He Ke, Zhang Hong, Wu Qing-Ming, Yan Jie, Shi Zhang-E, Dai Si-Jia, Li Dan-Dan
Apoplexy Specialty Department, Second Affiliated Hospital of Hunan University of CM, Changsha 410005, China.
Zhongguo Zhen Jiu. 2012 Oct;32(10):887-90.
To verify the clinical efficacy on the function recovery of lower extremities for patients with cerebral apoplexy by the staging treatment with the combined therapy of the scalp and body acupuncture.
Ninty-six cases were randomized into an observation group and a control group, 48 cases in each one. The conventional medication and rehabilitation therapy were given in each group. In the observation group, the combined therapy of the scalp acupuncture and the body acupuncture was provided by stages. At the flaccid stage, Futu (ST 32), Xuehai (SP 10), Zusanli (ST 36), etc. were selected. At the spasmodic stage, Huantiao (GB 30), Xuehai (SP 10), Yanglingquan (GB 34), etc. were selected. In combination with the scalp acupuncture the anterior oblique line of vertex-temploral (motor area) on the affected side was selected. In the control group, the acupoints were not selected according to the disease stages and no scalp acupuncture was applied, and the cases were treated with the needling technique as "regaining consciousness" and in light of the principle as "Yangming meridians specialized for Wei syndrome". The treatment lasted continuously for 8 weeks. The modified Fugl-Meyer motor function assessment (FMA) and Barthel index (BI) were used to assess the motor function of the lower extremities and the activities of daily living before and after treatment for the patients in two groups separately.
FMA and BI score were all improved apparently after treatment for the patients in two groups (all P < 0.05), and FMA and BI score after treatment in the observation group were all higher than those in the control group (both P < 0.05). In 8 weeks treatment, the walking ability rate in the observation group was higher than that in the control group [56.3% (27/48) vs 35./4% (17/48), P < 0.05]. The walking speed in the observation group was faster than that in the control group (P < 0.05).
The combined therapy of the scalp and body acupuncture in the staging treatment improves obviously the motor function of the lower extremities and the activities of daily living for the patients with cerebral apoplexy. This therapy recovers as quickly as possible the walking ability and speed for the patients, which is superior to the conventional acupuncture in comparison.
验证头体针联合分期治疗对脑中风患者下肢功能恢复的临床疗效。
将96例患者随机分为观察组和对照组，每组48例。两组均给予常规药物及康复治疗。观察组采用头针与体针联合分期治疗。弛缓期选取伏兔（ST32）、血海（SP10）、足三里（ST36）等；痉挛期选取环跳（GB30）、血海（SP10）、阳陵泉（GB34）等，并配合头针选取患侧顶颞前斜线（运动区）。对照组不按病程分期选穴，不采用头针治疗，采用醒脑开窍针法，并按照“治痿独取阳明”原则治疗。连续治疗8周。分别采用改良Fugl-Meyer运动功能评定量表（FMA）和Barthel指数（BI）对两组患者治疗前后下肢运动功能及日常生活活动能力进行评定。
两组患者治疗后FMA及BI评分均明显提高（均P<0.05），且观察组治疗后FMA及BI评分均高于对照组（均P<0.05）。治疗8周时，观察组步行能力达标率高于对照组[56.3%（27/48）比35.4%（17/48），P<0.05]，观察组步行速度快于对照组（P<0.05）。
头体针联合分期治疗能明显改善脑中风患者下肢运动功能及日常生活活动能力，能尽快恢复患者步行能力及速度，较传统针刺疗法更具优势。
