电针对脑卒中恢复期患者康复及TCD影响的临床研究

Clinical Study of the Effect of Electroacupuncture on Rehabilitation and TCD in Convalescent Stroke Patients

目的通过对电针治疗前后缺血性中风恢复期患者的疗效评分和经颅多普勒(TCD)的检测,观察电针治疗缺血性中风的临床疗效。方法将60例缺血性中风恢复期患者随机分为治疗组和对照组,每组30例。对照组采用常规药物治疗,治疗组在对照组治疗基础上采用电针治疗。治疗4星期后,观察两组治疗前后神经功能缺损评分(MESSS)及临床疗效,并通过TCD检测,比较两组治疗前后大脑中动脉(MCA)的脉动指数(PI)、阻力指数(RI)和收缩期及舒张末期血流速比(S/D)。结果治疗组总有效率为80.0%,对照组为50.0%,两组比较差异具有统计学意义(P<0.01)。两组治疗后MESSS评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后MESSS评分与对照组比较,差异具有统计学意义(P<0.05)。两组治疗后患侧TCD各项指标(PI、RI及S/D)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后患侧TCD各项指标与对照组比较,差异均具有统计学意义(P<0.05)。结论电针能促进脑卒中恢复期患者的康复。

Objective To investigate the clinical therapeutic effect of electroacupuncture on ischemic stroke by recording the therapeutic effect score and performing transcranial Doppler （TCD） detection in electroacupuncture-treated convalescent stroke patients before and after treatment.Methods Sixty convalescent patients with ischemic stroke were randomly allocated to treatment and control groups, 30 cases each. The control group received routine medication and the treatment group, electroacupuncture in addition. In the two groups, pre- and post-treatment neurological defect scores were recorded and the clinical therapeutic effects were observed after four weeks of treatment. Pre- and post-treatment middle cerebral artery （MCA） pulsation indices （RI）, resistance indices （RI） and ratios of systolic to end-diastolic （S/D） blood flow velocity detected by TCD were compared between the two groups. Results The total efficacy rate was 80.0% in the treatment group and 50.0% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. There was a statistically significant pre-/post-treatment difference in the MESSS score in the two groups （P〈0.01）. There was a statistically significant post-treatment difference in the MESSS score between the treatment and control groups （P〈0.05）. There were statistically significant pre-/post-treatment differences in TCD indices （PI, RI and S/D） on the affected side in the two groups （P〈0.05）. There were statistically significant post-treatment differences in TCD indices on the affected side between the treatment and control groups （P〈0.05）.Conclusion Electro- acupuncture can promote rehabilitation in convalescent stroke patients.