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针灸结合现代康复用于治疗脑卒中的疗效分析目的：探讨分析针灸结合现代康复用于治疗脑卒中的临床疗效。
方法：将我院2013年3月至2014年9月间收治的76例脑卒中患者按随机数字表法分为观察组38例及对照组38例，其中观察组采取针灸结合现代康复治疗，对照组只采用针灸治疗，比较两组患者的治疗效果。
结果：经过治疗后，两组患者的简化Fugl—Meyer运动功能评分和日常生活能力评分均明显得到提高，前后对比差异明显（P＜0.05），其中观察组患者治疗后的Fugl—Meyer运动功能评分和日常生活能力评分要明显高于对照组治疗后的效果，两组比较具有显著差异性（P＜0.05）。
结论：针灸结合现代康复用于治疗脑卒中具有良好的效果，能够有效改善患者的运动功能和日常生活能力，值得推广。
【關键词】针灸；现代康复；脑卒中；疗效脑卒中是一种突发性的脑血液循环障碍性疾病，患者的临床表现为突然昏倒、失去意识、口眼歪斜、智力障碍等，在临床中具有很高的病死率和致残率[1]。
有报道称，脑卒中已经成为威胁人类生命健康的主要疾病类型之一。
我院为提高脑卒中患者的治疗效果，降低致残率和病死率，选取了76例患者作为临床研究对象，研究针灸结合现代康复用于治疗脑卒中的实际效果。
其研究结果如下。
1.资料与方法1.1临床资料将我院2013年3月至2014年9月间收治的76例脑卒中患者按随机数字表法分为观察组38例及对照组38例。
本次研究排除了有严重心脑血管疾病以及严重肝肾功能障碍的患者。
观察组有男患者18例，女患者20例；年龄为58-77岁，平均年龄（63.6±2.7）岁；病情：脑梗死24例，脑出血14例。
对照组有男患者21例，女患者17例；年龄为57—80岁，平均年龄（63.8±2.3）岁；病情：脑梗死22例，脑出血16例。
经比较，两组患者在性别、年龄、病情等方面均无明显差异，具有可比性（P>0.05）。
1.2方法两组患者均给予脑卒中的常规治疗、抗凝治疗、控血压、控血糖、降脂治疗。
中医针灸在脑卒中康复治疗的应用效果目的探究中医针灸在脑卒中康复治疗中的临床治疗效果。
方法对85例脑卒中患者进行回顾性分析，根据治疗方法分为对照组和观察组，对照组采用传统康复疗法，共41例患者；观察组在对照组的基础上加以中医针灸治疗，持续治疗2～3个月后观察患者的治疗效果，并进行统计分析。
结果观察组的神经功能缺损评分显著低于对照组，患侧负重能力和Barthel指数均显著高于对照组，差异具有统计学意义（P＜0.05）。
结论中医针灸在脑卒中患者的治疗中起重要作用，显著提升了脑卒中的治疗效果，有助于改善患者的生活质量，值得广大医学工作者进行深入研究并大力推广。
标签：中医针灸；脑卒中；康复治疗脑卒中又称为急性脑血管意外，是威胁人类身体健康的三大疾病之一，发病后的主要临床症状有：头痛、恶心、意识障碍；肢体麻木，活动不灵；突然出现听力或语言障碍等。
脑卒中具有多发性、致残率高且难治愈等特点，给患者家庭和社会带来严重负担，因此备受医学工作者重视[1]。
针灸是一种中国特有的治疗疾病的手段，是中医传统医学的精髓，在数千年的发展中形成了辩证论治、整体兼顾的原则，在临床治疗中积累了丰富的经验。
近年来，在神经解剖学快速发展的基础上，中医针灸也发展出多种新的针刺方法，对脑卒中患者的治疗效果显著。
本研究着重探讨中医针灸对脑卒中患者的临床治疗效果。
1资料与方法1.1一般资料本研究对我院2012年12月～2014年10月收入的85例脑卒中患者的治疗效果进行回顾性分析。
所有患者均符合脑血管病诊断标准，将其按照治疗方法分组，其中，对照组的患者采用传统康复治疗方法，共41例，其中男性22例，女性19例，年龄为39～71岁，平均年龄为（48±6.3）岁，诊断出脑出血患者18例，脑梗塞23例，平均病程为（58.9±6.8）d。
观察组的患者在传统康复治疗的基础上加以中医针灸治疗。
观察组共44例患者，其中男性23例，女性21例，年龄为38～69岁，平均年龄为（47±5.9）岁，诊断出脑出血患者20例，脑梗塞24例，平均病程为（61.6±8.4）d。
针灸结合康复治疗对脑卒中偏瘫患者治疗效果【摘要】目的研究对脑卒中偏瘫患者，采取针灸结合康复治疗的治疗效果。
方法选取本院脑卒中偏瘫作为研究对象，例数合计为76例，选取时间范围是202．月到202.月，将其依据随机数字表法分为两组，38例为一组。
一组给予康复治疗（称为：对照组），另一组给予针灸结合康复治疗（称为：观察组），对比两组患者的治疗有效率以及神经功能，肢体活动功能以及平衡功能。
结果观察组患者相关指标明显优于对照组，差异明显（P＜0.05）结论针对脑卒中偏瘫患者，利用针灸结合康复治疗，可提高治疗有效率，还有助于改善患者神经功能、肢体活动功能、平衡功能，值得推广。
【关键词】针灸；康复治疗；脑卒中偏瘫脑卒中患者在发病后，会出现口角歪斜、身体偏瘫、运动功能丧失等各种临床表现。
在治疗中，采用药物溶栓或者外科手术取栓后，采取康复训练方式，对患者进行治疗，可取得良好的治疗效果。
近些年来，诸多研究结论表明，针对脑卒中偏瘫患者，采用针灸结合康复治疗，可以取得更好的治疗效果，针灸可以加速患者上下肢运动神经元恢复，对改善患者的运动功能以及神经功能具有重要价值，所以在临床上应用愈加广泛[1]。
为此本文将重点分析对脑卒中偏瘫患者，采取针灸结合康复治疗的治疗效果，具体见正文展示。
1一般资料和方法1.1一般资料选取本院脑卒中偏瘫作为研究对象，例数合计为76例，选取时间范围是202．月到202.月，将其依据随机数字表法分为两组，38例为一组。
观察组：性别方面对比，男：女＝22：16；年龄方面统计，上限：82岁，下限58岁，平均值（70.64±4.85）岁；对照组：性别方面对比，男：女＝21：17；年龄方面统计，上限：81岁，下限57岁，平均值（70.67±4.87）岁。
对比两组患者上述各资料，数据经过统计核算，差异微弱，P＞0.05。
1.2方法1.2.1对照组对照所采用康复治疗手段对患者进行治疗，治疗方法如下：（1）在患者完成溶栓治疗后早期。
【摘要】目的：探讨在脑卒中后偏瘫患者治疗中针灸联康复训练的效果。
