针刺治疗缺血性中风偏瘫临床分析

Clinical analysis on treating ischemic apoplexy semiplegia with acupucture

目的:探讨针刺治疗缺血性中风半身不遂的最佳方法和介入时机。方法:将符合病例纳入标准的120例患者随机分为治疗组和对照组各60例,治疗组采用头穴久留针加电针方法,对照组采用常规针手足阳明经穴法。同时用简化Fugl-meger(FMA)运动量表作为疗效评定标准进行偏瘫功能针刺效应评定。结果,两组患者在入组时,上下肢的运动功能并没有统计学意义(P>0.05);治疗1个疗程(3周)后治疗组和对照组上下肢的运动功能差异有统计学意义(P<0.01)。结论:运用头穴久留针加电针的方法治疗早期中风上下肢瘫效果好。

Objective：To investigate the best method and intervention opportunity of acupuncture on treating semiplegia from ischemic apoplexy.Methods：120 patients were randomly divided into two groups,60 patients in each group.The treated group was given retaining needle on the acupoints of the head combined with electronic needling,while the control group was given routine acupuncture on yangming meridians of the hands and feet.Simplified Fugl-meger exercise amount tables were applied as efficacy evaluation standard for efficacy evaluation.Results：There were no significant differences between the two groups before treatment （P〉0.05）,however,significant differences were detected after a treatment course （P〈0.01）.Conclusion：Retaining needle on the head acupoints and electronic needling had a significant effect on treating semiplegia from early ischemic apoplexy.