针刺研究2016，Vol.41Issue(4)：347-350,4.DOI:10.13702/j.1000-0607.2016.04.012
不同药物穴位注射治疗急性缺血性脑卒中的临床研究
Randomized Clinical Trial for Treatment of Patients with Acute Ischemic Cerebral Stroke by Acupoint Injection of Cobalamin or Gangliosides
摘要
Abstract
Objective To observe the clinical therapeutic effect of acupoint injection of medicine in the treatment of pa-tients with acute cerebral ischemia stroke (ACIS).Methods Ninety ACIS patients were randomized into control,Cobalamin and Gangliosides groups (n =30 in each group).Patients of the control group were treated by routine medication (i.e.,drugs for improving microcirculation,anti-platelet aggregation,cerebral dehydration,neuronutrition,intracranial pressure reduction and blood lipid-lowering,etc.)and motor function rehabilitation training,once daily,six times a week for two weeks;and those of the Cobalamin and Gangliosides groups were treated by injection of Cobalamin (1 mL)or Gangliosides (1 mL)into Baihui (GV 20) and Zusanli (ST 36),respectively and rehabilitation training (being the same to the control group).The patients’motor ability and physical status were assessed according to clinical neurologic deficit score (CNDS)and activity of daily living scale (ADLS). Results After the treatment,of the three 30 cases in the control,Cobalamin and Gangliosides groups,0,4 and 2 were cured, 9,1 5 and 1 4 experienced marked improvement in their symptoms,1 2,8 and 1 0 were improved,9,3 and 4 invalid,with the ef-fective rates being 70.0%(2 1/30),90.0%(27/30)and 86.7%(26/30),respectively.In comparison with pre-treatment,the CNDS of the three groups were all significantly decreased and the ADLS notably increased (P <0.05).The effects of both Cobal-amin and Gangliosides were remarkably better than those of the control in lowering CNDS and raising ADLS (P <0.05),and the score of ADLS in the Cobalamin group was markedly higher than that in the Gangliosides group (P <0.05).Conclusion Acu-point injection of both Cobalamin and Gangliosides can effectively improve acute ischemic stroke patients’neurological function and daily life living ability.关键词
穴位注射/缺血性脑卒中/神经功能缺损评分Key words
Acupoint injection/Ischemic stroke/Neurologic deficit score分类
医药卫生引用本文复制引用
赵磊,张丽丽,包华,杨述鸣,潘春山..不同药物穴位注射治疗急性缺血性脑卒中的临床研究[J].针刺研究,2016,41(4):347-350,4.基金项目
项目来源:内蒙古卫生厅科研计划项目(No.201302137) （No.201302137）
