CAJ | 학술논문

目的：研究不同针刺方法对急性期、恢复期、后遗症期脑梗死神经功能的影响。方法各期脑梗死患者240例，随机分为“醒脑组”和“对照组”，每组120例，其中急性期80例，每组40例；恢复期患者80例，每组40例；后遗症期80例，每组40例，分别观察治疗前、治疗后2周、4周及6个月时斯堪的那维亚卒中量表SSS的动态变化及日常生活活动能力BI指数。结果醒脑组各期患者的SSS均明显高于对照组（ P＜0.05）；治疗4周后，醒脑组BI均高于对照组（ P＜0.01），且急性期和恢复期均优于后遗症期（ P＜0.001）。结论醒脑开窍针刺法治疗脑梗死的疗效显著，及早介入，更有助于恢复损伤神经功能和日常生活能力。
목적：연구불동침자방법대급성기、회복기、후유증기뇌경사신경공능적영향。방법각기뇌경사환자240례，수궤분위“성뇌조”화“대조조”，매조120례，기중급성기80례，매조40례；회복기환자80례，매조40례；후유증기80례，매조40례，분별관찰치료전、치료후2주、4주급6개월시사감적나유아졸중량표SSS적동태변화급일상생활활동능력BI지수。결과성뇌조각기환자적SSS균명현고우대조조（ P＜0.05）；치료4주후，성뇌조BI균고우대조조（ P＜0.01），차급성기화회복기균우우후유증기（ P＜0.001）。결론성뇌개규침자법치료뇌경사적료효현저，급조개입，경유조우회복손상신경공능화일상생활능력。
Objective To observe the influence of different kinds of acupuncture on the neurology function of the brain oc-clusion patients in acute stage ,restoration stage and sequelae stage .Methods 240 patients with cerebral infarction were di-vided into“Xingnao group”and“Control group”with 120 cases in each group ,among which ,80 cases in acute stage with 40 cases in each group ,80 cases in restoration stage with 40 cases in each group and 80 cases in sequelae stage with 40 cases in each group .The dynamic variation of SSS was observed before and after treatment for 2 weeks ,4 weeks ,6 months and the BI was used to evaluate the activities of daily living .Result The SSS of patients in“Xingnao”groups were obviously higher than that in control groups ( P<0 .05 );After 4-weeks treatment ,the BI value of patients in“Xingnao”groups was obviously higher than that in control groups ( P< 0 .01 ) and the patients in acute stage and in restoration stage were higher ( P<0 .001 ) .Conclusion “Xingnao Kaiqiao” acupuncture has evident efficacy .It should be used as early as possible , which is more helpful to the restoration of the neurologic impairment and activities of daily living in patients .