方法：研究对象选取我院收治的82例脑卒中后偏瘫患者，时间为2020年9月~2022年9月，随机数字表法将患者分为应用康复训练治疗的常规组和康复训练联合针灸治疗的联合组，各41例。
对两组患者治疗效果进行比较。
结果：联合组治疗效果、肢体功能评分、日常生活能力评分和生活质量评分均明显高于常规组（P<0.05）。
结论：在脑卒中后偏瘫患者治疗中应用针灸联康复训练有利于提高患者日常生活能力和生活质量，对于患者肢体功能恢复具有积极意义，值得推广。
【关键词】脑卒中；偏瘫；康复训练；针灸脑卒中发病率随着我国老龄化进程加快和人们生活方式改变逐渐增加且发病年龄越来越小，具有发病率和致残率高、病程长等特点，对患者的生活质量和生命健康造成严重威胁[1-2]。
偏瘫是脑卒中常见后遗症，对于其治疗临床常采取康复治疗，虽然可以发挥一定效果，但治疗效果不理想[3]。
随着中医学发展，针灸疗法在临床治疗应用越来越广泛。
本次研究主要探讨在脑卒中后偏瘫患者治疗中针灸联康复训练的效果，具体如下。
1资料与方法1.1一般资料研究对象选取我院收治的82例脑卒中后偏瘫患者，时间为2020年9月~2022年9月，随机数字表法将患者分为常规组和联合组，各41例。
联合组男性患者和女性患者分别有26例和15例，患者年龄在64~79岁之间，平均年龄为（67.58±4.53）岁。
常规组男性患者和女性患者分别有27例和14例，患者年龄在63~79岁之间，平均年龄为（67.68±4.19）岁。
两组患者的一般临床资料可比（P>0.05）。
1.2方法常规组接受康复训练：患者的康复锻炼从被动逐渐过渡到主动运动。
（1）上肢训练：患者在护理人员的协助下完成上肢锻炼，保证患者双臂水平伸直和手肘与手臂舒展，叮嘱患者紧握双手，将大拇指充分舒张，同时指导患者健侧按摩和拉伸患侧手臂；（2）下肢训练：尽量抬高下肢患侧下肢与床面拉开距离，重复抬高动作；（3）腰部训练：仰卧位时协助患者将双足和膝盖并拢，膝盖屈曲呈90°，指导患者使用腰腹力量上挺；（4）翻身和吞咽功能训练：在护理人员协助下完成翻身，进行练习后鼓励患者自主翻身；每日进行口舌训练以锻炼患者吞咽功能。
针灸运动疗法在脑卒中后康复期患者中的应用目的探讨针灸运动疗法对脑卒中偏瘫运动功能的康复作用。
方法选取2012年12月～2013年12月本院神经内科和康复医学科住院的60例早期脑卒中偏瘫患者为研究对象，随机分为观察组和对照组，每组30例，所有患者均进行病房常规对症治疗与营养支持护理，观察组采用针刺运动疗法，对照组采用常规针刺疗法，比较两组的临床疗效、MAS评分、SS-QOL评分。
结果观察组的总有效率为93.3%，高于对照组的70.0%，差异有统计学意义（P＜0.05）。
两组治疗1、3个疗程后的MAS评分及SS-QOL评分均高于治疗前，且观察组治疗1、3个疗程后的MAS评分及SS-QOL评分均高于对照组，差异有统计学意义（P ＜0.05）。
结论采用针刺运动疗法可以有效提高脑卒中偏瘫患者的临床疗效，改善患者的运动功能，提高患者的生活质量，值得推广应用。
标签：针灸运动疗法；脑卒中偏瘫；运动功能；生活质量脑卒中类型包括缺血性脑卒中和出血性脑卒中两种，起病急、变化快，具有高发病率、高致残率、高死亡率及高复发率，是严重危害人类健康及生命的三大疾病之一，在中老年人群中常见、多发，现今随着社会经济发展与人们生活水平提高，其患病率也呈逐渐增高趋势[1-2]。
中老年人脏腑组织功能活力下降、机体功能生理性衰竭，脑卒中预后一般都不理想，常常出现偏瘫后遗症，部分患者甚至出现日常生活不能正常自理，不仅造成了患者的精神痛苦，而且加重了患者家庭和社会的负担[3-4]。
为促进患者运动功能恢复，提高患者生活质量，本文以本院神经内科和康复医学科住院的60例早期脑卒中偏瘫患者为研究对象，分析针灸运动疗法对脑卒中偏瘫运动功能的康复作用。
1 资料与方法1.1 一般资料选取2012年12月～2013年12月本院神经内科和康复医学科住院的60例早期脑卒中偏瘫患者，其中男性28例，女性32例；年龄41～76岁，平均（60.3±7.5）岁；病程22～89 d，平均（43.5±5.7）d。
医药健闻针灸在脑卒中康复的运用隋瑞峤 （北京小汤山医院，北京 102200）脑卒中是因脑部血管突然阻塞或破裂，造成血液不能够顺利流入大脑相应部位，而诱发脑组织损伤的一种疾病。
主要临床症状为头晕、头痛、肢体麻木、肢体活动不利，甚至意识丧失等。
虽然脑卒中的预后会因发病部位、病变大小不同而有差异，但总体而言，越早康复，恢复效果越好。
本文介绍针灸在脑卒中康复中的运用。
脑卒中的治疗外科治疗（1）缺血性卒中的外科治疗包括静脉溶栓和微创取栓，有严格的时间限制。
所以，当出现两侧脸不对称、口眼歪斜、肢体麻木，或者突然言语不利、说话口齿不清楚、胸口憋闷时，一定要在4.5 h 内到能治疗脑卒中的医院进行血管再通治疗。
（2）出血性卒中包括脑出血和蛛网膜下腔出血。
若脑出血比较大，出现脑水肿、中线移位等，可采用去骨瓣减压或开颅清除血肿；对于蛛网膜下腔出血，可行动脉瘤结扎，或采用介入穿刺的微创治疗，通过弹簧圈栓塞相应血管，防止其进一步破裂出血。
内科治疗（1）缺血性卒中的内科治疗包括抗凝抗血小板治疗，以及改善循环、营养神经的治疗。
（2）出血性卒中则要根据具体情况采取相应的内科治疗。
如脑出血量小，可采取内科保守治疗，包括脱水、控制血压、营养脑神经等。
如蛛网膜下腔出血，发生颅内高压，可通过穿刺放脑脊液；发生脑水肿，可进一步脱水治疗；发生颅内血管痉挛，可使用尼莫地平治疗。
中医治疗无论是在脑卒中发作期，还是康复期，中医会根据每个患者的具体情况进行辨证论治，用中药或针灸及理疗等方法进行治疗，效果也比较好。
为什么要进行脑卒中康复治疗脑卒中患者得到了相应的救治后，还要注重后期护理，否则极易导致一系列的并发症，严重影响预后。
（1）脑卒中后，大部分患者会有神经功能的缺损。
而通过康复，可以促进缺损的神经功能恢复，最大限度减少残疾的发生。
（2）康复治疗可减少脑卒中后并发症的风险，如焦虑抑郁、肺炎、压疮、下肢深静脉血栓及肌肉萎缩等。
其中，对脑卒中患者进行良肢位的摆放，可以减少压疮的发生；进行下肢功能锻炼，可减少下肢静脉血栓的发生；进行针灸以及相应的推拿，可以减少肌肉萎缩的发生。
