针灸配合西药治疗脑卒中后继发性癫痫临床观察

Clinical Observation of Post-stroke Secondary Epilepsy Treated by Acupuncture Combined with Western Medicine

目的:观察针灸通督调神配合西药治疗脑卒中后继发性癫痫的临床疗效。方法:58例随机分为治疗组和对照组,治疗组采用针灸通督调神法治疗为主并给予辨证配穴,另口服丙戊酸钠。对照组只口服丙戊酸钠。结果:治疗4周及治疗后3个月、6个月评估,治疗组总有效率分别为93%、83%、79%,对照组总有效率分别为76%、72%、76%,两组比较治疗4周与3个月差异有统计学意义(P<0.01,P<0.05),而6个月无显著性差异(P>0.05)。结论:通督调神法配合西药治疗脑卒中后继发性癫痫近期疗效优于单用西药治疗,远期疗效未见明显差异。

Objective：To observe the clinical effect of Governing Vessel observed treatmentwith secondary epilepsy after cerebral stroke treatment of western medicine.Method： 58 cases of secondary epilepsy after stroke were randomly divided into treatment group and control group, Treatment group used on Governing Vessel observed treatment, and give the dialectical acupoints, 4 weeks for a course of treatment, western medicine oral valproate. The control group with oral administration of sodium valproate.service.Results： the efficacy was assessed in g weeks after the treatment, all patients were evaluated, and again in March June, after treatment, the total effective rate in treatment group were 93%, 83%, 79%, total effective rate of the control group were 76%, 72%, 76%, there was significant difference between the two groups compare assessment for 4 weeks in March after the （P 〈 0.01, P 〈 0.05 ） , and in June after the assessment of no significant difference, no statistical significance （P 〉 0.05 ） .Conclusion ： Governing Vessel observed treatment with western medicine treatment of epilepsy after cerebral stroke curative effect is better than pure western medicine treatment, no two kinds of treatment curative effect difference.