| Objective:1. Observe a cluster needling of scalp acupuncture curative effect on acute cerebral infarction.2. Analyze the scales that are suitable for acute cerebral infarction acupuncture curative effect evaluation.Methods:62 patients were divided into 2 groups randomly , the treatment group were treated with cluster needling of scalp acupuncture plus medicine treatment and the comparison group were treated with medicine treatment. Observe each Fugl-meyer (FMA) , NIHSS, SIAS, nerve function defection and damage grade point, the improvement Barthel index number, evaluate two groups clinical curative effect .Analyze each scales validity, reliability, sensitivity and grade time.Results:1. Curative effect comparison(1) Two groups can increase FMA, SIAS, reduce NIHSS, the nerve function defection and damage grade point, and indicate cluster needling of scalp acupuncture is better than medicine treatment on impairment.(2) Two groups can increase MBI, indicate cluster needling of scalp acupuncture is better than medicine treatment on disability.(3)Cluster needling of scalp acupuncture is very well on acute cerebral infarction. Its efficient reach to 93.33%, differences of two sets is obvious (P<0.01).Cluster needling of scalp acupuncture is better than medicine treatment.2. Scales analysis (1) FMA, SIAS, the nerve function defection and damage grade point validity is high, the NIHSS validity is low.(2) FMA, NIHSS, SIAS, the nerve function defection and damage grade point reliability is all high.(3) FMA, NIHSS, SIAS, the nerve function defection and damage grade point sensitivity is high.(4)The FMA grade time is the longest; The nerve function defection and damage grade time is the shortest, the SIAS grade time is longer than NIHSS.Conclusion:1. The therapy of cluster needling of scalp acupuncture is an effect method to acute cerebral infarction.2. SIAS is more suitable for the evaluation acupuncture to cure acute cerebral infarction.
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