Chu Haibo, Zhang Shuangyong, Fu Junli, Dong Huali, Guo Rui, Zhao Gaofeng, Lian Quanrong, Feng Zhen, Yang Baolin
Encephalopathy Department, Zhengzhou TCM Hospital, Zhengzhou 450007, Henan Province, China.
First Encephalopathy Department, Dongzhimen Hospital of Beijing University of CM, Beijing 100700.
Zhongguo Zhen Jiu. 2017 Nov 12;37(11):1153-6. doi: 10.13703/j.0255-2930.2017.11.004.
To compare the efficacy difference between 's flying acupuncture combined with conventional treatment and conventional treatment alone on acute cerebral infarction hemiplegia.
A total of 120 patients were randomly divided into an observation group and a control group, 60 cases in each one. The control group was treated with conventional treatment, including anti-platelet aggregation, lipid-lowering, formula of traditional Chinese medicine which could promote circulation and remove stasis, neurotrophic medication and symptomatic treatment; mannitol was used for cerebral infarction with large area or increased intracranial pressure. Based on the conventional treatment applied in the control group, the observation group was treated with flying acupuncture at the affected Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Waiguan (TE 5), Hegu (LI 4), Huantiao (GB 30), Biguan (ST 31), Futu (ST 32), Zusanli (ST 36), etc. The treatment was given once a day, six days per week, for totally 2 weeks. The simplified Fugl-Meyer score, National Institute of Health Stroke Scale (NIHSS) and ADL-Bathel index (BI) score were evaluated before and after treatment in the two groups.
After the treatment, the simplified Fugl-Meyer and BI were significantly increased in both groups (all <0.05), which was significantly higher in the observation group (both <0.05); after the treatment, the NIHSS was significantly lowered in both groups (both <0.05), which was significantly lower in the observation group (<0.05).
's flying acupuncture combined with conventional treatment were effective for acute cerebral infarction hemiplegia, which have better efficacy than conventional treatment on improving motor function, neurological deficit and daily living ability, and the pain is mild.
比较[具体名称]飞针联合常规治疗与单纯常规治疗对急性脑梗死偏瘫的疗效差异。
将120例患者随机分为观察组和对照组,每组60例。对照组采用常规治疗,包括抗血小板聚集、降脂、活血化瘀中药方剂、神经营养药物及对症治疗;大面积脑梗死或颅内压升高者使用甘露醇。观察组在对照组常规治疗基础上,于患侧肩髃(LI 15)、曲池(LI 11)、手三里(LI 10)、外关(TE 5)、合谷(LI 4)、环跳(GB 30)、伏兔(ST 31)、髀关(ST 32)、足三里(ST 36)等穴位行飞针治疗。每天治疗1次,每周6天,共2周。两组治疗前后均评估简化Fugl-Meyer评分、美国国立卫生研究院卒中量表(NIHSS)及日常生活活动能力Barthel指数(BI)评分。
治疗后,两组简化Fugl-Meyer评分及BI均显著升高(均P<0.05),且观察组升高更显著(均P<0.05);治疗后,两组NIHSS均显著降低(均P<0.05),且观察组降低更显著(P<0.05)。
[具体名称]飞针联合常规治疗对急性脑梗死偏瘫有效,在改善运动功能、神经功能缺损及日常生活能力方面疗效优于常规治疗,且疼痛轻微。