探讨中医针灸在脑卒中康复治疗的应用效果作者：郑宏来源：《中西医结合心血管病电子杂志》2019年第07期【摘要】目的探讨中医针灸治疗在脑卒中患者康复中的应用效果。
方法选取2017年3月～2018年3月本院收治的脑卒中患者104例作为研究对象，根据床号奇数偶数的方法将其分为观察组和对照组，各52例，对照组给予常规康复治疗，观察组实施常规康复治疗加中医针灸，观察两组的治疗效果以及肢体运动能力和生活能力改善情况。
结果观察组患者的治疗总有效率94.23%优于对照组71.15%，且肢体运动能力和生活能力改善情况显著优于对照组，差异有统计学意义（P【关键词】中医针灸；脑卒中；康复治疗；应用效果【中图分类号】R259 【文献标识码】A 【文章编号】ISSN.2095-6681.2019.7..02脑卒中是临床常见的心脑血管疾病，又称急性脑血管意外[1]。
其常见的临床症状为肢体麻木、眩晕、肢体活动不利、头痛、意识障碍等[2]。
此病不但影响患者生活质量，为家庭和社会带来负担，而且严重时甚至威胁生命安全[3]。
在临床脑卒中治疗的过程中会通过加强患者的康复治疗来提升脑卒中患者的生活质量，对于更加有效的改善治疗和预后效果具有非常重要的意义。
有关研究指出[4]，在脑卒中患者的康复治疗中，实施中医针灸治疗可有效提高治疗效果。
本次研究为观察在脑卒中患者康复治疗中，中医针灸治疗效果，特以本院104例脑卒中患者为研究对象，对两组患者实施不同的康复治疗，发现加用中医针灸的治疗效果更为满意，希望此次研究可为以后脑卒中患者康复治疗中提供有价值参考资料，具体内容如下。
1 资料和方法1.1 一般资料选取2017年3月～2018年3月本院收治的脑卒中患者104例作为研究对象，根据床号奇数偶数的方法将其分为观察组和对照组，各52例。
其中，对照组男25例，女27例，年龄26～63岁，平均年龄（55.78±6.54）岁，病程2～60天，平均病程（21.55±4.16）天，学历：高中及以上、初中、小学分别为10例、14例、28例；观察组男24例，女28例，年龄28～65岁，平均年龄（56.84±6.65）岁，病程1～58天，平均病程（21.48±4.20）天，高中及以上、初中、小学分别为8例、13例、31例。
观察中医针灸在脑卒中康复治疗中的应用疗效遂宁市大英县人民医院 629300【摘要】目的：分析中医针灸在脑卒中康复中的治疗效果。
方法：选择2018年7月-2019年7月我院收治的44例脑卒中案例为对象，结合不同治疗方式分为甲组和乙组，甲组实施传统治疗，乙组在传统治疗的基础上结合中医针灸方式进行治疗，治疗后对结果分析和对比。
结果：治疗后乙组的神经功能评分、负重评分等高于甲组，数据资料分析可知，乙组的各项评分优势突出。
乙组的总有效率高于甲组，90.9%＞68.2%，数据资料分析可知，乙组的效果明显。
结论：针对脑卒中案例实施中医针灸方式治疗，可促进其康复，短期内恢复，值得借鉴和推广。
【关键词】中医针灸；脑卒中；康复治疗脑卒中是当前常见的一种疾病，主要是脑内血管出现阻塞或者突然破裂等现象，导致血液不能运抵到大脑，出现脑组织损伤的现象，结合实际情况，需要注意的是针对性的进行治疗，避免出现不良反应。
一般情况下，由于缺血导致脑卒中发生的几率比较高，占据总患病人数的60%以上，针对特殊性，需要注意的是及时对患者进行治疗，缓解患者存在的恶心和头痛等症状。
随着医疗技术的不断发展，脑卒中患者的死亡率得到了有效的控制，但部分患者术后仍然遗留偏瘫等并发症，导致患者的肢体功能受损，严重影响患者的生活质量。
因此及时给予脑卒中康复患者及时有效的治疗，具有十分重要的意义。
本文对针灸治疗在脑卒中康复治疗中的应用疗效进行了分析和总结，现报道如下。
1.资料与方法1.1一般资料选择44例脑卒中案例为对象，结合不同治疗方式分组，分别是甲组和乙组，均是22例。
甲组的男女分别是12例和10例，年龄是36-71岁，平均年龄（51.25±0.28）岁。
乙组的男女分别是11例和11例，年龄在38-71岁，平均年龄（52.36±0.28）岁。
对比基本资料得知，差异不明显，可对比和研究。
1.2方法本次研究中甲组的案例实施传统的治疗方式干预，进行常规的溶解血栓、消除淤血等方式，对脑神经进行保护，纠正水电解质，确保其正常。
脑卒中后偏瘫患者应用针灸推拿联合康复治疗的效果研究摘要：目的：观察脑卒中后偏瘫患者采取针灸推拿联合康复治疗的临床治疗效果。
方法：选取时间资料（2022年6月到2023年6月），收集73例脑卒中后偏瘫患者资料，以随机方式进行分组处理。
对照组36例患者采取康复治疗，观察组37例患者联合针灸、推拿治疗。
结果：观察组治疗效果97.30%明显更高（P ＜0.05），观察组NIHSS（5.34±1.05）分，FMA（78.84±8.67）分评分更优（P＜0.05），观察组6MWT（409.79±36.94）m，BBS评分（48.96±7.08）分，评分更优（P＜0.05）。
结论：针灸、推拿、康复训练等治疗手段应用优势明显，通过应用在脑卒中后偏瘫患者中，借助针对性治疗，可优化治疗效果，改善神经功能，提升患者6min步行距离，优化患者平衡能力以及生活质量。
关键词：脑卒中后偏瘫；针灸；推拿引言：脑卒中属于急性脑血管病，高发于老年人群，患者残疾率、病死率较高。
人口老龄化趋势加重使该疾病患者患病率显著提升，虽然在医疗技术发展的情况下，患者致死率明显下降，但是患者仍具有较高的致残风险。
相关研究显示，即使脑卒中患者在诊治成功后，仍伴随肢体功能障碍情况，其中，偏瘫属于最为常见的症状，将会对患者生活质量影响严重。
当前临床研究显示，针对脑卒中后偏瘫患者，通过采取早期康复训练，能够有效优化运动能力，进而提升患者训练效果，保障康复质量。
但是在后续临床研究中，发现在单纯应用早期康复训练的情况下，部分患者仍然效果仍然不理想。
因此，要求临床应在实施康复治疗基础上，积极配合其他有效方法，进而有效提升患者康复效果。
中医认为脑卒中后偏瘫属于中风返修，认为该疾病主要与年老气虚密切相关，导致气血瘀滞，进而引发疾病。
同时，受到肝肾不足影响，加之阴液亏损，也会导致疾病出现。
临床认为气血瘀滞是该疾病的病机。
因此，应坚持益气活血、疏经通络的原则，对患者进行治疗，有效改善患者治疗效果。
