头针映射疗法超早期介入对高血压脑出血患者神经功能及血肿吸收的影响OA
Effect of ultra-early intervention with scalp acupuncture mapping therapy on neurological function and hematoma absorption in patients with hypertensive cerebral hemorrhage
目的 探讨超早期(发病72 h内)应用头针映射疗法联合常规康复对轻中度高血压脑出血患者神经功能、血肿吸收及安全性的影响.方法 选取2024年5月至2025年12月该院神经外科收治的72例轻中度高血压脑出血患者为研究对象.根据随机数字表法分为对照组和治疗组,每组36例.对照组接受神经外科常规治疗及基础康复训练,治疗组在对照组基础上加用头针映射疗法(选取病灶对应头皮投射区及功能穴线),每日1次,每次30 min,连续治疗4周.比较两组治疗前和治疗2、4周美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数(BI)、蒙特利尔认知评估(MoCA)量表评分、Fugl-Meyer运动功能评定(FMA)量表评分及血肿吸收率,并记录不良事件.结果 两组NIHSS评分时间、组间、交互效应显著(P<0.001).治疗2、4周,治疗组NIHSS评分低于对照组,差异有统计学意义(P<0.05).两组BI评分交互效应显著(P<0.001);治疗4周,治疗组BI评分高于对照组,差异有统计学意义(P<0.05).与对照组比较,治疗组 MoCA、FMA评分及血肿吸收率更高,差异有统计学意义(P<0.05).两组均未发生死亡或症状性再出血等严重不良事件.结论 超早期头针映射疗法可加速血肿吸收并改善轻中度高血压脑出血患者神经功能,且安全性较好.
Objective To investigate the effect of ultra-early application of scalp acupuncture mapping therapy combined with conventional rehabilitation within 72 h after onset on neurological function,hematoma absorption and safety in patients with mild to moderate hypertensive cerebral hemorrhage.Methods Seventy-two patients with mild to moderate hypertensive cerebral hemorrhage admitted to the neurosurgery depart-ment of the hospital from May 2024 to December 2025 were selected as the study subjects.They were divided into the control group and the treatment group according to the random number table method,with 36 cases in each group.The control group received conventional neurosurgical treatment and basic rehabilitation training.The treatment group received additional scalp mapping acupuncture therapy(the scalp projection area corre-sponding to the lesion and functional acupoint lines were selected)on the basis of the treatment received by the control group.The treatment was delivered once a day,30 minutes per session,for 4 consecutive weeks.The scores of the National Institutes of Health Stroke Scale(NIHSS),Barthel index(BI),Montreal cognitive assessment(MoCA)scale and Fugl-Meyer assessment(FMA)scale,as well as the hematoma absorption rate were compared between the two groups before treatment and at 2 and 4 weeks of treatment,and adverse e-vents were recorded.Results The time effect,inter-group effect and interaction effect of NIHSS scores in the two groups were significant(P<0.001).At 2 and 4 weeks of treatment,the NIHSS score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).The interaction effect of BI scores in the two groups was significant(P<0.001);at 4 weeks of treatment,the BI score of the treatment group was higher than that of the control group,and the difference was statistically sig-nificant(P<0.05).Compared with the control group,MoCA scores,FMA scores,hematoma absorption rate in the treatment group were higher,and the differences were statistically significant(P<0.05).No severe ad-verse events such as death or symptomatic rebleeding occurred in the two groups.Conclusion Ultra-early scalp acupuncture therapy can accelerate hematoma absorption and improve neurological function in patients with mild to moderate hypertensive intracerebral hemorrhage,and it has good safety.
李云波;俞快;卢超琦;陈琳
浙江省人民医院富阳院区/杭州市富阳区第一人民医院康复医学科,杭州 311400浙江省人民医院富阳院区/杭州市富阳区第一人民医院康复医学科,杭州 311400浙江省人民医院富阳院区/杭州市富阳区第一人民医院康复医学科,杭州 311400浙江省人民医院富阳院区/杭州市富阳区第一人民医院康复医学科,杭州 311400
医药卫生
高血压脑出血头针映射疗法超早期康复血肿吸收神经功能缺损
hypertensive intracerebral hemorrhagescalp acupunctureultra-early rehabilitationhema-toma absorptionneurological deficit
《重庆医学》 2026 (9)
1942-1946,5
浙江省杭州市医药卫生科技项目(B20241914).
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