观察醒脑开窍针刺法结合现代康复疗法对缺血性中风病恢复期患者运动功能及神经功能的临床疗效。

选择2013年10月至2016年2月天津中医药大学第一附属医院针灸部缺血性中风病恢复期患者60例，采用SPSS19.0软件生成的随机数字表随机分为综合治疗组(醒脑开窍＋康复治疗)和醒脑开窍组各30例。治疗2周后，采用简化Fugl－Meyer运动功能评分量表、美国国立卫生研究院卒中量表(NIHSS)、Barthel指数日常生活能力评定量表及汉密尔顿抑郁量表(HAMD)，比较2组缺血性中风病恢复期患者运动功能及神经功能的疗效差异。

组内比较：2组缺血性中风病恢复期患者治疗1周及2周后Fugl－Meyer、NIHSS、Barthel指数、HAMD评分与本组治疗前比较，差异均有统计学意义(治疗1周后与本组治疗前比较：综合治疗组：Z＝－6.440、t＝－9.727、Z＝－6.275、t＝8.172，P均<0.05；醒脑开窍组：Z＝－4.549、t＝－5.883、Z＝－4.244、t＝5.380，P均<0.05；治疗2周与本组治疗前比较：综合治疗组：Z＝－6.400、t＝－9.798、Z＝－6.165、t＝8.492，P均<0.05；醒脑开窍组：Z＝－4.625、t＝9.472、Z＝－4.645、t＝7.641，P均<0.05；本组治疗2周后与本组治疗1周后比较：综合治疗组：Z＝－6.495、t＝－6.761、Z＝－6.542、t＝11.224，P均<0.05；醒脑开窍组：Z＝－4.551、t＝7.445、Z＝－4.095、t＝5.270，P均<0.05)；组间比较，综合治疗组治疗1周、2周后Fugl－Meyer、NIHSS、Barthel指数、HAMD评分与醒脑开窍组比较，差异均无统计学意义(P均>0.05)。虽然组间比较差异无统计学意义，但可观察到综合治疗组各个评分数据均有明显改善的趋势。治疗期间无严重不良反应。

醒脑开窍针刺法与综合治疗方案均能明显改善缺血性中风病患者运动功能及神经功能，临床疗效显著。醒脑开窍针刺法结合现代康复疗法改善患者运动功能及神经功能趋势明显，可能存在潜在协同效应。

To observe the clinical efficacy of Xingnao Kaiqiao acupuncture combined with modern rehabilitation therapy on motor function and neurological function in patients with ischemic stroke in the recorvery period.

From October 2013 to February 2016, 60 patients with ischemic stroke were selected from the Department of Acupuncture and Moxibustion, the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine. The random numbers were generated by SPSS 19.0 software and patients were randomly divided into two groups: comprehensive treatment group (Xingnao Kaiqiao acupuncture combined with rehabilitation treatment) and Xingnao Kaiqiao acupuncture group, with 30 patients in each group. The Fugl-Meyer motor function scale (Fugl-Meyer) , National institutes of health stroke scale (NIHSS), modified Barthel index activity of daily living scale and Hamilton depression scale (HAMD) were applied to evaluate the motor function and neurological function of patients with ischemic stroke after 2 weeks treatment.

Comparison within groups: There were significant differences in Fugl-meyer, NIHSS, Barthel index, HAMD scores of patients after treatment(after 1 week treatment and before treatment: comprehensive treatment group: Z = -6.440, t = -9.727, Z = -6.275, t = 8.172, all P< 0.05; Xingnao Kaiqiao acupuncture group Z=-4.549, t=-5.883, Z=-4.244, t = 5.380, all P< 0.05; after 2 weeks treatment: comprehensive treatment group, Z=-6.400, t=-9.798, Z=-6.165, t=8.492, all P<0.05, Xingnao Kaiqiao Group Z=-4.625, t=9.472, Z=-4.645, t=7.641, all P < 0.05). Being compared with 1 week treatment, after 2 weeks treatment, in the comprehensive treatment group, Z = -6.495, t = -6.761, Z = -6.542, t = 11.224, all P< 0.05; Xingnao Kaiqiao acupuncture group, Z = -4.551, t = 7.445, Z = -4.095, t = 5.270, all P< 0.05) .Comparison between groups: There were no significant differences in Fugl-Meyer, NIHSS, Barthel index and HAMD between the two groups after treatment (all P > 0.05). Although there was no significant difference between the two groups, there was a trend of improvement of each evaluation indicators in the comprehensive treatment group.

Xingnao Kaiqiao acupuncture and comprehensive treatment can both obviously improve the motor function and neurological function of patients with ischemic stroke, and the clinical effect is significant. The combination of Xingnao Kaiqiao acupuncture and modern rehabilitation therapy showed obvious tendency in improving motor function and neurological function of patients, and there may be potential synergistic effect.