急性脑梗塞超早期介入针刺治疗的临床疗效观察

Clinical Observation of Ultra- early Intervention of Acupuncture in the Treatment of Acute Cerebral Infarction

目的:观察针刺治疗急性脑梗塞及不同时期针刺介入的临床疗效。方法:符合条件的急性脑梗塞患者180例随机分为3组,对照组、超早期针刺组和恢复期针刺组,治疗1月,治疗前后,按临床神经功能缺损程度评分标准及Barthel指数(BI)评分进行评价,观察分析治疗前后指标的变化,了解不同分组的临床疗效。结果:针刺组与对照组比较均具有显著性差异(P<0.05),而超早期针刺组差异更具显著性(P<0.01)。结论:急性脑梗塞配合针刺治疗效果显著且针刺治疗宜于超早期进行。

Objective： To investigate the clinical efficacy of acupuncture on acute cerebral infarction and acupuncture intervention during different periods. Methods： 180 patients with acute cerebral infarction were randomly divided into three groups,a control group,an ultra- early acupuncture group and a recovery acupuncture group. The treatment was for one month. The clinical neurologic impairment score standards and Barthel index（ BI） score were used for evaluation before and after treatment. Observe and analyze changes in indicators and understand the clinical efficacy of different groups. Results： The result in two acupuncture groups had significant differences compared with that in the control group（ P〈0. 05）,while the ultra- early acupuncture group was more significant（ P〈0. 01）. Conclusion： Acute cerebral infarction was treated effectively by acupuncture treatment and the acupuncture therapy is appropriate at the ultra- early stage.