文献类型：期刊文献

中文题名：手针与电针治疗急性缺血性脑卒中偏瘫的对比研究

英文题名：Comparative study on the effects between manual acupuncture and electroacupuncture for hemiplegia after acute ischemic stroke

作者：田亮[1];杜小正[1];王金海[2];孙润洁[1];张振昶[3];袁博[1];张星华[1];李兴兰[1];张婷卓[1]

第一作者：田亮

机构：[1]甘肃中医药大学,兰州730000;[2]兰州大学第二医院中医科;[3]兰州大学第二医院神经内科

第一机构：甘肃中医药大学

年份：2016

卷号：36

期号：11

起止页码：1121

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：CSTPCD;;Scopus;北大核心:【北大核心2014】；CSCD:【CSCD2015_2016】；PubMed;

基金：甘肃省普通中医药科研立项资助项目:GZKLP-2011-3;甘肃中医药大学引进人才科研启动基金项目:2012-11

语种：中文

中文关键词：急性缺血性脑卒中;偏瘫;针刺疗法;电针;头针;随机对照试验

外文关键词：acute ischemic stroke; hemiplegia; acupuncture therapy; electroacupuncture; scalp acupuncture; randomized controlled trial （RCT）

摘要：目的:比较手针与电针治疗急性缺血性脑卒中偏瘫的疗效差异。方法:将68例缺血性脑卒中偏瘫患者随机分为手针组(34例)和电针组(34例)。两组均给予常规西医药物治疗,选穴均取双侧顶颞前斜线,留针30min,手针组在留针期间用平补平泻法捻转行针3次,各1min;电针组在针刺的基础上行电针疗法,予疏密波,频率5 Hz/20 Hz。两组均每日治疗1次,每周治疗6次,共治疗2周。观察两组患者治疗前后美国国立卫生院卒中量表评分(NIHSS)、简式FuglMeyer运动评分(FMA)和Barthel指数(BI),并比较两组临床疗效。结果:两组治疗后NIHSS评分均明显下降(均P<0.01),且电针组低于手针组(P<0.05);两组治疗后Fugl-Meyer运动评分和BI评分均明显升高(均P<0.01),且电针组高于手针组(均P<0.01);电针组临床总有效率为94.1%(32/34),手针组临床总有效率为85.3%(29/34),电针组疗效优于手针组(P<0.05)。结论:电针对急性缺血性脑卒中偏瘫患者的神经缺损功能具有康复作用,可改善其肢体运动功能,提高日常生活能力,疗效优于手针。
Objective To compare the efficacy differences between manual acupuncture （MA） and electroacu puncture （EA） in the treatment of hemiplegia after acute ischemie stroke. Methods Sixty eight patients of hemi plegia after acute ischemic stroke were randomized into a MA group （34 cases） and an EA group （34 cases）. The routine western medication and bilateral Dingnieqianxiexian （MS6） were adopted in the two groups. The needles were retained for 30 min. In the MA group, the even-needling technique was used for3 times during the needle re raining, 1 rain each time. In the EA group, on the basis of manual stimulation, EA therapy was added, with disperse dense wave, 5 Hz/20 tlz. The treatment was given once every day. 6 Ireatmems a week, totally for 2 weeks. US National Institutes of Heahh stroke scale （NIHSS） score, the simplified Fugl Meyer motor function （FMA） score and Barthel index （BI） were observed before and after treatment in the two groups. The clinical efficacy was compared between the two groups. Results NIHSS score was reduced apparently after treatment in the two groups （both P〈0.01 ）. The score in the EA group was lower than that in the MA group （P〈0.057. After treatment, FMA score and BI score were all increased apparently in the two groups （all P〈0.01 ） and the scores in the EA group were higher than those in the MA group （both P〈20. 01）. The total effective rate was 9d. 1% （32/34） in the EA group and was 85. 3% （29/31） in the MA group. The efficacy in the EA group was better than that in the MA group （P〈0.05）. Conclusion EA acts on the rehabilitative effect on nerve defect function in the patients of hemiplegia after acute ischemie stroke. It improves limb molor function and the ability of daily life activity. The efficacy is better than that of MA.