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头穴配合体针治疗脑卒中亚急性期肢体运动障碍的临床研究

曾友华 包烨华 李丽萍 朱敏 方剑乔

上海针灸杂志2016,Vol.35Issue(5):500-503,4.
上海针灸杂志2016,Vol.35Issue(5):500-503,4.DOI:10.13460/j.issn.1005-0957.2016.05.0500

头穴配合体针治疗脑卒中亚急性期肢体运动障碍的临床研究

Clinical Study on Long-time Needle Retaining at Scalp Acupoints for Motor Dysfunction in Sub-acute Stage of Cerebral Stroke

曾友华 1包烨华 1李丽萍 1朱敏 1方剑乔2

作者信息

  • 1. 杭州市中医院,杭州 310005
  • 2. 浙江中医药大学,杭州 310053
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of long-time needle retaining at scalp acupoints plus body acupuncture in treating motor dysfunction in the sub-acute stage of cerebral stroke.Method A hundred patients in sub-acute stage of cerebral infarction or hemorrhage scored 4-24 by the National Institute of Health Stroke Scale (NIHSS) were randomized into a treatment group and a control group, 50 cases in each group. The control group was intervened by dry rehabilitation training, while the treatment group was additionally intervened by long-time needle retaining at scalp acupoints (6-8 h) plus body acupuncture. The neural functional deficit, motor function, and activities of daily life were estimated and compared respectively by using NIHSS, Fugl-Meyer Assessment Scale (FMA), and Barthel Index (BI).Result The NIHSS score was significantly changed in the treatment group after 1 treatment course (P<0.05). After 2 treatment courses, the NIHSS scores were significantly changed in both groups compared to that before treatment (P<0.05). The FMA and BI scores were remarkably changed in both groups respectively after 1 and 2 treatment courses compared to that before treatment (P<0.05). After 2 treatment courses, there were significant differences in comparing the NIHSS score and BI score between the two groups.Conclusion Long-time needle retaining at Scalp acupoints plus body acupuncture can improve the neural function deficit, motor function, and activities of daily life in sub-acute stage of cerebral stroke.

关键词

针刺疗法/中风/运动功能障碍/头针刺激区/中风后遗症/康复训练

Key words

Acupuncture therapy/Stroke/Motor dysfunction/Scalp stimulation areas/Stroke complications/Rehabilitation

分类

医药卫生

引用本文复制引用

曾友华,包烨华,李丽萍,朱敏,方剑乔..头穴配合体针治疗脑卒中亚急性期肢体运动障碍的临床研究[J].上海针灸杂志,2016,35(5):500-503,4.

基金项目

浙江省中医药防治重大疾病攻关计划项目(2011ZGG003) (2011ZGG003)

上海针灸杂志

OACSTPCD

1005-0957

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