针刺背俞穴为主治疗缺血性中风临床观察

目的观察针刺背俞穴为主与常规针刺治疗缺血性中风(瘀血阻络证)的疗效差异。方法将120例患者随机单盲对照试验方法分为背俞穴组(A组)、常规针刺对照组(B组)、非穴位针刺组(C组),每组40例。疗程4星期。观察三组治疗前后中医证候积分、神经功能缺损程度评分、日常生活活动能力(Barthel指数记分)、血液流变学变化情况。结果三组治疗后各观察指标均有改善,A组中医证候疗效、神经功能缺损程度疗效总有效率与其他两组比较差异有统计学意义(P<0.05或P<0.01),中医证候积分及神经功能积分降低值、Barthel指数记分提高、血液流变学指标改善与其他两组比较差异有统计学意义(P<0.05或P<0.01)。结论针刺背俞穴为主治疗能明显改善中风症状,提高患者的生活质量,相对于常规针刺治疗及非穴位针刺效果更明显。

Clinical Observations on Treatment of Ischemic Stroke with Acupuncture at Back-Shu Points

Objective To compare the efficacy of acupuncture at Back-Shu points as main therapy with conventional acupuncture in treating ischemic stroke(obstruction of channels by stagnant blood).Methods One hundred and twenty patients were allocated by a single-blind randomized controlled method to a Back-Shu point group(group A),a conventional acupuncture control group(group B) and a non-point group(group C),40 cases each.The course of treatment was 4 weeks.Syndrome score of traditional Chinese medicine and neural deficit score were counted and activities of daily living(Barthel index score) and hemorheological parameters were examined in the three groups before and after treatment.Results All the observation indices improved in the three groups after treatment.Statistical analysis showed that therapeutics effects on syndrome of traditional Chinese medicine and neural deficit and the total efficacy rate in group A were significantly different from those in the other two groups(P<0.05 or P<0.01).Decreases in syndrome score of traditional Chinese medicine and neural deficit score,an increase in Barthel index score and improvement in hemorheological parameters had statistically significant differences compared with the other two groups(P<0.05 or P<0.01).Conclusion Acupuncture at Back-Shu points as a main treatment can significantly improve apoplectic symptoms and patients' quality of life and has a better therapeutics effect than conventional acupuncture and acupuncture at non-points.