头针、体针及头体针结合治疗中风230例的疗效比较

目的:观察头针、体针、头体针联合治疗中风的临床疗效与差异。方法:将临床收集的230例患者随机分为头针组(112例)、体针组(51例)、头体针组(67例)。头针组采取单纯头皮针:半身不遂和面瘫取运动区、感觉区、足运感区治疗,伴失语选运动区下部及头语言区。体针组先针刺健侧,用泻法留针30min,再针刺患侧,间断轻刺不留针;半个月后,健侧针法不变,患侧先行平补平泻,后行补法。头体针结合组采用头针和体针结合的方法治疗。结果:头针组总有效率为98·2%(110/112),痊愈率35·1%(40/112);体针组总有效率为96·0%(49/51),痊愈率23·5%(12/51);头体针组总有效率为98·5%(66/67),痊愈率50·7%(34/67)。头体针组临床疗效优于头针组和体针组(P<0·01)。此外,头体针组对出血灶和梗死灶的改善作用也明显优于头针组和体针组(P<0·01)。结论:头体针联合运用治疗中风疗效较佳。

Comparison of the Therapeutic Effects among Scalp-, Body-acupuncture and Scalp- plus Body-acupuncture in the Treatment of 230 Cases of Stroke

Objective: To compare the therapeutic effects of scalp-acupuncture, body-acupuncture and body-acupuncture combined with scalp-acupuncture for stroke. Methods: Two hundred and thirty stroke patients were divided into scalp-acupuncture group (112 cases),body-acupuncture group (51 cases), and body- plus scalp-acupuncture group (joint treatment group, 67 cases) according to a random number table. Scalp points used were Motor Area (MS 6), Sensory Area (MS 7), Foot-motor Sensory Area (MS 8), etc for hemiplegia and facial palsy; Motor Area (MS 6), Speech Area (MS 9), etc for aphasia; and body acupoints used were Jianyu (LI 15), Hegu (LI 4), Geshu (BL 17), Huantiao (GB 30), Zusanli (ST 36), Fengchi (GB 20), etc. In treating stroke patients at the early stage, acupoints on the healthy side were punctured first and stimulated with reducing method, followed by puncturing acupoints on the affected side and using mild stimulation maneuver. The treatment was given once daily in the 1~ st therapeutic course and once every other day in the 2~ nd course, continuously for 15 days (one therapeutic course) and the interval between two courses was 7 days. After two courses of treatment, the therapeutic effect was analyzed. Results: After treatment, of the 112, 51 and 67 cases in scalp-acupuncture, body-acupuncture and joint treatment groups, 40, 12 and 34 were cured basically; 48, 22 and 28 experienced marked improvement; 22, 15 and 4 were effective; 2, 2 and 1 failed, with the effective rates being 98.2%, 96.0% and 98.5% respectively. Rank test showed that the curative effect of joint treatment group was significantly superior to that of scalp-acupuncture group and body-acupuncture group (P<0.01), and CT-scanning-shown absorption rates (marked absorption + absorption rates) of the hemorrhagic and infarct loci in joint treatment group were markedly higher than those in scalp-acupuncture and body-acupuncture groups (P<0.01). Conclusion: The curative effect of scalp plus body acupuncture is significantly superior to that of simple scalp- and simple body-acupuncture groups in the treatment of stroke patients.