醒脑开窍针刺法治疗脑卒中后动眼神经麻痹临床观察

摘要

目的：探讨醒脑开窍针刺法治疗脑卒中后动眼神经麻痹的临床疗效和安全性。方法选取2012‐06—2014‐06收治的86例脑卒中后并发动眼神经麻痹患者为研究对象，随机分为观察组和对照组2组，每组各43例，在常规西药治疗基础上，观察组应用醒脑开窍针刺法治疗，每日针刺1次；对照组应用常规针刺疗法治疗，每日针刺1次；2周为一疗程。观察比较2组有效率和不良反应发生率。结果治疗2周后，观察组总有效率93.02％，对照组为83.72％，观察组治疗总有效率高于对照组，差异有统计学意义（ P＜0.05）；观察组出现血肿、恶心和头晕各1例，对照组出现血肿、红色斑丘疹和恶心各1例，2组不良反应发生率比较，差异无统计学意义（ P＞0.05）。结论应用醒脑开窍针刺法治疗脑卒中后动眼神经麻痹的临床效果肯定，安全性好，值得临床推广应用。%Objective To investigate clinical efficacy and safety of Xingnao Kaiqiao(XNKQ) acupuncture therapy on trea‐ting oculomotor paralysis in post‐stroke patients .Methods 86 cases with oculomotor paralysis after stroke from June 2012 to June 2014 in our hospital were randomly divided into the observation group and the control group ,43 cases in each group .Be‐sides traditional western medicine ,the observation group was given XNKQ acupuncture therapy for once a day ;the control group received conventional acupuncture therapy for once a day ;2 weeks for a course .Clinical efficiency and incidence of ad‐verse effects and other indicators were observed and compared in two groups after two weeks .Results After 2‐week treat‐ment ,the total efficiency was 93.02% in observation group and 83.72% in control group ,with statistical significant(P<0.05) .One case complicated hematoma ,nausea and dizziness in the observation group;one case had hematoma ,red rash and nausea in the control group ,and the incidence of adverse effects of two groups had no statistically significant difference(P<0.05) .Conclusion XNKQ acupuncture therapy has a safe effect on treating oculomotor paralysis in post‐stroke patients , should be worthy of clinical application .