上海针灸杂志2017，Vol.36Issue(11)：1277-1280,4.DOI:10.13460/j.issn.1005-0957.2017.11.1277
醒脑开窍针法治疗出血性中风介入时机的临床研究
Clinical Study on the Intervention Time of Xing Nao Kai Qiao Needling Method for Hemorrhagic Stroke
摘要
Abstract
Objective To compare the clinical efficacies of Xing Nao Kai Qiao (brain-awakening orifice-opening) needling method intervened at different time points in treating hemorrhagic stroke,for seeking the optimal intervention time.Method Ninety-six patients with hemorrhagic stroke were divided into group A,B,C and D by the disease duration,24 cases in each group.Group A was intervened by conventional medication;group B,C and D were all intervened by Xing Nao Kai Qiao needling in addition to the treatment given to group A.In group B,the disease duration range was 3-7 d;in group C,the disease duration range was 8-14 d;in group D,the disease duration range was 15-21 d.Before the intervention,and after 14-day and 28-day treatment,the scores of National Institute of Health Stroke Scale (NIHSS),modified Barthel Index (MBI) [score of Activities of Daily Living (ADL)],and symptoms and signs of traditional Chinese medicine (TCM) were evaluated.Result After 28-day treatment,the scores of NIHSS,ADL,and TCM symptoms and signs were significantly changed in all four groups compared to those before the treatment (P＜0.05).The scores ofNIHSS,ADL,and TCM symptoms and signs in group B were significantly different from those in group A after 28-day treatment (P＜0.01,P＜0.05).The NIHSS scores in group C and D were significantly different from the score in group A respectively after 14-day and 28-day treatment (P＜0.05,P＜0.01).After 28-day treatment,the NIHSS score in group B was significantly different from that in group D (P＜0.05).After 14-day and 28-day treatment,the scores of TCM symptoms and signs in group C were significantly different from those in group A (P＜0.05).Conclusion Xing Nao Kai Qiao needling method is an effective approach in treating hemorrhagic stroke;the earlier the intervention,the better the prognosis.关键词
针刺疗法/中风/脑出血/醒脑开窍/针药并用/NIHSS/Barthel指数Key words
Acupuncture therapy/Stroke/Cerebral hemorrhage/Xing Nao Kai Qiao/Acupuncture medication combined/NIHSS/Barthel Index分类
医药卫生引用本文复制引用
朱崇田,石娜,石学敏..醒脑开窍针法治疗出血性中风介入时机的临床研究[J].上海针灸杂志,2017,36(11):1277-1280,4.基金项目
国家中医药管理局十一五针灸重点专科中风病协作组 （）
山东省中医药科技发展计划项目(2015-470) （2015-470）
