世界中医药

目的：观察醒神启闭针刺法对脑梗死急性期患者神经功能缺损程度、患肢运动功能及日常生活活动能力的影响。方法：将符合纳入标准的60例脑梗死（急性期）患者随机分为A组和B组，每组30例。A组用醒神启闭针刺法加基础治疗，B组用常规针刺法加基础治疗，治疗10 d后，采用CSS、FMA和MBI评分评定神经功能缺损程度、患肢运动功能和日常生活活动能力。结果：1）2组治疗后CSS评分均有显著下降（P<0.01），A组较B组优（P<0.05）；2）2组治疗后FMA评分均有明显提高（P<0.01），A组降幅更大（P<0.05）；3）2组治疗后MBI评分均显著提高（P<0.01），A组优于B组（P<0.05）。结论：醒神启闭针刺法可有效改善患肢的运动功能、降低脑梗死急性期患者神经功能缺损程度和提高日常生活活动能力，比常规针刺法有优势。

English Summary:

To explore the mechanism of Xing Shen Qi Bi Needling therapy in treating acute cerebral infarction by comparing the degree of nervous functional defect, limbs movement function and daily activities.Methods:Patients meeting the inclusion criteria of 60 cases were randomly divided into group A and group B, 30 cases in each group. Group A adopted Xing Shen Qi Bi Needling therapy with basic treatment and group B received routine acupuncture plus basic treatment. Treatment lasted for ten days. Both groups were evaluated by Clinical Nerve Functional Impairment Level Score Standard (CSS), Fugl-Meyer (FMA) and modified Barthel index(MBI) before and after the treatment.Results:Firstly, the CSS score after treatment obviously decreased (P<0.01), there was a more obvious effect in group A than group B (P<0.05). Secondly, the FMA score increased obviously after treatment (P<0.01), the result of group A was better than group B (P<0.05). Thirdly, the MBI score after treatment increased obviously (P<0.01), the effect of group A was better than group B (P<0.05).Conclusion:Xing Shen Qi Bi Needling therapy has significant efficacy on patients with acute brain infarction in reducing neurological functional deficit, limbs movement function and daily activities, the efficacy is superior than routine acupuncture.

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