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头皮电针治疗急性缺血性脑卒中的疗效:一项随机、单盲试验。

Effect of electro-scalp acupuncture on acute ischemic stroke: a randomized, single blind, trial.

作者信息

Liu Xiaoxi, Zhang Xuezhu, Nie Kun, Jia Yujie, Li Jing, Ling Zhenzhen, Wang Yao, Chang Shichen

机构信息

Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

出版信息

J Tradit Chin Med. 2018 Feb;38(1):95-100.

Abstract

OBJECTIVE

To determine the clinical efficacy and safety of electro-scalp acupuncture in the treatment of patients with acute ischemic stroke.

METHODS

Totally 74 patients with acute ischemic stroke were enrolled and divided into either body acupuncture (Control) or electro-scalp acupuncture (ESA) groups according to randomized controlled principle. The patients in the control group were given body acupuncture treatment once daily for 28 d, whereas except for the body acupuncture, electro-scalp acupuncture was additional treatment given to the ESA group. Neurological deficits, everyday motor function and muscle strength were evaluated at baseline and the 28th d by NIH Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA) and Modified Barthel Index Score (MBI), respectively.

RESULTS

There were not obvious between-group differences in the baseline efficacy parameters (NIHSS, FMA and MBI) (all P > 0.05), whereas significant between-group differences were found in post-treatment NIHSS, FMA-UE and MBI scores (all P < 0.05). After acupuncture treatment, systematic within-group improvements were found in the two groups for any of the efficacy parameters assessed (all P < 0.01), and the ESA group showed higher significant improvements in NIHSS, FMA-UE and MBI scores (all P < 0.05).

CONCLUSION

Electro-scalp acupuncture was efficacious in the treatment of acute ischemic stroke, which resulted in meaningful improvements in neurologic function, motor function and activities of daily living of patients.

摘要

目的

探讨头皮电针治疗急性缺血性脑卒中患者的临床疗效及安全性。

方法

纳入74例急性缺血性脑卒中患者,按照随机对照原则分为体针组(对照组)和头皮电针组(ESA组)。对照组患者接受体针治疗,每日1次,共28天;ESA组患者在体针治疗基础上,加用头皮电针治疗。分别于基线期及治疗第28天,采用美国国立卫生院卒中量表(NIHSS)、Fugl-Meyer评估量表(FMA)及改良Barthel指数评分(MBI)评估神经功能缺损、日常运动功能及肌力。

结果

两组患者基线期疗效指标(NIHSS、FMA及MBI)比较,差异无统计学意义(均P>0.05);治疗后NIHSS、FMA上肢评分及MBI评分组间差异有统计学意义(均P<0.05)。针刺治疗后,两组各疗效指标均有组内改善(均P<0.01),且ESA组NIHSS、FMA上肢评分及MBI评分改善更显著(均P<0.05)。

结论

头皮电针治疗急性缺血性脑卒中有效,可显著改善患者神经功能、运动功能及日常生活活动能力。

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