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目的:观察针刺对脑出血急性期神经功能缺损改善程度的时效关系,确定针刺治疗脑出血介入的最佳时间。方法:300例脑出血急性期患者按照随机数字表法随机分为对照组及治疗组,对照组60例,给予脑出血常规治疗,治疗组在此基础上加用针刺治疗,按针刺介入时间分为发病24小时针刺组、72小时针刺组、1周针刺组及2周针刺组,每组均60例。结果:各治疗组神经功能缺损评分差值较对照组均有统计学差异(P<0.05);治疗组之间比较,本项指标改善程度随针刺介入的时间先后呈正相关,具有统计学差异(P<0.05),且以发病后24小时针刺组疗效最为显著。结论:针刺在脑出血急性期的介入时间越早,对患者神经功能缺损改善程度越显著,故脑出血后应尽早应用针刺治疗。
OBJECTIVE: To observe the time-effect relationship of acupuncture on the improvement of neurological deficits in acute cerebral hemorrhage and to determine the optimal time for acupuncture to treat cerebral hemorrhage. Methods: 300 patients with acute cerebral hemorrhage were randomly divided into control group and treatment group according to random number table method. The control group was given 60 cases of conventional treatment of cerebral hemorrhage. On the basis of this, the treatment group was given acupuncture treatment and acupuncture intervention Time was divided into the incidence of 24 hours acupuncture group, 72 hours acupuncture group, 1 week acupuncture group and 2 weeks acupuncture group, 60 cases in each group. Results: Compared with the control group, the difference of neurological deficit score in each treatment group was statistically significant (P <0.05). Compared with the control group, the improvement degree of this index was positively correlated with the time of acupuncture intervention, with statistical difference (P <0.05), and the most obvious effect was acupuncture group 24 hours after onset. Conclusion: Acupuncture in the acute stage of cerebral hemorrhage intervention earlier, the improvement of neurological deficit in patients with the more significant, it should be as soon as possible after cerebral hemorrhage acupuncture treatment.