基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中：随机对照试验

代锟; 张莉莉; 夏语; 孙富强; 任哲; 卢庚辰; 马瑞敏; 程斌

doi:10.13703/j.0255-2930.20241107-k0003

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基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中：随机对照试验

临床研究 | 更新时间：2025-06-13

- 基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中：随机对照试验
- Acupuncture based on the "head qijie" theory combined with endovascular intervention for ischemic stroke: a randomized controlled trial
- 中国针灸 2025年45卷第6期页码：723-727
- 作者机构：
  
  山东中医药大学针灸推拿学院，济南 250013
  山东第一医科大学附属济南中心医院综合超声科
  山东中医药大学附属医院针灸科，济南 250014
- 作者简介：
  
  ✉程斌，副主任医师。E-mail：chengbinmt@163.com
- 基金信息：
  
  泰山学者工程专项经费资助泰山学者青年专家项目(tsqn202312376);齐鲁卫生与健康杰出青年人才项目;山东省济南市针灸临床医学研究中心项目(济科计〔2023〕1号)
- DOI：10.13703/j.0255-2930.20241107-k0003
  中图分类号：
- 收稿：2024-11-07，
  
  网络首发：2025-03-07，
  
  纸质出版：2025-06-12
- 稿件说明：
移动端阅览
代锟, 张莉莉, 夏语, 等. 基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中：随机对照试验[J]. 中国针灸, 2025,45(6):723-727.

DAI Kun, ZHANG Lili, XIA Yu, et al. Acupuncture based on the "head qijie" theory combined with endovascular intervention for ischemic stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 723-727. DOI: 10.13703/j.0255-2930.20241107-k0003.
代锟, 张莉莉, 夏语, 等. 基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中：随机对照试验[J]. 中国针灸, 2025,45(6):723-727. DOI： 10.13703/j.0255-2930.20241107-k0003.

DAI Kun, ZHANG Lili, XIA Yu, et al. Acupuncture based on the "head qijie" theory combined with endovascular intervention for ischemic stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 723-727. DOI: 10.13703/j.0255-2930.20241107-k0003. DOI：

摘要

目的：

观察基于“头气街”理论针刺联合血管内介入治疗缺血性脑卒中（IS）的临床疗效。

方法：

将66例IS患者随机分为试验组（33例，脱落3例）和对照组（33例，脱落3例）。对照组给予血管内介入治疗；在对照组基础上，试验组于术后第2天开始加用基于“头气街”理论针刺治疗，穴取百会及双侧风池、天柱等，每日1次，每周6次，共2周。观察两组患者治疗前后美国国立卫生研究院卒中量表（NIHSS）、改良Barthel指数（MBI）、改良Rankin量表（mRS）评分，并评价两组临床疗效和安全性。

结果：

治疗后，两组患者NIHSS、mRS评分均较治疗前降低（

0.01），且试验组低于对照组（

0.05）；两组患者MBI评分均较治疗前升高（

0.01），且试验组高于对照组（

0.05）。试验组总有效率为86.7%（26/30），高于对照组的66.7%（20/30，

0.05）。试验组的不良反应发生率为6.7%（2/30），低于对照组的13.3%（4/30，

0.05）。

结论：

基于“头气街”理论针刺联合血管内介入治疗IS疗效显著，能有效改善患者神经功能，提高日常生活能力。

Abstract

Objective

To observe the clinical efficacy of acupuncture based on the "head

qijie

" theory combined with endovascular intervention in the treatment of ischemic stroke (IS).

Methods

Sixty-six IS patients were randomly divided into an experimental group (33 cases

3 cases dropped out) and a control group (33 cases

3 cases dropped out). The control group received endovascular intervention. On the basis of the treatment in the control group

the experimental group received acupuncture based on the "head

qijie

" theory starting from the second day after surgery

Baihui (GV20) and bilateral Fengchi (GB20)

Tianzhu (BL10)

etc. were selected

once a day

6 times a week for 2 weeks. Before and after treatment

the scores of National Institutes of Health stroke scale (NIHSS)

modified Barthel index (MBI) and modified Rankin scale (mRS) were observed in the two groups

the clinical efficacy and safety were evaluated.

Results

After treatment

the NIHSS and mRS scores were decreased compared with those before treatment in both groups (

0.01)

the NIHSS and mRS scores in the experimental group were lower than those in the control group (

0.05). After treatment

the MBI scores were increased compared wit

h those before treatment in both groups (

0.01)

the MBI score in the experimental group was higher than that in the control group (

0.05). The total effective rate in the experimental group was 86.7% (26/30)

which was higher than 66.7% (20/30) in the control group (

0.05). The incidence of adverse events in the experimental group was 6.7% (2/30)

which was lower than 13.3% (4/30) in the control group (

0.05).

Conclusion

Acupuncture based on the "head

qijie

" theory combined with endovascular intervention in treating IS has good efficacy

improves neurological function

and enhances daily living ability.

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