头针联合体针对中风偏瘫的临床疗效观察

目的：寻找提高治疗中风偏瘫临床疗效的最佳方法。方法：按会诊顺序随机将120例中风偏瘫病人分为3组，头针配合醒脑开窍组（A组）33例，头针配合传统针刺组（B组）60例，传统针刺组（C组）27例，根据患者的神志、语言、肢体运动功能等进行综合评分，观察3组临床疗效。结果：A组基本痊愈3例，显效20例，有效7例，总有效率为90．9％，B组分别为7例、28例、21例及93．3％。两组间比较差异无显著性意义（P〉0．05） C组显效7例，有效11例，总有效率为66．7％ 与前两组比较，差异有显著或极显著性意义（P〈0．05，P〈0．001）。结论：头针配合醒脑开窍法治疗中风急性期、恢复期的疗效与头针配合传统针刺法相似，优于单纯传统针刺法。

Observation on clinical therapeutic effect of scalp acupuncture combined with body acupuncture on apoplectic hemiplegia

OBJECTIVE: To search for the best method for increasing clinical therapeutic effect on apoplectic hemiplegia. METHODS: One hundred and twenty cases of apoplectic hemiplegia were randomly divided into three groups in order of visiting. Group A (n = 33) were treated by scalp acupuncture combined with consciousness-restoring resuscitation method, group B (n = 60) by scalp acupuncture combined with traditional acupuncture, and group C (n = 27) by traditional acupuncture. The clinical therapeutic effects were evaluated according to the scores of manner, speech, motor function of limbs, and so on. RESULTS: Three cases were basically cured, 20 were markedly effective, 7 were effective, with a total effective rate of 90.9% in the group A; and the corresponding figures were 7, 28, 21 cases and 93.3%, respectively in group B with no significant difference between the group A and B (P > 0.05); and 7 cases were markedly effective, 11 effective with a total effective rate of 66. 7% in the group C with a significant difference as compared with the group A and B (P < 0.05, P < 0.001). CONCLUSION: Scalp acupuncture combined with consciousness-restoring resuscitation method and scalp acupuncture combined with traditional acupuncture have a similar therapeutic effect on apoplectic hemiplegia, which is superior to that of traditional acupuncture.