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目的:观察针刺加早期肢体锻炼等治疗缺血性脑卒中神经功能缺损的临床疗效。方法:选择缺血性脑卒中神经功能缺损380例,随机分为观察组和对照组各190例。对照组采用银杏注射液20ml,加入5%葡萄糖或0.9%氯化钠注射液250ml中静脉滴注,每天1次,14天为1个疗程,间隔2天,继续下1个疗程,共2个疗程。观察组在对照组治疗的基础上,增加针刺与早期肢体锻炼。均治疗30天,观察两组临床症状和神经功能改善情况。结果:观察组临床总有效185例(97.4%),对照组130例(68.4%);两组比较,差异非常显著(P<0.01)。观察组与对照组治疗后神经功能缺损分值分别为(5.06±4.02)分和(9.05±4.10)分;两组比较,差异非常显著(P<0.01)。结论:针刺加早期肢体锻炼等治疗缺血性脑卒中神经功能缺损疗效优于单纯银杏注射治疗。
Objective: To observe the clinical effects of acupuncture plus early limbs training on neurological deficits in ischemic stroke. Methods: 380 cases of ischemic stroke with neurological deficit were randomly divided into observation group and control group with 190 cases each. In the control group, 20ml of Ginkgo biloba injection was added to 250ml of 5% dextrose or 0.9% sodium chloride injection once a day for 14 days for one course of treatment. After a lapse of 2 days, one course of treatment was continued for a total of 2 Course of treatment. Observation group in the control group based on the treatment, an increase of acupuncture and early limb exercises. After 30 days of treatment, the clinical symptoms and neurological function were observed in both groups. Results: There were 185 cases (97.4%) in the observation group and 130 cases (68.4%) in the control group. The difference between the two groups was significant (P <0.01). The scores of neurological deficits in the observation group and the control group after treatment were (5.06 ± 4.02) and (9.05 ± 4.10) points, respectively. The differences between the two groups were significant (P <0.01). Conclusion: Acupuncture plus early limbs exercise is superior to Ginkgo injection in the treatment of ischemic stroke neurological deficits.