头穴配合体针治疗脑卒中亚急性期肢体运动障碍的临床研究

Clinical Study on Long-time Needle Retaining at Scalp Acupoints for Motor Dysfunction in Sub-acute Stage of Cerebral Stroke

目的观察头穴久留针配合体针治疗脑卒中亚急性期肢体运动障碍的临床疗效。方法将100例脑梗死、脑出血亚急性期合并NIHSS评估为4~24分的患者随机分为治疗组和对照组,每组50例。对照组采用单纯康复训练治疗,治疗组在对照组基础上采用头穴久留针（留针6~8 h）配合体针治疗。评估并比较两组治疗前后神经功能缺损程度（NIHSS）、肢体运动功能（FMA量表）和日常生活能力（Bathel指数）。结果治疗组治疗1个疗程后NIHSS量表评分与同组治疗前比较,差异具有统计学意义（P〈0.05）。两组治疗2个疗程后NIHSS量表评分与同组治疗前比较,差异均具有统计学意义（P〈0.05）。两组治疗1、2个疗程后FMA评分和Bathel指数评分与同组治疗前比较,差异均具有统计学意义（P〈0.05）。治疗组治疗2个疗程后NIHSS量表评分和Bathel指数评分与对照组比较,差异均具有统计学意义（P〈0.05）。结论头穴久留针配合体针能改善脑卒中亚急性期肢体运动障碍患者的神经功能缺损程度、肢体运动功能和日常生活能力。

Objective To observe the clinical efficacy of long-time needle retaining at scalp acupoints plus body acupuncture in treating motor dysfunction in the sub-acute stage of cerebral stroke. Method A hundred patients in sub-acute stage of cerebral infarction or hemorrhage scored 4-24 by the National Institute of Health Stroke Scale（NIHSS） were randomized into a treatment group and a control group, 50 cases in each group. The control group was intervened by dry rehabilitation training, while the treatment group was additionally intervened by long-time needle retaining at scalp acupoints（6-8 h） plus body acupuncture. The neural functional deficit, motor function, and activities of daily life were estimated and compared respectively by using NIHSS, Fugl-Meyer Assessment Scale（FMA）, and Barthel Index（BI）. Result The NIHSS score was significantly changed in the treatment group after 1 treatment course（P〈0.05）. After 2 treatment courses, the NIHSS scores were significantly changed in both groups compared to that before treatment（P〈0.05）. The FMA and BI scores were remarkably changed in both groups respectively after 1 and 2 treatment courses compared to that before treatment（P〈0.05）. After 2 treatment courses, there were significant differences in comparing the NIHSS score and BI score between the two groups. Conclusion Long-time needle retaining at Scalp acupoints plus body acupuncture can improve the neural function deficit, motor function, and activities of daily life in sub-acute stage of cerebral stroke.