Department of Traditional Chinese Medicine, the Second Hospital of Lanzhou University, Lanzhou 730030, China.
Department of acupuncture and moxibustion, the traditional Chinese Medicine Hospital of Gansu Provincial, Lanzhou 730050, China.
J Tradit Chin Med. 2020 Oct;40(5):845-854. doi: 10.19852/j.cnki.jtcm.2020.05.015.
To evaluate the efficacy of scalp-acupuncture on subjects with hemiplegic paralysis of acute ischaemic stroke (AIS).
One hundred and twenty patients with hemiplegic paralysis of 1 to 7 d post stroke, aged 40 to 75 years, were randomly allocated to receive either standard care (control group) or standard care plus 30 min of scalp-acupuncture applied to the bilateral anterior oblique line of the vertex-temporal (MS6) for 14 d (6 d/week) (trial group). The outcome measures included the National Institutes of Health Stroke scale (NIHSS) for neurological deficits, the Fugl-Meyer assessment (FMA) for limb impairment, and Barthel index (BI) for activities of daily living before and after intervention. The manual muscle test (MMT) was assessed at pre-intervention, at the first post-intervention immediately, and at the 14th day after intervention commencement. Measurements were recorded by a blinded investigator at different time points after initiating the intervention.
The trial group had a greater increase in MMT (P < 0.05), FMA, and BI scores (P < 0.01), and a greater decrease in NIHSS scores (P < 0.01) from pre-intervention to post-intervention, and the control group had a greater increase in MMT scores (P < 0.05), and a greater decrease in NIHSS scores(P < 0.01) from pre-intervention to post-intervention. The improvement in MMT (P < 0.01), FMA, BI (P < 0.05), and NIHSS (P < 0.01) scores in the trial group was superior to that of the control group. Meanwhile, scalp-acupuncture intervention had an immediate effect on myodynamia of patients with hemiplegic paralysis after acute ischaemic stroke in this randomized controlled trial.
The early scalp-acupuncture intervention after stroke effectively increased myodynamia of the affected limbs, improved neurological deficit degrees, and daily living ability.
评估头皮针刺对急性缺血性中风（AIS）偏瘫患者的疗效。
将 120 例年龄 40-75 岁、发病 1-7 天的 AIS 偏瘫患者随机分为标准治疗组（对照组）和标准治疗组联合针刺双侧额颞前斜线（MS6）30 分钟（试验组），疗程 14 天（每周 6 天）。观察治疗前后患者神经功能缺损程度的美国国立卫生研究院卒中量表（NIHSS）评分、肢体运动功能的 Fugl-Meyer 评定（FMA）评分和日常生活活动能力的 Barthel 指数（BI）评分，治疗前、治疗第 1 次即刻、治疗第 14 天采用徒手肌力检查（MMT）评估患侧肢体的肌力，所有指标均由盲法评定者在不同时间点进行记录。
试验组患者治疗后 MMT、FMA 和 BI 评分均显著升高（P＜0.05），NIHSS 评分显著降低（P＜0.01），对照组患者治疗后 MMT 评分显著升高（P＜0.05），NIHSS 评分显著降低（P＜0.01）；与对照组比较，试验组患者治疗后 MMT、FMA、BI 评分升高更明显（P＜0.01），NIHSS 评分降低更明显（P＜0.01）；试验组针刺即刻对患者偏瘫肢体的肌力有明显改善作用。
针刺治疗 AIS 偏瘫能明显增加患者患侧肢体的肌力，改善神经功能缺损程度和日常生活活动能力，早期介入效果更明显。
