Cheng Yan-Hong, Lu Xue-Yuan, Yu Xiao-Gang
Acupuncture and Tuina Center, Beijing Hospital of Integrated Chinese and Western Medicine, Beijing 100039, China.
Zhongguo Zhen Jiu. 2010 Apr;30(4):270-4.
To observe the therapeutic effect and safety of three-step acupuncture for the secondary prevention of ischemic cerebral apoplexy.
One hundred and twenty cases of first-episode ischemic cerebral apoplexy were randomly divided into an observation group and a control group according to the visiting sequence, 60 cases in each group. Both groups were treated on the basis of the routine treatment, the observation group was treated with three-step acupuncture combined with oral administration of Aspirin for six months. The threestep acupuncture includs scalp acupuncture, body point acupuncture and rehabilitation training. The control group was treated with oral administration of Aspirin alone. Six-month follow-up was done in two groups. Then the recurrence rate of ischemic cerebral apoplexy, the improvement of neurologic impairment, activity of daily living and TCM symptom scores and the safety of three-step acupuncture between two groups were compared.
The recurrence rate was 10.2% (5/49) in observation group, and 16.7% (9/54) in control group. There was no significant difference between two groups (P > 0.05). The observation group was superior to the control group in improving the scores of the neurologic impairment, activity of daily living and TCM symptom (P < 0.01, P < 0.001). There was no severe adverse reaction in two groups except 2 cases of gastrointestinal reaction caused by oral administration of Aspirin in control group.
Three-step acupuncture has a certain therapeutic effect for both treatment and the secondary prevention of ischemic cerebral apoplexy, and it is one of the safe and effective methods for treating and preventing ischemic cerebral apoplexy in clinic.
观察三步针法对缺血性脑中风二级预防的治疗效果及安全性。
将120例首发缺血性脑中风患者按就诊顺序随机分为观察组和对照组，每组60例。两组均在常规治疗基础上，观察组采用三步针法结合口服阿司匹林治疗6个月。三步针法包括头皮针、体针及康复训练。对照组仅口服阿司匹林治疗。两组均进行6个月随访。比较两组缺血性脑中风复发率、神经功能缺损改善情况、日常生活活动能力及中医症状评分，以及三步针法的安全性。
观察组复发率为10.2%（5/49），对照组为16.7%（9/54）。两组比较差异无统计学意义（P＞0.05）。观察组在改善神经功能缺损评分、日常生活活动能力及中医症状方面优于对照组（P＜0.01，P＜0.001）。两组均未出现严重不良反应，对照组有2例因口服阿司匹林出现胃肠道反应。
三步针法对缺血性脑中风的治疗及二级预防有一定疗效，是临床治疗和预防缺血性脑中风安全有效的方法之一。
