上海针灸杂志Issue(5)：389-392,4.DOI:10.13460/j.issn.1005-0957.2015.05.0389
电针对脑卒中恢复期患者康复及TCD影响的临床研究
Clinical Study of the Effect of Electroacupuncture on Rehabilitation and TCD in Convalescent Stroke Patients
摘要
Abstract
Objective To investigate the clinical therapeutic effect of electroacupuncture on ischemic stroke by recording the therapeutic effect score and performing transcranial Doppler (TCD) detection in electroacupuncture-treated convalescent stroke patients before and after treatment.Methods Sixty convalescent patients with ischemic stroke were randomly allocated to treatment and control groups, 30 cases each. The control group received routine medication and the treatment group, electroacupuncture in addition. In the two groups, pre- and post-treatment neurological defect scores were recorded and the clinical therapeutic effects were observed after four weeks of treatment. Pre- and post-treatment middle cerebral artery (MCA) pulsation indices (RI), resistance indices (RI) and ratios of systolic to end-diastolic (S/D) blood flow velocity detected by TCD were compared between the two groups. Results The total efficacy rate was 80.0% in the treatment group and 50.0% in the control group; there was a statistically significant difference between the two groups (P<0.01). There was a statistically significant pre-/post-treatment difference in the MESSS score in the two groups (P<0.01). There was a statistically significant post-treatment difference in the MESSS score between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in TCD indices (PI, RI and S/D) on the affected side in the two groups (P<0.05). There were statistically significant post-treatment differences in TCD indices on the affected side between the treatment and control groups (P<0.05).Conclusion Electro- acupuncture can promote rehabilitation in convalescent stroke patients.关键词
针刺疗法/电针/脑卒中/经颅多普勒/大脑中动脉/针药并用/中风后遗症Key words
Acupuncture therapy/Electroacupuncture/Stroke/Transcranial Doppler detection/Middle cerebral artery/Combined use of acupuncture and medicine/Poststroke syndrome分类
医药卫生引用本文复制引用
朱润佳,徐鸣曙,葛林宝,陈春艳,苏晓兰,张玲,周艳丽,吴君怡..电针对脑卒中恢复期患者康复及TCD影响的临床研究[J].上海针灸杂志,2015,(5):389-392,4.基金项目
国家中医药管理局项目(2003ZL26) （2003ZL26）
上海市科委项目(30304117133) （30304117133）
上海市重点学科项目(S30304) （S30304）