探讨中医针灸在脑卒中康复治疗的应用效果摘要：目的对临床脑卒中康复干预与治疗的过程中，选择中医针灸辅助进行治疗之后的效果情况加以观察和对比，分析临床相关干预与康复治疗之后的效果情况。
方法在本院所有所收治确诊为脑卒中需要进行康复干预的群体中选取70例加以对比对照研究，将其随机分组，设定观察、对照两组。
人数完全一致的情况下，仅有康复干预方法方面的差异之处。
其中对照组使用常规的早期康复干预，而观察组则进一步选择中医针灸治疗，对两组分别加以治疗之后的肢体运动能力评分（Fugl-Meyer评分）、生活能力指数（Barthel指数）和康复治疗满意率情况加以观察，评价临床康复治疗干预之后的效果。
结果分别加以康复干预之后的结果观察对比发现了一个成效的特异性差异之处，其中观察组的Fugl-Meyer评分和Barthel指数显著提高（P＜0.05），而康复治疗满意率也明显要更高一些（P＜0.05），展现出了鲜明的干预效果不同。
结论临床对于脑卒中进行康复干预与治疗的过程中，选择针对性的中医针灸治疗之后的效果相对更好一些，带来的影响更加积极，有助于促进疾病情况的优化和改善，并促进肢体功能、生活能力等多方面的转归与优化。
关键词：中医治疗；针灸治疗；康复干预；效果；对比；生活能力；分析；引言：脑卒中是目前临床相对较为常见的一类疾病，发生率相对较高，对于患者身心健康所带来的影响和威胁也相对较大，这种脑血管意外会进一步导致患者中枢神经受到严重损害，进一步在肢体活动及运动支配方面的神经受到威胁，有着较高的致残率和致死率，为患者个人带来重大痛苦，同时也对家庭社会和医疗带来沉重负担，对于此类患者一般都推荐早期进行康复干预[1]。
在进行康复干预与治疗的过程中，中医领域对相关疾病有着较为独特的认知，而且也可以采取多种多样的干预方法，结合常规的康复作业等方法，能够取得更好的康复干预效果，促进患者肢体功能和活动能力方面的转归。
中医针灸治疗应用之后，能够进一步改善患者的肢体活动能力，也可以促进其生活功能方面的改善，从而带来更加积极的影响作用，提升临床干预的有效性，进一步早期应用此类方法改善患者的预后促进疾病与健康情况的转归[2]。
NEURAL REGENERATION RESEARCHVolume 7, Issue 15, May 2012Cite this article as: Neural Regen Res. 2012;7(15):1192-1199.1192 Feng Sun★,Master, Professor, Chief physician, Department of Neurology, Fifth People's Hospital of Shenyang, Shenyang 110023, Liaoning Province, Chinasunfeng1962@ Received: 2011-12-24 Accepted: 2012-02-29(N20120307001/Z)Sun F, Wang JC, Wen X. . Acupuncture in stroke rehabilitation: literature retrieval based on international databases. Neural Regen Res.2012;7(15):1192-1199. doi:10.3969/j.issn.1673-5374. 2012.15.011Acupuncture in stroke rehabilitationLiterature retrieval based on international databases★Feng Sun, Jinchun Wang, Xia WenDepartment of Neurology, Fifth People's Hospital of Shenyang, Shenyang 110023, Liaoning Province, China AbstractOBJECTIVE: To identify global research trends of acupuncture in stroke rehabilitation using abibliometric analysis of the Web of Science and the Clinical Trials registry database().DATA RETRIEVAL: We performed a bibliometric analysis of data retrievals for acupuncture instroke rehabilitation from 1992 to 2011 using the Web of Science and .SELECTION CRITERIA: Inclusion criteria: (1) Web of Science: (a) Peer-reviewed articles onacupuncture in stroke rehabilitation that were published and indexed in the Web of Science. (b)Type of articles: original research articles, reviews, meeting abstracts, proceedings papers, bookchapters, editorial material and news items. (c) Year of publication: 1992-2011. (2) :All clinical trials relating to acupuncture in stroke rehabilitation were searched in this database.Exclusion criteria: (1) Web of Science: (a) Articles that required manual searching or telephoneaccess. (b) We excluded documents that were not published in the