探讨脑出血亚急性期介入针刺治疗的安全性、有效性。方法采用醒脑开窍针刺法为治疗手段,随机将60例基底节脑出血的亚急性期住院患者分为常规治疗组和醒脑开窍针治疗组(针刺组),分别比较两组连续接受治疗1、2、3周后的中国脑卒中临床神经功能缺损程度评分量表(China stroke scale,CSS)评分,日常生活能力(activities of daily living,ADL)评定方法选用Barthel指数分级法(barthel index,BI)。结果两组治疗前后各自对比分别都有统计学差异,两组之间对比亦有统计学差异(P<0.01)。结论醒脑开窍针刺法早期介入治疗脑出血安全、有效,能明显改善患者生活质量。

Objective To evaluate the safety and efficacy of acupuncture in patients with cerebral hemorrhage in subaeute stage. Methods We recruited 60 patients with cerebral hemorrhage in subacute stage in basal ganglia in this hospital. Patients were divided into the XingNao KaiQiao acupuncture group and the control group randomly. We collected the data of two groups on the day of pretreatment, and lweek,2weeks and 3weeks posttreatment. The degree of neurologic impairment was evaluated according to china stroke scale（CSS）. Results In the beginning, there was no difference in pathogenetic condition in either group. The score of CSS： each groups had significant difference between pretreatment and post - treatment, but there was significantly lower decrease in acupunc- ture group than in control group （ P 〈 0.01 ）. Conclusions The XingNao KaiQiao acupuncture for treatment of patients with cerebral hemorrhage in subacute stage is safe and efficacious, and improves the quality of life;its effect is remarkable.