Objective: To compare the therapeutic effect on sensory impairment in the recovery stage of cerebral infarction between the combined treatment of acupotomy and Xingnao Kaiqiao acupuncture therapy (for regaining consciousness and opening the orifices) and the simple application of Xingnao Kaiqiao acupuncture therapy.
Methods: A total of 80 patients with cerebral infarction in the recovery stage were randomized into an observation group (40 cases, 2 cases dropped off) and a control group (40 cases, 1 case dropped off). On the basis of the conventional treatment of internal medicine, in the control group, Xingnao Kaiqiao acupuncture therapy was adopted at Shuigou (GV 26), Neiguan (PC 6), Sanyinjiao (SP 6), etc., once daily, 6 times a week. In the observation group, on the base of the treatment as the control group, acupotomy was used at extraoccipital protuberance, posterior atlas nodules, cervical facet ligaments and posterior transverse nodules, once a week. The total treatment duration was 4 weeks. The scores of Fugl-Meyer assessment scale (FMA) and the visual analogue scale (VAS) were observed before and after treatment in the patients of the two groups. The clinical therapeutic effect was evaluated in the two groups.
Results: After treatment, FMA scores were increased and VAS scores were decreased in the patients of the two groups (P<0.05). The increase range of FMA score and the decrease range of VAS score in the observation group were larger than those in the control group (P<0.05). The total effective rate was 89.5% (34/38) in the observation group, higher than 76.9% (30/39) in the control group (P<0.05).
Conclusion: The combined treatment of acupotomy and Xingnao Kaiqiao acupuncture therapy relieves sensory impairment and pain symptoms in the patients with cerebral infarction in the recovery stage and its therapeutic effect is better than the simple use of Xingnao Kaiqiao acupuncture therapy.
目的：比较针刀联合醒脑开窍针刺法与单纯醒脑开窍针刺法治疗脑梗死恢复期感觉障碍的疗效。方法：将80例脑梗死恢复期患者随机分为观察组（40例，脱落2例）和对照组（40例，脱落1例）。在常规内科治疗基础上，对照组采用醒脑开窍针刺法治疗，穴取水沟、内关、三阴交等，每日1次，每周6次；观察组在对照组治疗基础上于枕外隆凸、寰椎后结节、颈椎关节突关节韧带、颈椎横突后结节等行针刀治疗，每周1次。共治疗4周。观察两组患者治疗前后Fugl-Meyer感觉评定量表（FMA）、视觉模拟量表（VAS）评分，并评定两组临床疗效。结果：治疗后两组患者FMA评分升高（P<0.05）、VAS评分降低（P<0.05）；观察组FMA评分升高幅度、VAS评分降低幅度大于对照组（P<0.05）。观察组总有效率为89.5%（34/38），高于对照组的76.9%(30/39，P<0.05)。结论：针刀联合醒脑开窍针刺法可改善脑梗死恢复期患者感觉障碍，缓解疼痛症状，疗效优于单纯醒脑开窍针刺法。.
Keywords: Xingnao Kaiqiao acupuncture therapy; acupotomy; cerebral infarction; pain; sensory impairment.