头针不同留针时间治疗脑卒中偏瘫疗效观察

目的观察头针疗法留针时间长短对脑卒中偏瘫疗效的影响，为临床头针治疗脑卒中偏瘫提供依据。方法将82例脑卒中偏瘫患者随机分为对照组（22例）、短时留针组（30例）、长时留针组（30例）。对照组采用Bobath疗法为主的常规康复训练，短时留针组和长时留针组在康复训练基础上加留针时间分别为0．5h和24h的常规头针治疗。三组均分别在康复治疗1个月和3个月时以简式Fugl—Meyer运动功能评分表（FMMS）、Fugl—Meyer平衡功能评分表（FMA—B）和改良Barthel指数评分（MBI）进行治疗前后的功能评价。结果长时留针组治疗后在肢体运动功能、日常生活能力（ADL）等方面的功能明显优于对照组和短时留针组（P〈0．05），而短时留针组与对照组相比差异无统计学意义。结论留针时间长短对头针治疗腑卒中偏瘫有明显影响，应采用长时间留针。

Observations on the Effects of Different Needle Retention Times in Scalp Acupuncture Treatment of Cerebral Stroke Hemiplegia

Objective To investigate the effects of different needle retention times in scalp acupuncture treatment of cerebral stroke hemiplegia to provide a basis for the clinical treatment. Methods Eighty-two patients with cerebral stroke hemiplegia were randomly allocated to a control group （22 cases）, a short needle retention time group （30 cases） and a long needle retention time group （30 cases）. The control group received routing rehabilitation training with Bobath therapy mainly. The short and long needle retention time groups received 0.5 h and 24 h conventional scalp acupuncture, respectively, in addition to rehabilitation training. An assessment of function was made using the Simplified Fugl-Meyer Motor Scale （FMMS）, the Fugl-Meyer Assessment of Balance （FMA-B） and the Modified Barthel Index （MBI） at one and three months after rehabilitation in all the three groups. Results After treatment, limb motor function and the activities of daily living （ADL） improved significantly more in the long needle retention time group than in the control group and in the short needle retention time group （P〈0.05）. There was no statistically significant difference between the short needle retention time group and the control group. Conclusion The needle retention time has a significant influence on scalp acupuncture treatment of cerebral stroke hemiplegia. A long time＇s retention of needle should be taken.