头穴温针灸疗法治疗缺血性脑卒中的临床疗效观察

Clinical Observation of Therapeutic Efficacy of Moxibustion with Warming Needle at Scalp Points for Treatment of Ischemic Stroke

【目的】观察头穴温针灸疗法治疗缺血性脑卒中的临床疗效。【方法】将60例缺血性脑卒中患者随机分为观察组和对照组,每组各30例。2组均给予常规治疗,控制基础疾病,对照组给予针刺治疗,观察组给予头穴温针灸疗法,2周为1个疗程,共治疗4个疗程。治疗8周后,评价2组的临床疗效,观察2组患者治疗前及治疗2、4、8周后中医眩晕症状积分的变化情况,比较2组患者治疗前及治疗8周后经颅多普勒超声(TCD)检查基底动脉平均血流速度、美国国立卫生院卒中量表(NIHSS)评分的变化情况。【结果】(1)观察组总有效率为76.7%(23/30),对照组为56.7%(17/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的中医眩晕症状积分均明显改善(P<0.05),且观察组在改善中医眩晕症状积分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的基底动脉平均血流速度明显改善(P<0.05),且观察组在改善基底动脉平均血流速度方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的NIHSS评分明显改善(P<0.05),且观察组在改善NIHSS评分方面明显优于对照组,差异有统计学意义(P<0.05)。【结论】头穴温针灸疗法治疗缺血性脑卒中,能明显改善患者临床症状,提高患者生活质量,疗效显著。

Objective To observe the clinical efficacy of moxibustion with warming needle at scalp points for the treatment of ischemic stroke. Methods Sixty patients with ischemic stroke were randomly divided into observation group and control group,30 cases in each group. The two groups were given routine treatment for controlling basic disease,in addition,the control group was treated with acupuncture,and the observation group was treated with moxibustion with warming needle at scalp points. Two weeks constituted one treatment course,and the treatment covered 4 treatment courses. After 8 weeks of treatment,the total effective rate of the two groups was evaluated.The changes of traditional Chinese medicine(TCM)vertigo symptom score before treatment and after 2, 4,8 weeks of treatment,and mean basilar artery blood flow velocity examined by transcranial Doppler ultrasound(TCD),and National Institutes of Health Stroke Scale(NIHSS)score were compared between the two groups before treatment and after 8 weeks of treatments. Results(1)The total effective rate of the observation group was76.7%(23/30),while that of the control group was 56.7%(17/30). The therapeutic efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the TCM vertigo symptom scores of the two groups were improved(P<0.05),and the improvement in TCM vertigo symptom scores of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(3)After treatment,the mean basilar artery blood flow velocity of the two groups was improved(P<0.05),and the improvement in mean basilar artery blood flow velocity of the observation group was superior to that of the control group, the difference being statistically significant(P<0.05).(4)After treatment,the NIHSS scores of the two groups were improved(P<0.05),and the improvement in NIHSS scores of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion Moxibustion with warm needle at scalp points has obvious curative effects on clinical symptoms of the patients with ischemic stroke,thus promotes the quality of life.