电针不同波形、频率搭配组合方案治疗急性脑梗死临床观察

发布时间：2018-10-04 20:18

【摘要】：目的:观察电针不同波形、频率搭配组合方案治疗急性脑梗死的临床疗效。方法:将90例脑梗死急性期患者按随机数字表分为9组,研究电针波形(A:连续波,断续波,疏密波),频率(B:连续波、断续波2Hz、50Hz、100Hz;疏密波2/10Hz、10/50Hz、20/100Hz)2因素3水平9组不同搭配组合方案,14d为1疗程,连续治疗2个疗程。对治疗前后NIHSS评分,ADL评分及简化Fugl-Meyer评分进行分析并比较其疗效。结果:4周后各组患者NIHSS评分、ADL评分及Fugl-Meyer评分均明显改善;不同波形的电针在改善NIHSS评分,ADL评分及Fugl-Meyer评分方面无差异(P0.05);电针频率是改善NIHSS评分的主效应,且100Hz频率电针在改善NIHSS评分方面更优(P0.05)。结论:在头针基础上联合不同波形、频率电针治疗急性脑梗死是安全并且疗效确切,在临床上可轮替使用连续波、疏密波、断续波这3种波形,频率可选用对神经功能缺损评分改善明显的100Hz。
[Abstract]:Objective: to observe the clinical effect of electroacupuncture with different waveform and frequency combination in the treatment of acute cerebral infarction. Methods: 90 patients with acute cerebral infarction were randomly divided into 9 groups. The electroacupuncture waveforms (A: continuous wave, intermittent wave, dense wave) and frequency (B: continuous wave) were studied. Two factors and three levels of 2 factors and 3 levels were used as a course of treatment for 2 / 10 ~ 10 ~ 10 / 10 ~ 10 / 10 ~ 50 Hz / 100 Hz) of 9 groups for 14 days as a course of treatment. The NIHSS score and simplified Fugl-Meyer score before and after treatment were analyzed and compared. Results after 4 weeks, the NIHSS scores and Fugl-Meyer scores of all the patients were significantly improved, the electroacupuncture of different waveforms had no difference in improving NIHSS scores and Fugl-Meyer scores (P0.05), the frequency of electroacupuncture was the main effect of improving NIHSS scores. And 100Hz frequency electroacupuncture was better in improving NIHSS score (P0.05). Conclusion: on the basis of scalp acupuncture combined with different waveforms, frequency electroacupuncture is safe and effective in the treatment of acute cerebral infarction. The three waveforms of continuous wave, dense wave and intermittent wave can be used in clinical practice. The frequency can be selected to improve the nerve function defect score obviously 100 Hz.
【作者单位】：湖北省武汉市中医医院脑病科;
【分类号】：R246.6

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