public domain. (c) We excludeda number of corrected papers from the total number of articles. (2) : (a) Weexcluded clinical trials that were not in the database. (b) We excluded clinical trialsthat dealt with magnetic stimulation other than acupuncture in stroke rehabilitation in the database.MAIN OUTCOME MEASURES:(1) Type of literature; (2) annual publication output; (3) distributionaccording to journals; (4) distribution according to country; (5) distribution according to institution;(6) top cited articles over the last 20 years; and (7) clinical trials registered.RESULTS: (1) In all, 92 studies on acupuncture in stroke rehabilitation appeared in the Web ofScience from 1992 to 2011, almost half of which derived from Chinese and American authors andinstitutes. The number of studies addressing acupuncture in stroke rehabilitation has graduallyincreased over the past 20 years. Most papers on acupuncture in stroke rehabilitation appeared injournals with a particular focus on rehabilitation research, such as Stroke, Archives of PhysicalMedicine, Cochrane Database of Systematic Reviews and Journal of Alternative andComplementary Medicine. (2) In the , three studies can be searched onacupuncture and stroke, all of which were registered and sponsored by Chinese institutions sinceFebruary 2009.CONCLUSION:From our analysis of the literature and research trends, we found that acupuncturein stroke rehabilitation may offer further benefits in regenerative medicine.Key Wordsacupuncture; stroke; rehabilitation; Web of Science; Clinical Trials; bibliometric; neural regenerationAbbreviations, Clinical Trials registry databaseINTRODUCTIONStroke is defined by the World Health Organization as a clinical syndrome characterized by rapidly developing signs of focal or global disturbance of cerebral functions, lasting for more than 24 hours or leading to death, with no apparent causes other than vascular origin[1]. Stroke brings great threat to human life for its high attack rate, high mortality, as well as disability rate, which leads to heavy burden to patient’s family and society[2]. Acupuncture can bring multiple biological responses for human body, including circulatory and biochemical effects. These responses can occur locally or close to the site of application, or at a distance. They are mediated mainly by sensory neurons to many structures within the central nervous system. This can lead to activation of pathways in the brain as well as in the periphery, which affecting various physiological systems[3-5].Acupuncture is claimed to be effective for a wide range of conditions, such as pain, musculoskeletal disorders and