Scalp-acupuncture for patients with hemiplegic paralysis of acute ischaemic stroke: a randomized controlled clinical trial

• 作者: Du Xiaozheng Jiang Hua Li Xinglan Tian Liang Wang Jinhai Yuan Bo Zhang Tingzhuo Zhang Zhenchang
• 来源期刊: 中医杂志（英文版）
• 年，卷（期）: 2020,（5）
• 所属期刊栏目: Research Articles
• 页码范围: 845-854
• 页数: 10页
• 语种: 英文

摘要

OBJECTIVE: To evaluate the efficacy of scalp-acupuncture on subjects with hemiplegic paralysis of acute ischaemic stroke (AIS).METHODS;One hundred and twenty patients with hemiplegic paralysis of 1 to 7 d post stroke,aged 40 to 75 years,were randomly allocated to receive either standard care (control group) or standard care plus 30 min of scalp-acupuncture applied to the bilateral anterior oblique line of the vertex-temporal (MS6) for 14 d (6 d/week) (trial group).The outcome measures included the National Institutes of Health Stroke scale (NIHSS) for neurological deficits,the Fugl-Meyer assessment (FMA) for limb impairment,and Barthel index (BI) for activities of daily living before and after intervention.The manual muscle test (MMT) was assessed at pre-intervention,at the first post-intervention immediately,and at the 14th day after intervention commencement.Measurements were recorded by a blinded investigator at different time points after initiating the intervention.RESULTS: The trial group had a greater increase in MMT (P ＜ 0.0S),FMA,and BI scores (P＜ 0.01),and a greater decrease in NIHSS scores (P ＜ 0.01) from pre-intervention to post-intervention,and the control group had a greater increase in MMT scores (P ＜ 0.05),and a greater decrease in NIHSS scores (P ＜ 0.01) from pre-intervention to post-intervention.The improvement in MMT (P ＜ 0.01),FMA,BI (P ＜ 0.05),and NIHSS (P ＜ 0.01) scores in the trial group was superior to that of the control group.Meanwhile,scalp-acupuncture intervention had an immediate effect on myodynamia of patients with hemiplegic paralysis after acute ischaemic stroke in this randomized controlled trial.CONCLUSION: The early scalp-acupuncture intervention after stroke effectively increased myodynamia of the affected limbs,improved neurological deficit degrees,and daily living ability.