眼针联合功能锻炼治疗急性脑梗死随机平行对照研究

目的]观察眼针联合功能锻炼治疗急性脑梗死疗效。方法]使用随机平行对照方法,将64例住院患者按病志号抽签方法简单随机分为两组,针刺结束出针后结合功能锻炼。对照组32例体针(取穴:肩骼、曲池、合谷、外关、环跳、阳陵泉、足三里、解溪、昆仑,均取患侧穴;可轮取肩骼、阳池、后溪、风市、阴市、悬钟等穴,均施以泻法),1次/d。治疗组32例眼针(取穴:上焦区、下焦区。配穴:心、肝、肾区),取患侧眼针穴区,用30号0.5寸毫针,轻轻刺入,不提插捻转,如未得气,将针提出1/3,改换一个方向刺入或搔刮针柄至得气,得气后嘱患者作患肢主动功能锻炼,下肢肌力Ⅲ级以上扶持下站立或扶行锻炼,40min后出针。连续治疗10d为1疗程。观测临床症状、神经功能缺损评分、不良反应。连续治疗2疗程,判定疗效。结果]治疗组基本恢复5例,显著进步15例,进步10例,无变化2例,总有效率93.75%。对照组基本恢复2例,显著进步7例,进步13例,无变化10例,总有效率68.75%。治疗组疗效优于对照组(P0.05)。结论]眼针联合功能锻炼治疗急性脑梗死,疗效满意,无副作用,值得推广。

Eye Acupuncture Combined with Functional Exercise in Treatment of Acute Cerebral Infarction Randomized Parallel Controlled Study

Objective] To observe the eye acupuncture combined with functional exercise in treatment of acute cerebral infarction. Method] Using random parallel control method, 64 hospitalized patients according to disease will number the draw method were randomly divided into two groups, the end of the needle acupuncture combined with functional exercise. 32 cases of the control group（acupuncture acupoints, Quchi, Hegu： shoulder skeleton, Waiguan, Huantiao, Yang Lingquan, Zusanli, Jie Xi, Kun Lun, all take a side hole; be wheel shoulder bone, Yang Chi, after the river, wind city, Yin City, hang a bell and other points, were treated with reducing method） 1, /d. The treatment group of 32 cases of eye acupuncture（acupoints： the lower Jiao district. Acupoints： heart, liver, kidney area）, take the ipsilateral eye acupuncture point area, with the No. 30 0.5 inch needle, gently Pierce, not lifting thrusting and twirling, without gas, will propose the 1/3, change a direction pierce or scraping the needle handle to get gas, after the gas ask the patient to make the limb function exercise more active, lower extremity muscle force III support stand or help for exercise, 40 min after a needle. Continuous treatment with 10 d for 1 courses. Observation of clinical symptoms, neurological deficit score, adverse reaction. Continuous treatment of 2 courses of treatment, curative effect. Results]The treatment group recovered in 5 cases, 15 cases of significant progress, progress in 10 cases, no change in 2 cases, the total efficiency of 93.75%. The control group recovered in 2 cases, 7 cases of significant progress, progress in 13 cases, no change in 10 cases, the total efficiency of 68.75%. The efficacy of the treatment group was better than that of the control group（P 〈 0.05）. Conclusion] Eye acupuncture combined with functional exercise in treatment of acute cerebral infarction, satisfactory curative effect, no side effect, is worth promoting.