several neurologic diseases[6]. It has been well accepted by Chinese patients and is used as an adjunct treatment to improve motor, sensation, speech, and other neurological functions in patients with stroke since ancient China[7].Although acupuncture is not generally accepted in western countries due to lack of convincing evidence of efficacy, it is also increasingly applied in strokepatients[8-9]. Positive results have been reported in studies with different designs and treatments from 24 hours to 8 years after stroke onset[10-14]. Few studies have been randomized, and the use of control or sham groups is varied. In its Conclusions and Recommendations section, the panel of the National Institutes of Health (NIH) Consensus Development Conference on Acu puncture recently stated that “there are other situations such as...stroke rehabilitation...where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program”[15]. Experimental studies have demonstrated that acupuncture has effects in common with physical exercise on the release of transmitters and peptides in brain and spinal cord[16-18].In this study, we performed a bibliometric analysis based on the Web of Science (published by the Institute for Scientific Information) to identify the broad patterns in global research and improve the assessment of research trends in research of acupuncture in stroke rehabilitation over the past 20 years and the Clinical Trials registry database () was also searched to find items on acupuncture and stroke. RESULTSThe types of publication relating to acupuncture in stroke rehabilitation that were included in the Web of Science from 1992 to 2011(Table 1)From Table 1, it is evident that articles, reviews, and meeting abstracts constituted the major types of publication relating to acupuncture in stroke rehabilitation over this period. There were 58 articles, accounting for 63.04% of the total number of publications, which was more than any other type of literature; these were followed by reviews (14), which accounted for 15.22%.The annual publication output on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011(Figure 1)There were 92 publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011. The number of publications on acupuncture in stroke rehabilitation has gradually increased over the past 20 years. In all, 14 papers were published and included in the Web of Science in 2010, which was much more than1193in 1994. However, there was a decrease in the number of papers published in 2003 and 2004. The journals that published acupuncture in stroke rehabilitation and were included in the Web of Science from 1992 to 