Wang Yu-Ting, Li Mei-Chen, Li Ke-Yi, Xu Xiao-Yan, Zhuang Li-Xing
Clinical Medical School of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
First Clinical Medical College, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
Zhongguo Zhen Jiu. 2023 Jan 1;43(1):9-13. doi: 10.13703/j.0255-2930.20220415-k0003.
To observe the effect of standardized 's three-needle therapy on limb motor function and nerve function defect in stroke patients, and to evaluate the placebo control method.
A total of 66 patients with stroke were randomly divided into a Jin's three-needle group (33 cases, 3 cases dropped off) and a placebo needle group (33 cases, 4 cases dropped off). All the patients were treated with conventional medication and rehabilitation treatment. In addition, the patients in the Jin's three-needle group were treated with standardized 's three-needle therapy at temporal three points, spirit four points, hand three points, foot three points, upper extremity spasm three points, lower extremity spasm three points, etc.; while the patients in the placebo needle group were treated with placebo needling at identical points. All the treatments were given once a day, 5 days a week, and 3-week treatment was given with an interval of 2 days between weeks. The scores of Fugl-Meyer assessment scale (FMA) and National Institutes of Health stroke scale (NIHSS) were observed before treatment, 10 d and 21 d into treatment, and the blind evaluation was conducted after treatment.
On the 10 d and 21 d into treatment, the FMA scores in both groups were higher than those before treatment (<0.01), and the NIHSS scores were lower than those before treatment (<0.01). On the 10 d and 21 d into treatment, the FMA scores in the Jin's three-needle group were higher than those in the placebo needle group (<0.05); on the 10 d into treatment, the NIHSS score in the Jin's three-needle group was were lower than that in the placebo needle group (<0.05). There was no significant difference between the two groups on judging the type of treatment (>0.05), and the consistency with the real situation was poor (Cohen's coefficient<0.20).
The standardized 's three-needle therapy could effectively improve the limb motor function and nerve function defect in stroke patients. The placebo control method used in this study shows good clinical operability and masking effect.
观察标准化靳三针疗法对脑卒中患者肢体运动功能及神经功能缺损的影响，并对安慰剂对照方法进行评价。
将66例脑卒中患者随机分为靳三针组（33例，脱落3例）和安慰针组（33例，脱落4例）。所有患者均给予常规药物及康复治疗。此外，靳三针组患者于颞三针、定神针、手三针、足三针、上肢痉挛三针、下肢痉挛三针等部位给予标准化靳三针疗法治疗；安慰针组患者于相同部位给予安慰针刺治疗。所有治疗均每日1次，每周5次，共治疗3周，每周间隔2天。于治疗前、治疗第10天和第21天观察Fugl-Meyer评估量表（FMA）评分及美国国立卫生研究院卒中量表（NIHSS）评分，并于治疗后进行盲法评价。
治疗第10天和第21天，两组FMA评分均高于治疗前（P<0.01），NIHSS评分均低于治疗前（P<0.
