摘要
目的观察不同介入时机对头针治疗急性脑梗死的影响。方法将150例急性脑梗死患者随机分为五组,A组采用常规药物治疗;B组、C组、D组、E组均在常规药物治疗基础上,分别从病程24 h之内、3 d、7 d、14 d时介入头针治疗,通过改良爱丁堡+斯堪的那维亚评分,观察比较五组患者的临床疗效。结果五组患者治疗后神经功能缺损评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。A组和E组治疗后神经功能缺损评分和显效率分别与B组、C组、D组比较,差异均具有统计学意义(P<0.05)。结论头针治疗急性脑梗死疗效确切,发病7 d内的3个时间点介入头针治疗疗效无明显差异,但与发病14 d时介入头针治疗有显著差别,初步认为发病7 d内可作为头针治疗的最佳时机。
Objective To investigate the effects of different intervention times on scalp acupuncture treatment for acute cerebral infarction. Methods One hundred and fifty patients with acute cerebral infarction were randomly allocated to five groups. Group A received routine medication. Group B, C, D and E received scalp acupuncture within 24 hrs and at 3, 7 and 14 days after the onset, respectively, in addition to routine medication. The therapeutic effects were compared between the five groups of patients using the Modified Edinburgh-Scandinavia Stroke Scale. Results The pre-/post-treatment difference in the neurological deficit score was statistically significant in all the five groups （P〈0.05）. There were statistically significant post-treatment differences in the neurological deficit score and the marked efficacy rate between group A or E and group B, C or D （P〈0.05）. Conclusions Scalp acupuncture has a definite therapeutic effect on acute cerebral infarction. There was no significant difference in the therapeutic effect between scalp acupuncture interventions at the three time points within 7 days after the onset, but there was as compared with scalp acupuncture intervention at 14 days after the onset. It is preliminarily considered that less than 7 days after the onset is the optimal time for scalp acupuncture treatment.
出处
《上海针灸杂志》
2011年第11期730-732,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
黑龙江省科技攻关计划项目(GC08C424)
关键词
针刺疗法
脑梗死
穴位
头颈部
Acupuncture therapy
Cerebral infarction
Point, head and neck