2011 are presented in Table 2.From Table 2, it is evident that most of the papers on acupuncture in stroke rehabilitation appeared in journals with a particular focus on rehabilitation research. Stroke published 17 papers, which accounted for 18.48% of the total number of publications; this was followed by the Archives of Physical Medicine, which published 18 papers and accounted for 8.70%. Cochrane Database of Systematic Reviews and Journal of Alternative and Complementary Medicine both published 5 papers. Information relating to the top three journals appears in Table 3.The distribution of subject areas related to acupuncture in stroke rehabilitation includedin the Web of Science from 1992 to 2011(Table 4) From Table 4, it is evident that among the subject categories related to acupuncture in stroke rehabilitation, the greatest number of studies (27 papers) was in the field of rehabilitation, which accounted for 29.35%. With 25 papers, the second-highest number of studies was in the field of clinical neurology, which accounted for27.17%.1194The country distribution of publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011(Table 5)From Table 5, it is clear that the China published the most number of papers on acupuncture in stroke rehabilitation; it published 30 papers, which accounted for 32.61% of the total. United States ranked second with 24 papers and accounted for 29.35%.The most institutions from China included in the Web of Science from 1992 to 2011(Table 6)The most cited publications from China included in the Web of Science from 1992 to 2011(Table 7)The number of publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011(Table 8)1195In Table 8, it is evident that the top institution for studies on acupuncture in stroke rehabilitation is the Harvard University, the Korea Institute of Oriental Medicine and Exeter University, followed by Kyung Hee University.The most cited papers of Harvard University related to acupuncture in stroke rehabilitation included in the Web of Science from 1992 to 2011Acupuncture for subacute stroke rehabilitation-Asham-controlled, subject- and assessor-blind, randomized trial, wrote by Park et al[28], and published on Archives of Internal Medicine in 2005, with 21 citations.Acupuncture for upper-extremity rehabilitation in chronic stroke: A randomized sham-controlled study, wrote by Wayne et al [29], and published on Archives of Physical Medicine and Rehabilitation in 2005, with 20 citations.Clinical characteristics and rehabilitation outcomes of patients with posterior cerebral artery stroke, wrote by Ng et al[30], and published on Archives of Physical