Clinical Study on the Intervention Time of Xing Nao Kai Qiao Needling Method for Hemorrhagic Stroke / 上海针灸杂志

ABSTRACT

Objective To compare the clinical efficacies of Xing Nao Kai Qiao (brain-awakening orifice-opening) needling method intervened at different time points in treating hemorrhagic stroke,for seeking the optimal intervention time.Method Ninety-six patients with hemorrhagic stroke were divided into group A,B,C and D by the disease duration,24 cases in each group.Group A was intervened by conventional medication;group B,C and D were all intervened by Xing Nao Kai Qiao needling in addition to the treatment given to group A.In group B,the disease duration range was 3-7 d;in group C,the disease duration range was 8-14 d;in group D,the disease duration range was 15-21 d.Before the intervention,and after 14-day and 28-day treatment,the scores of National Institute of Health Stroke Scale (NIHSS),modified Barthel Index (MBI) [score of Activities of Daily Living (ADL)],and symptoms and signs of traditional Chinese medicine (TCM) were evaluated.Result After 28-day treatment,the scores of NIHSS,ADL,and TCM symptoms and signs were significantly changed in all four groups compared to those before the treatment (P＜0.05).The scores ofNIHSS,ADL,and TCM symptoms and signs in group B were significantly different from those in group A after 28-day treatment (P＜0.01,P＜0.05).The NIHSS scores in group C and D were significantly different from the score in group A respectively after 14-day and 28-day treatment (P＜0.05,P＜0.01).After 28-day treatment,the NIHSS score in group B was significantly different from that in group D (P＜0.05).After 14-day and 28-day treatment,the scores of TCM symptoms and signs in group C were significantly different from those in group A (P＜0.05).Conclusion Xing Nao Kai Qiao needling method is an effective approach in treating hemorrhagic stroke;the earlier the intervention,the better the prognosis.