针 刺治疗急性缺血性脑卒中随机对照观察

目的观察针刺改善急性缺血性脑卒中患者的日常生活能力、降低患者的残障/死亡率的作用。方法将40例急性缺血性脑卒中患者随机分为针刺组和非针刺组各20例。针刺组采用针刺(每周5次,共3～4周)加常规治疗;非针刺组采用常规治疗。结果治疗期末神经功能缺损评分针刺组略优于对照组,但差异无显著性意义(P>0.05);3个月、6个月随访时针刺组残障/死亡率略低于对照组,但差异无显著性意义(P>0.05)。结论早期针刺治疗是安全和可行的。

A randomized controlled trial of acupuncture treatment of acute ischemic stroke

OBJECTIVE: To explore effects of acupuncture on ability of daily living (ALD) and the incidence rate of disability and mortality of the patient of acute ischemic stroke. METHODS: Forty patients with acute ischemic stroke were randomly assigned to an acupuncture group and a control group, 20 cases in each group. The treatment group were treated with acupuncture for 3-4 weeks, 5 times each week, and routine therapy. The control group were treated with routine therapy alone. RESULTS: No statistically significant differences between the two groups in the score of neurological defection, and the incidence rate of disability and mortality at following survey of 3 and 6 months were found. CONCLUSION: Acupuncture is safe and feasible for stroke at early stage.