中国针灸

目的：观察基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中（IS）的临床疗效。方法：将66例IS患者随机分为试验组（33例，脱落3例）和对照组（33例，脱落3例）。对照组给予血管内介入治疗；在对照组基础上，试验组于术后第2天开始加用基于“头气街”理论针刺治疗，穴取百会及双侧风池、天柱等，每日1次，每周6次，共2周。观察两组患者治疗前后美国国立卫生研究院卒中量表（NIHSS）、改良Barthel指数（MBI）、改良Rankin量表（mRS）评分，并评价两组临床疗效和安全性。结果：治疗后，两组患者NIHSS、mRS评分均较治疗前降低（P<0.01），且试验组低于对照组（P<0.05）；两组患者MBI评分均较治疗前升高（P<0.01），且试验组高于对照组（P<0.05）。试验组总有效率为86.7%(26/30)，高于对照组的66.7%(20/30,P<0.05)。试验组的不良反应发生率为6.7%(2/30)，低于对照组的13.3%(4/30,P<0.05)。结论：基于“头气街”理论针刺联合血管内介入治疗IS疗效显著，能有效改善患者神经功能，提高日常生活能力。

Objective To observe the clinical efficacy of acupuncture based on the "head qijie" theory combined with endovascular intervention in the treatment of ischemic stroke(IS). Methods Sixty-six IS patients were randomly divided into an experimental group(33 cases, 3 cases dropped out) and a control group(33 cases, 3 cases dropped out). The control group received endovascular intervention. On the basis of the treatment in the control group, the experimental group received acupuncture based on the "head qijie" theory starting from the second day after surgery, Baihui(GV20) and bilateral Fengchi(GB20), Tianzhu(BL10), etc. were selected, once a day, 6 times a week for 2 weeks. Before and after treatment, the scores of National Institutes of Health stroke scale(NIHSS), modified Barthel index(MBI) and modified Rankin scale(mRS) were observed in the two groups, the clinical efficacy and safety were evaluated. Results After treatment, the NIHSS and mRS scores were decreased compared with those before treatment in both groups(P<0.01), the NIHSS and mRS scores in the experimental group were lower than those in the control group(P<0.05). After treatment, the MBI scores were increased compared with those before treatment in both groups(P<0.01), the MBI score in the experimental group was higher than that in the control group(P<0.05). The total effective rate in the experimental group was 86.7%(26/30), which was higher than 66.7%(20/30) in the control group(P<0.05). The incidence of adverse events in the experimental group was 6.7%(2/30),which was lower than 13.3%(4/30) in the control group(P<0.05). Conclusion Acupuncture based on the "head qijie" theory combined with endovascular intervention in treating IS has good efficacy, improves neurological function, and enhances daily living ability.