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目的:探讨头针联合体针对亚急性期脑卒中患者肢体功能的影响。方法:将110例亚急性期脑卒中患者随机分为针刺组(55例)和对照组(55例)。针刺组接受针刺头穴顶颞前斜线、内关、极泉、三阴交、委中等穴位及神经内科常规治疗,每日治疗1次,5d1个疗程,连续4个疗程;对照组接受神经内科常规治疗。对两组治疗前后Fugl-Meyer评定法(FMA),美国国立卫生研究院卒中量表(NIHSS)评分以及随访期3、6个月末病死/残疾率及复发率进行评估。结果:两组治疗后FMA、NIHSS评分与治疗前相比均有改善(P<0.01),治疗后针刺组FMA、NIHSS评分优于对照组(P<0.05);两组随访期3、6个月末病死/残疾率及复发率差异无统计学意义(P>0.05)。结论:头针联合体针可明显改善亚急性期脑卒中患者的肢体运动功能和神经功能缺损程度。
Objective: To investigate the effect of scalp acupuncture on limb function in patients with subacute stroke. Methods: 110 patients with subacute stroke were randomly divided into acupuncture group (55 cases) and control group (55 cases). The acupuncture group received acupuncture points on the top of the anterior temporal oblique line, Neiguan, Biquan, Sanyinjiao, Venezuela acupoints and neurology routine treatment, daily treatment 1, 5d1 course of treatment for 4 courses; control group received nerve Internal medicine routine treatment. Fugl-Meyer assessment (FMA), NIH Stroke Scale (NIHSS) scores, and the 3 6-month follow-up mortality / disability and relapse rates were assessed before and after treatment. Results: The scores of FMA and NIHSS in both groups were improved after treatment (P <0.01), and the scores of FMA and NIHSS in the acupuncture group were better than those in the control group after treatment (P <0.05) There was no significant difference in the rates of death / disability and recurrence at the end of the month (P> 0.05). Conclusion: Scalp acupuncture combined with acupuncture can significantly improve limb motor function and neurological deficit in patients with subacute stroke.