早期电针干预对急性脑梗死的临床观察

Clinical Observation of Early Electro-acupuncture Intervention on Acute Cerebral Infarction

目的研究在发病48 h内电针头穴和体穴对急性脑梗死(acute cerebral infarction,ACI)的临床疗效。方法选取60例ACI患者,发病时间均在48 h内,随机分成对照组和观察组,每组30例。2组均予以常规内科治疗,对照组给予规范康复治疗,观察组在对照组治疗的基础上,给予电针头穴和体穴治疗,均治疗14 d。比较治疗前后以及治疗结束3个月后,2组美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数的变化。结果观察组总有效率为93.33%明显高于对照组63.33%(P<0.05);治疗后,2组组内比较,NIHSS评分和Barthel指数均优于治疗前(P<0.05);组间比较,观察组改善幅度明显优于对照组(P<0.01);治疗结束3个月后,2组组间比较,NIHSS评分和Barthel指数有明显改善(P<0.05,P<0.01)。结论常规药物配合康复治疗能够明显改善ACI患者神经功能缺损情况,提高日常生活能力,促进肢体运动功能恢复。在此基础上,于发病后48 h内给予电针头穴和体穴治疗可以加强上述疗效,并有较好的远期效果。

Objective:To study the clinical effect of electro-acupuncture at head and body acupoints in acute cerebral infarction(ACI)within 48 h.Methods:60 patients with ACI were selected and randomly divided into a control group and an observation group,30 cases each group.Both groups were given conventional medical treatment.The control group was given standard rehabilitation treatment and the observation group was treated with electric-acupuncture at head and body acpoints on the basis treatment of the control group,and the treatment of the two groups was 14 days.The changes of National Institutes of Health Stroke Scale(NIHSS)score and Barthel index were compared before and after treatment and 3 months after treatment.Results:The total effective rate of the observation group was 93.33%,significantly higher than that of the control group(63.33%)(P<0.05).After treatment,NIHSS score and Barthel index were better than those of the prior treatment(P<0.05).The improvement of the observation group was significantly better than that of the control group(P<0.01).At the end of three-month treatment,NIHSS score and Barthel index were significantly improved between the two groups(P<0.05,P<0.01).Conclusion:Conventional drugs combined with rehabilitation therapy can significantly improve the neurological impairment of ACI patients,improve the ability of daily living,and promote the recovery of limb motor function.On this basis,the treatment of electro-acupuncture at head and body acupoints within 48 hours after the onset of disease can enhance the above curative effect and has a good long-term effect.