【摘要】 目的:观察耳针沿皮透刺配合体针、头针配合体针及单纯体针治疗对急性期脑梗死患者肌力和神经功能恢复的影响。方法:将90例患者随机分为体针组、头针组和耳针组,每组30例。耳针组采用耳针沿皮透刺法结合体针治疗,头针组采用头针结合体针治疗,体针组采用单纯体针治疗,均每日治疗1次,共治疗14 d。比较治疗前后3组患者肌力和神经功能评分变化,观察疗效差异。结果:治疗后肌力及神经功能缺损评分比较,耳针组、头针组均比体针组明显改善(P<0.01),耳针组与头针组比较差异无统计学意义(P>0.05);3组患者治疗前后神经功能缺损评分自身比较,治疗后均优于治疗前(P<0.01);临床疗效比较显示,耳针组、头针组疗效优于体针组(P<0.01),耳针组与头针组间差异无统计学意义(P>0.05)。结论:耳针沿皮透刺合体针、头针合体针治疗对急性期脑梗死患者肌力和神经功能恢复的疗效优于单纯体针治疗。更多还原

【Abstract】 Objective To compare the therapeutic effects of different acupuncture methods in improving the myodynamia and neuronfunction of patients with acute cerebral infarction(ACI).Methods A total of 90 ACI patients were randomized into ear-acupuncture,scalp-acupuncture and body-acupuncture groups,with 30 cases in each.For patients of ear-acupuncture group,the main otopoints used for penetrative needling were Zhen(MA-AT)-Nie(MA-AT)-E(MA-AT) on the affected side in combination with Jian(MA-SF 4)-Suogu(MA-SF 5) and Zhou(MA-SF 3)-Wan(MA-SF 2)-Zhi(MA-SF 1) for upper-limb paralysis,and with Tun(MA-AH 5)-Zuogushenjing(MA-AH 6),Kuan(MA-AH 4)-Xi(MA-AH 3),and Xi(MA-AH 3)-Huai(MA-AH 2)-Zhi(MA-AH 1) for lo-wer-limb paralysis,and body acupoints as Jianyu(LI 15),Hegu(LI 4),Huantiao(GB 30),Taixi(KI 3),etc.For patients of scalp-acupuncture group,scalp-points used were Dingnie Qianxiexian(MS 6) and Dingnie Houxiexian(MS 7) on the healthy side,and combined with body acupoints(the same as those mentioned above).For patients of body-acupuncture group,only body acupoints were used.The treatment was given once daily for 14 days.Results Comparison among 3 groups showed that the increased myodynamia of both upper and lower limbs in ear-acupuncture and scalp-acupuncture groups was significantly superior to that of body-acupuncture group(P<0.01).The neurofunctional deficit scores of ear-acupuncture and scalp-acupuncture groups were significantly lower than that of body-acupuncture group(P<0.01) after the treatment.In comparison with pre-acupuncture,the neurofunctional deficit scores of the 3 groups lessened considerably after the treatment(P<0.01).Of the 30 cases in each of ear-acupuncture,scalp-acupuncture and body-acupuncture groups,0,1 and 0 were cured basically,21,18 and 4 experienced marked improvement,9,11 and 20 were improved,0,0 and 6 failed,respectively.The therapeutic effects of ear-acupuncture and scalp-acupuncture were obviously superior to that of body-acupuncture group(P<0.01).No significant differences were found between ear-acupuncture and scalp-acupuncture groups in myodynamia improvement,neurofunctional deficit scores and clinical curative effect(P>0.05).Conclusion Acupuncture can effectively improve ACI patients’ clinical symptoms and the therapeutic effect of ear-acupuncture and scalp-acupuncture was superior to that of simple body acupuncture.更多还原