[Acupuncture based on the "head " theory combined with endovascular intervention for ischemic stroke: a randomized controlled trial].

OBJECTIVE

To observe the clinical efficacy of acupuncture based on the "head " theory combined with endovascular intervention in the treatment of ischemic stroke (IS).

METHODS

Sixty-six IS patients were randomly divided into an experimental group (33 cases, 3 cases dropped out) and a control group (33 cases, 3 cases dropped out). The control group received endovascular intervention. On the basis of the treatment in the control group, the experimental group received acupuncture based on the "head " theory starting from the second day after surgery, Baihui (GV20) and bilateral Fengchi (GB20), Tianzhu (BL10), etc. were selected, once a day, 6 times a week for 2 weeks. Before and after treatment, the scores of National Institutes of Health stroke scale (NIHSS), modified Barthel index (MBI) and modified Rankin scale (mRS) were observed in the two groups, the clinical efficacy and safety were evaluated.

RESULTS

After treatment, the NIHSS and mRS scores were decreased compared with those before treatment in both groups (<0.01), the NIHSS and mRS scores in the experimental group were lower than those in the control group (<0.05). After treatment, the MBI scores were increased compared with those before treatment in both groups (<0.01), the MBI score in the experimental group was higher than that in the control group (<0.05). The total effective rate in the experimental group was 86.7% (26/30), which was higher than 66.7% (20/30) in the control group (<0.05). The incidence of adverse events in the experimental group was 6.7% (2/30), which was lower than 13.3% (4/30) in the control group (<0.05).

CONCLUSION

Acupuncture based on the "head " theory combined with endovascular intervention in treating IS has good efficacy, improves neurological function, and enhances daily living ability.