针刺八脉交会穴为主治疗脑梗死后偏瘫临床观察

Clinical Observation on Acupuncture at the Eight-confluent Acupoints for Hemiplegia after Cerebral Infarction

目的观察八脉交会穴针刺法和普通针刺法治疗脑梗死后偏瘫的临床疗效。方法将100例脑梗死后偏瘫患者随机分为八脉交会穴针刺组(A组)、传统针刺组(B组)和对照组(C组)。采用欧洲卒中量表(ESS)和改良巴氏指数(MBI)来评定治疗效果。结果八脉交会穴针刺法疗效与传统针刺法疗效相比,虽无明显差异,但在临床应用上,前者更为患者接受,明显优于后者。同时发现针刺疗法配合现代康复技术,疗效明显高于单纯的康复训练。结论 早期应用针刺配合现代康复训练是治疗脑梗死后偏瘫的最佳康复手段。

Objective To assess the clinical effect of needling the Eight-confluent acupoints and conventional acupuncture m treating hemiplegia after cerebral infarction. Method A hundred patients with hemiplegia after cerebral infarction were randomized into three groups. Group A received acupuncture at the Eight-confluent acupoints, group B received conventional acupuncture, and group C was set as a control group. The European Stroke Scale （ESS） and Modified Barthel Index （MBI） were adopted in evaluating the treatment effect. Result The difference in comparing treatment effects was insignificant between group A and group B. However, compared with conventional acupuncture, needling the Eight-confluent acupoints was more acceptable in clinic. Meanwhile, it found that the combination of acupuncture and modem rehabilitation training had better therapeutic effect compared with rehabilitation training alone. Conclusion The combination of acupuncture and modem rehabilitation training adopted in early stage is the best approach in treating hemiplegia after cerebral infarction.