Objective: To compare the therapeutic effect between Shao 's five-needle therapy combined with conventional western medical treatment and the simple conventional western medical treatment on stroke-associated pneumonia.
Methods: A total of 80 patients were randomized into an observation group and a control group, 40 cases in each group. Conventional western medication treatment i.e. anti-infection combined with rehabilitation swallowing training were adopted in the control group. On the basis of the treatment in the control group, Shao 's five-needle therapy was applied at Feishu (BL 13), Dazhui (GV 14), Fengmen (BL 12), etc. in the observation group, once a day. The treatment was given for 10 days in the both groups. The levels of inflammatory indexes [white blood cell (WBC), C-reactive protein (CRP), percentage of neutrophil (N%)] before and after treatment, the disappearance time of main clinical symptoms and signs, the scores of National Institutes of Health Stroke scale (NIHSS) and the ability of daily living (ADL) were observed, and the clinical therapeutic effect was evaluated in the both groups.
Results: Compared before treatment, the levels of WBC, CRP, N% and the NIHSS scores after treatment were decreased (P<0.05), the ADL scores were increased in the both groups (P<0.05), and the improvement of above indexes in the observation group was superior to the control group (P<0.05). The recovery time of temperature and rale, the duration of cough in the observation group were shorter than those in the control group (P<0.05). The effective rate was 97.5% (39/40) in the observation group, which was superior to 85.0% (34/40) in the control group (P<0.05).
Conclusion: Shao 's five-needle therapy combined with conventional western medical treatment can effectively improve the clinical symptoms in patients with stroke-associated pneumonia, down-regulate the inflammatory indexes and improve the quality of life, the therapeutic effect is superior to the simple conventional western medical treatment.
目的：比较“邵氏五针法”配合常规西医治疗与单纯常规西医治疗卒中相关性肺炎的疗效。方法：将80例患者随机分为观察组和对照组，每组40例。对照组予抗感染等常规西药治疗配合康复吞咽训练。在对照组治疗的基础上，观察组采用“邵氏五针法”治疗，穴取肺俞、大椎、风门等，每日1次。两组均治疗10 d。比较两组患者治疗前后外周血炎性指标[白细胞（WBC）、C-反应蛋白（CRP）、中性粒细胞百分比（N％）]，主要临床症状、体征消失时间，美国国立卫生研究院卒中量表（NIHSS）评分、日常生活能力（ADL）评分，并评定两组临床疗效。结果：治疗后，两组患者WBC、CRP、N%、NIHSS评分均较治疗前降低(P<0.05），ADL评分升高(P<0.05），且观察组以上指标较对照组改善更显著（P<0.05）；观察组体温复常、咳嗽持续时间、啰音消失时间均短于对照组（P<0.05）。观察组有效率为97.5%(39/40），高于对照组的85.0%(34/40，P<0.05）。结论：“邵氏五针法”配合常规西医治疗能有效改善卒中相关性肺炎患者临床症状，降低炎性指标及提高患者生活质量，疗效优于单纯常规西医治疗。.
Keywords: Shao's five-needle therapy; acupuncture-moxibustion therapy; simultaneous intervention for lung and brain; stroke; stroke-associated pneumonia.