电针联合穴位敷贴治疗缺血性脑卒中偏瘫随机平行对照研究

Electric Acupuncture Combined with Acupoint Sticking Therapy of Ischemic Cerebral Apoplexy Hemiplegia Random Parallel Control Study

[目的]观察电针结合穴位敷贴治疗缺血性脑卒中偏瘫疗效。[方法]使用随机平行对照方法,将70例住院患者按随机数字表法分为两组。对照组35例电针,针刺得气后留针,接通电针仪,肩骼与手三里一组,环跳与阳陵泉一组,疏密波,频率为4/20Hz,以肌肉微颤为宜,30min/次,3次/周。治疗组35例敷贴,气海、大椎、命门,将药物贴于针刺后1h敷贴在相应穴位,连续敷贴≥4h,1次/d。电针治疗同对照组。连续治疗28d为1疗程。观测临床症状、中医证候评分疗效、不良反应。治疗1疗程(28d),判定疗效。[结果]治疗组治愈5例,显效25例,有效15例,无效5例,总有效率85.71%。对照组治愈0例,显效5例,有效20例,无效10例,总有效率71.43%。治疗组疗效优于对照组(P<0.05)。中医证候评分疗效治疗组优于对照组(P<0.05)。[结论]电针联合穴位敷贴治疗缺血性脑卒中偏瘫效果显著,值得推广。

[ Objective ] To observe the electric acupuncture combined with acupoint sticking therapy of ischemic cerebral apoplexy hemiplegia curative effect. [ Methods ] Using random parallel control method, 70 cases of hospitalized patients into two groups according to random number table method. Control group of 35 cases of cupping therapy, acupuncture needling retaining needle, after turn on the electric acupuncture apparatus, shoulder skeletons and hand three mile a set, the gb 30 gb 34 a group and the density wave, the frequency for 4/20 hz, with patients with muscle trembling advisable, treatment time 30 minutes. Three times a week. Treatment group of 35 cases of sticking, air sea, big job, ＂Ming, will stick in the 1 h after acupuncture apply drugs on the corresponding acupuncture points, change the bandage daily, continuous sticking more than 4 h, 1/d. Cupping treatment with the control group. Continuous treatment of 28d of 1 course of treatment. Observation of clinical symptoms, TCM syndrome score curative effect and adverse reactions. Treatment 1 course of treatment （ 28d ）, to determine efficacy.[ Results ] The treatment group cure in 5 cases, improvement in 25 cases, 15 cases, 5 cases were not cured, the total effective rate was 85.71%. Control group cure 0 cases, improved in 5 cases, 20 cases, 10 cases were not cured, the total effective rate was 71.43%. The treatment group curative effect is better than that of control group （ P〈0.05 ） .TCM syndrome score curative effect of treatment group is better than that of control group （ P〈0.05 ） . Electric acupuncture combined with acupoint sticking therapy. [ Conclusion]Ischemic cerebral apoplexy hemiplegia effect is remarkable, is worth promoting.