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[目的]观察针灸治疗缺血性中风早期偏瘫疗效。[方法]使用随机平行对照方法,将60例住院及门诊患者按随机数字表法分为两组。对照组30例药物治疗与康复技术,甘露醇、银杏达莫、血栓通、依达拉奉等,常规剂量给药,康复技术主要为抗痉挛体位控制和易化技术训练,1次/d。治疗组30例针灸,不锈钢毫针。选穴以运动区、感觉区、曲池、外关、合谷、血海、足三里、三阴交、丰隆、太溪、太冲为主。仰卧位,酒精消毒,选用1.5～3寸毫针刺入穴位,运动区、感觉区平刺0.5～0.8寸,曲池、外关直刺0.8～1寸,血海、足三里直刺1～1.5寸,合谷、三阴交、太冲直刺0.5～0.8寸、太溪直刺0.3～0.5寸。各穴针刺至得气,留针30min,每10min运针一次,持续1～2min。1次/d。其他治疗同对照组。连续治疗7d为疗程。观测临床症状、运动与日常生活能力评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效14例,有效11例,无效5例,总有效率83.33%。对照组显效7例,有效12例,无效11例,总有效率63.33%。治疗组疗效优于对照组(P<0.05)。两组运动与日常生活能力均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]针灸治疗缺血性中风早期偏瘫效果显著,值得推广。
[Objective] To observe the curative effect of acupuncture and moxibustion on ischemic stroke early hemiplegia. [Methods] Randomized parallel method was used to divide 60 inpatients and outpatients into two groups according to random number table. Control group of 30 cases of drug treatment and rehabilitation techniques, mannitol, ginkgo biloba, thrombus, edaravone, conventional dose administration, rehabilitation techniques mainly anti-spastic position control and facilitation of technical training, 1 / d. Treatment group 30 cases of acupuncture, stainless steel needle. Choosing points to exercise area, sensory area, Quchi, foreign relations, Hegu, blood sea, Zusanli, Sanyinjiao, Hong Leong, too Creek, Taichong based. Supine position, alcohol disinfection, use 1.5 ~ 3 inch needle into the acupuncture points, exercise area, sensory area flat thorn 0.5 ~ 0.8 inch, Quchi, foreign straight prick 0.8 ~ 1 inch, 1.5-inch, Hegu, Sanyinjiao, Taichong straight 0.5 to 0.8 inches, too straight pricked 0.3 to 0.5 inches. Each point acupuncture to get gas, needle 30min, needle every 10min, for 1 ~ 2min. 1 time / d. Other treatment with the control group. Continuous treatment 7d for the course of treatment. Observed clinical symptoms, exercise and daily living ability score, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 14 cases were markedly effective, 11 cases were effective and 5 cases were ineffective. The total effective rate was 83.33%. The control group markedly effective in 7 cases, effective in 12 cases, ineffective in 11 cases, the total effective rate was 63.33%. The treatment group was better than the control group (P <0.05). Both exercise and daily living ability improved (P <0.05), and the treatment group improved better than the control group (P <0.05). [Conclusion] Acupuncture treatment of ischemic stroke early hemiplegia significant effect, it is worth promoting.