“靳三针”对脑卒中偏瘫患者认知功能和日常生活能力的影响：多中心随机对照研究

目的:为"靳三针"疗法治疗中风提供可靠证据.方法:采用多中心随机对照试验(RCT)的方法,将180例缺血性脑卒中偏瘫患者随机分为靳三针组(90例)和常规针刺组(90例).两组均进行神经内科基础治疗,靳三针组采用靳三针疗法,穴取颞三针、足三针、手三针等穴;常规针刺组采用传统针刺法,穴取曲池、环跳、伏兔等,均予针刺治疗,治疗5周.比较两组治疗前后功能综合评定量表(FCA)认知功能评分,简易精神状态检查量表(MMSE)评分以及改良Barthel指数(BI)评分.结果:两组治疗后FCA评分、MMSE评分、BI指数评分,均较治疗前有显著改善(P＜0.01,P＜0.05);治疗后两组FCA评分、MMSE评分、BI指数评分比较,靳三针组改善程度均优于常规针刺组(P＜0.01,P%0.05).靳三针组总有效率为85.4%,常规针刺组总有效率为70.0%,靳三针组优于常规针刺组(P%0.05).结论:靳三针疗法针刺治疗对中风偏瘫患者的认知功能和日常生活活动能力均有明显改善,疗效优于传统针刺方法.

Effect of"Jin three-needle therapy"on cognitive function and activity of daily living in patients of hemiplegia after stroke:a multi-central randomized controlled study

Objective To provide reliable evidence of "Jin three-needle therapy" for treatment of stroke. Methods Multi-central randomized controlled trials were adopted, 180 hemiplegia patients of ischemic stroke were randomly divided into a Jin three-needle group (90 cases) and a routine acupuncture group (90 cases). Two groups were both treated with basic neurology therapies, and Jin three-needle group was treated with Jin three-needle therapy, three acupoints of tempora, hand and foot etc. were selected; the routine acupuncture group was treated with traditional acupuncture, Quchi (LI 11), Huantiao (GB 30), Futu (ST 32) etc. were selected. Both groups were treated with acupuncture for 5 weeks. The cognitive function score of functional comprehensive assessment scale (FCA), the scores of mini-mental state examination scale (MMSE) and modified Barthel index (BI) were compared before and after treatment between two groups. Results After treatment, the scores of FCA, MMSE and BI in both groups were significantly improved compared to those before treatment (P<0. 01, P<0. 05); the improvement of FCA score, MMSE score and BI score in the Jin three-needle group were superior to those of the routine acupuncture group after treatment (F<0. 01, P<0. 05). The total effective rate of 85. 4% in the Jin three-needle group was superior to that of 70. 0% in the routine acupuncture group (P<0. 05). Conclusion Jin three-needle acupuncture treatment can obviously improve the cognitive function and activity ability of daily life of hemiplegia patients after stroke, and the therapeutic effect of Jin three-needle therapy is superior to that of traditional acupuncture treatment.