上海针灸杂志2018，Vol.37Issue(2)：144-148,5.DOI:10.13460/j.issn.1005-0957.2018.02.0144
头穴透刺治疗急性中风病针刺手法特异性临床研究
Clinical Study on the Specificities of Needling Manipulation in Point-toward-point Needling at Scalp Acupoints for Acute Stroke
摘要
Abstract
Objective To observe the efficacy difference between different needling manipulations in treating acute stroke with point-toward-point needling at scalp acupoints, for seeking the optimal treatment protocol. Method Ninety patients with acute stroke were randomized into a manual needling group, an electroacupuncture group, and a needle-retaining group, 30 cases each. In addition to the neurological treatment, the three groups were all given point-toward-point needling from Baihui (GV20) to Taiyang (EX-HN5) on the affected side, respectively with manual twisting, electroacupuncture and needle retaining methods. Before and after 14-day treatment, the Neurological Deficit Score (NDS), level of neuron specific enolase (NSE) and total efficacy were compared among the three groups. Result The NDS dropped significantly in the three groups after the intervention (P<0.05); the manual needling group showed the most significant improvement, better than the electroacupuncture group and needle retaining group. The level of NSE declined significantly in the three groups after the intervention (P<0.05); the decrease in the manual needling group was the most significant compared to that in the electroacupuncture group and needle retaining group. The total effective rate in the manual needling group (90.0%) was significantly higher than that in the electroacupuncture group and needle retaining group (P<0.05). Conclusion Point-toward-point needling at scalp acupoints with manual operation can effectively improve the neurological deficit in stroke patients, and the application of needling manipulations can further enhance the therapeutic efficacy, which is specific.关键词
中风/针刺/穴位,头颈部/透针/针刺手法/神经功能缺损程度评分/烯醇化酶/针药并用Key words
Stroke/Acupuncture/Points/Head & Neck/Point-through-point method/Acupuncture manipulations/NDS/NSE/Acupuncture medication combined分类
医药卫生引用本文复制引用
刘建浩,陈书俞,莫燕丽,王凡,鲍春龄,东贵荣..头穴透刺治疗急性中风病针刺手法特异性临床研究[J].上海针灸杂志,2018,37(2):144-148,5.基金项目
科技部"十一五"科技支撑计划项目(2006BAI12B-02) （2006BAI12B-02）
海南省卫生厅课题(琼卫 2012PT-101) （琼卫 2012PT-101）
三亚市科技局课题(YW1250) （YW1250）
