Effect of electro-scalp acupuncture on acute ischemic stroke: a randomized, single blind, trial.
Effect of electro-scalp acupuncture on acute ischemic stroke: a randomized, single blind, trial.
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头皮电针对急性缺血性中风的影响：一项随机、单盲试验
DOI：
10.1016/j.jtcm.2018.02.012
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发表时间：
2018-02
期刊：
影响因子：
--
通讯作者：
常诗晨
中科院分区：
文献类型：
--
作者：
刘小溪;张雪竹;聂坤;贾玉洁;李晶;凌真真;王瑶;常诗晨
目的观察头电针治疗急性缺血性脑卒中的临床疗效和安全性。方法将74例急性缺血性脑卒中患者随机分为体针组（对照组）和头电针组（ESA组）。对照组给予体针治疗，1次/d，共28 d;电针组在体针治疗的基础上加用头电针治疗。分别于治疗前和治疗后第28天采用美国国立卫生研究院卒中量表（NIHSS）、Fugl-Meyer评分（FMA）和改良Barthel指数评分（MBI）评定神经功能缺损、日常运动功能和肌力两组治疗后NIHSS、FMA-UE、MBI评分比较差异均有统计学意义（均P <0.05）。针刺治疗后，两组中任何评估的疗效参数均出现系统性组内改善ESA组NIHSS、FMA-UE、MBI评分改善显著高于对照组（P < 0.01结论头电针治疗急性缺血性脑卒中疗效显著，神经功能有明显改善，患者的运动功能和日常生活活动。
OBJECTIVETo determine the clinical efficacy and safety of electro-scalp acupuncture in the treatment of patients with acute ischemic stroke.METHODSTotally 74 patients with acute ischemic stroke were enrolled and divided into either body acupuncture (Control) or electro-scalp acupuncture (ESA) groups according to randomized controlled principle. The patients in the control group were given body acupuncture treatment once daily for 28 d, whereas except for the body acupuncture, electro-scalp acupuncture was additional treatment given to the ESA group. Neurological deficits, everyday motor function and muscle strength were evaluated at baseline and the 28th d by NIH Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA) and Modified Barthel Index Score (MBI), respectively.RESULTSThere were not obvious between-group differences in the baseline efficacy parameters (NIHSS, FMA and MBI) (allP> 0.05), whereas significant between-group differences were found in post-treatment NIHSS, FMA-UE and MBI scores (allP< 0.05). After acupuncture treatment, systematic within-group improvements were found in the two groups for any of the efficacy parameters assessed (allP< 0.01), and the ESA group showed higher significant improvements in NIHSS, FMA-UE and MBI scores (allP< 0.05).CONCLUSIONElectro-scalp acupuncture was efficacious in the treatment of acute ischemic stroke, which resulted in meaningful improvements in neurologic function, motor function and activities of daily living of patients.
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