《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

头穴透刺不同刺激法对急性脑卒中疗效的比较①

刘建浩1，王凡2，鲍春龄3，东贵荣3   

  1. 1.三亚市中医院针灸科，海南三亚市572000；2.上海中医药大学针灸推拿学院，上海市201203；3.上海中医药大学附属岳阳中西医结合医院，上海市200437。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Effects of StimulativeWays of Scalp Penetration Acupuncture on Acute Stroke

LIU Jian-hao1, WANG Fan2, BAO Chun-ling3, DONG Gui-rong3   

  1. 1. Department of Acupuncture and Moxibustion, Sanya Hospital of Traditional Chinese Medicine, Sanya, Hainan 572000, China; 2. Acupuncture and Tuina College of Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 3. Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese andWestern Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 目的观察头穴透刺不同刺激法对急性脑卒中的临床疗效差异。方法2011 年7 月~2014 年7 月90 例住院急性脑卒中患者随机分为手捻针组、电针组和单留针组，每组30 例。各组在神经内科治疗基础上，均采用病灶侧百会透刺太阳穴，分别予手捻针、电针、单纯留针针刺。治疗前和治疗14 d 后，采用神经功能缺损评分(NDS)进行评定，测量神经元特异性烯醇化酶(NSE)水平，观察各组临床疗效。结果各组治疗后NDS评分手捻针组最低(P<0.05)，血清NSE水平手捻针组最低(P<0.05)。手捻针组总有效率高于电针组和单留针组(P<0.05)。结论头穴透刺手捻针刺激手法能更有效改善脑卒中患者神经功能，提高疗效。

关键词: 脑卒中, 头针, 透刺, 手法, 电针

Abstract: Objective To observe the effect of different stimulative ways of scalp penetration acupuncture on acute stroke. Methods 90 inpatients with acute stroke from July, 2011 to July, 2014 were randomly divided into manual acupuncture group (n=30), electroacupuncture group (n=30) and simple acupuncture group (n=30). All the groups accepted scalp penetration acupuncture from Baihui (GV20) to Taiyang (EX-HN5) and stimulated manually, electrically and simply maintained, respectively. They were assessed with Neurological Deficit Score (NDS), measured with neuron-specific enolase (NSE) before and 14 days after treatment. The incidence of improvement was observed. Results The NDS was the least in the manual acupuncture group (P<0.05), as well as the serumal level of NSE (P<0.05). The incidence of improvement was the most in the manual acupuncture group (P<0.05). Conclusion The manual stimulation of scalp penetration acupuncture is more effective on the acute stroke.

Key words: stroke, scalp acupuncture, penetration, manipulation, electroacupuncture