眼针疗法对缺血性中风急性期针刺治疗介入时机的临床研究

Clinical Study on the Intervention Timing of Periocular Acupuncture in Treating Acute Phase of Ischemic Stroke

目的:观察眼针对缺血性中风急性期患者针刺介入治疗的最佳时机。方法:应用随机数字表法,将135例处于缺血性中风急性期患者按照病程长短随机分为T1组(发病24 h^3 d)、T2组(发病3~7 d)、T3组(发病7~14 d)。3组患者在西医及常规体针治疗基础上予眼针治疗(肝区、肾区、上焦区、下焦区),每日1次,每周5 d休息2 d。总疗程均为2周。以NHISS评分、改良Barthel指数及Fugl-Meyer运动功能评分量表(FMA)对3组治疗前后肢体运动及神经功能情况进行评定。结果:各组治疗后NHISS、改良Barthel指数及FMA评分均高于治疗前(P<0.05);治疗7 d后,T1组NIHSS评分高于T3组(P<0.05),T1组FMA评分高于T2组、T3组(P<0.05);治疗14 d后,T1组NIHSS评分显著高于T2组、T3组(P<0.01),T1组改良BI指数评分高于T3组(P<0.05),T1组FMA评分显著高于T2、T3组(P<0.01),且T2组FMA评分高于T3组(P<0.05)。结论:在急性期患者生命体征平稳后尽早介入眼针疗法,可以从神经功能、运动功能及生活能力等方面减轻临床症状,提高疗效。

Objective:To observe the optimal intervention timing of periocular acupuncture in treating acute ischemic stroke.Methods:135 patients with acute ischemic stroke were randomly divided into T1 group(onset of 24 h^3 d),T2 group(onset of 3 d^7 d)and T3 group(onset 7 d^14 d).The three groups were treated with periocular acupuncture(Liver area,Kidney area,upper-jiao area and lower-jiao area)on the basis of the conventional acupuncture and western medication.The treatment was once per day for 10 days,with an interval after 5 days of treatment.The limb movement and neurological function of the three groups were evaluated by the scores of simplified NHISS,modified Barthel index and FMA.Results:The scores of NHISS,modified Barthel index and FMA were higher after the treatment than those before the treatment in the two groups(P<0.05).After 7 days of treatment,the NIHSS score of T1 group was higher than that of T3 group(P<0.05),and the FMA score of T1 group was higher than that of T2 group and T3 group(P<0.05).After 14 days of treatment,the NIHSS score of T1 group was significantly higher than that of T2 group and T3 group(P<0.01);the score modified BI index was higher in T1 group than that in T3 group(P<0.05);the FMA score was significantly higher in T1 group than that in T2 group and T3 group(P<0.01),and the FMA score in T2 group was higher than that in T3 group(P<0.05).Conclusion:After patient's vital signs are stabilized in the acute phase of ischemic stroke,it is better to involve periocular acupuncture as soon as possible,which can alleviate clinical symptoms and improve curative effect in terms of nerve function,motor function and living ability.