中文摘要：

目的观察针刺优化方案治疗中风后偏瘫患者神经功能缺损的变化，寻求治疗中风偏瘫的最佳方案。方法将90例中风患者按入院先后顺序随机均分为针刺组、康复组、针刺＋康复组。3组患者均给予常规基础药物治疗；针刺组采用优化醒脑开窍方案，针刺内关、人中（3d后改印堂）、三阴交、极泉、尺泽、委中、风池、完骨、天柱穴，并随证加减，每次30min；康复组进行康复训练，每次45min；针刺＋康复组在醒脑开窍针法治疗的同时加康复治疗。各组每周连续治疗5次，共治疗4周。于治疗前后进行神经功能缺损程度评分（NDS），并比较各组神经功能缺损疗效。结果3组治疗后NDS评分均较治疗前明显降低（均P〈0．01）；其中针刺组和针刺＋康复组NDS评分（分）下降程度较康复组更明显（6．13±3．18、6．13±4．03比8．77±3．35，均P〈0．05），而针刺组与针刺＋康复组间无明显差异。治疗后针刺组和针刺＋康复组神经功能缺损总有效率均明显高于康复组（100．00％、100．0％比93．3％，均P〈0．05），而针刺组与针刺＋康复组间无明显差异。结论针刺法、康复疗法和针刺结合康复疗法均可明显改善中风后偏瘫的临床症状，减轻神经功能缺损，改善日常生活能力，且针刺法和针刺结合康复疗法的疗效优于单纯康复疗法。

英文摘要：

Objective To observe the changes of neural dysfunction of patients with post-stroke hemiplegia treated by the prioritization scheme of acupuncture to look for a proper therapy for this disease. Methods According to the admission sequence, 90 stroke cases were randomly and equally divided into three groups： acupuncture group, rehabilitation group, and acupuncture plus rehabilitation group. Conventional drug therapies were given to all the three groups. In addition, acupuncture group adopted Xingnao Kaiqiao （醒脑开窍） therapy, the prioritization scheme needling Neiguan （内关）, Renzhong [人中, after 3 days, Yintang （印堂） took the place of Renzhong）, Sanyinjiao （三阴交）, Jiquan （极泉）, Chize （尺泽）, Weizhong （委中）, Fengchi （风池）, Wangu （完骨） and Tianzhu （天柱） acupoints with adjustment in the light of different syndromes of traditional Chinese medicine and retention of each needling being 30 minutes. The patients in rehabilitation group performed the rehabilitation training program, once 45 minutes; while acupuncture plus rehabilitation group adopted both Xingnao Kaiqiao acupuncture therapy and rehabilitation training program. Rehabilitation and acupuncture treatment were given 5 times a week for 4 weeks. Before and after the therapy, neural function deficient scale （NDS） was evaluated and the therapeutic results of various groups were compared. Results NDS scores after the therapy of three groups were all comparatively lower than those before the therapy （all P〈0.01）; and the scores of acupuncture group and acupuncture plus rehabilitation group were lowered more significantly than the score in rehabilitation group （6.13 ± 3-18, 6.13±4.03 vs. 8.77±3.35, both P〈0. 05）, whereas the lowering in the former two groups had no obvious difference. The total effective rates of acupuncture group and acupuncture plus rehabilitation group were also markedly higher than the rate in rehabilitation group （100.0%, 100.0% vs. 93.3%, both P?