Medicine and Rehabilitation in 2005, with 11 citations.The most cited papers of Korea Institute of Oriental Medicine relating to acupuncture in stroke rehabilitation included in the Web of Science from 1992 to 2011Acupuncture application for neurological disorders, wrote by Lee et al [31], and published on Neurological Research in 2007, with 18 citations.Moxibustion for Stroke Rehabilitation Systematic Review, wrote by Lee et al[32], and published on Stroke in 2010, with five citations.Acupuncture for functional recovery after stroke: a systematic review of sham-controlled randomized clinical trials, wrote by Kong et al[33], and published on Canadian Medical Association Journal in 2010, with four citations.The most cited review papers on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011Effectiveness of acupuncture for stroke: A systematic review, wrote by Park et al [34]. and published on Journal of Neurology in 2001, with 39 citations.Acupuncture in clinical neurology, wrote by Rabinsteinet al[35], and published on Neurologist in 2003, with 22 citations.Treatment of urinary incontinence after stroke in adults, wrote by Thomas et al[36], and published on Cochrane Database of Systematic Reviews in 2008, with 16 citations. Acupuncture in poststroke rehabilitation a systematic review and meta-analysis of randomized trials, wrote by Wu et al[37], and published on Stroke in 2010, with 9 citations.The most cited articles on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011(Table 9)1196Clinical Trials registry database (), developed by the Food and Drug Administration of the NIH, offers up-to-date information on locating federally and privately supported clinical trials for a wide range of diseases and conditions. A clinical trial (also known as clinical research) is a research study using human volunteers to answer specific health questions. currently contains 124 717 trials sponsored by the NIH, other federal agencies, and private industry. The studies listed in its database are conducted in all 50 states and in 179 countries receives over 50 million page views per month 65 000 visitors daily.The clinical trial on acupuncture on stoke including “Can acupuncture benefit surgical patients with haemorrhagic stroke?” Phase 1, which is registered and sponsored by Chinese University of Hong Kong and led by George KC Wong; it began in December 2009. The aim of this study is to study whether acupuncture in addition to conventional rehabilitation programme can improve the functional outcome and quality of life of surgical patients with haemorrhagic stroke, as compared to conventional rehabilitation programme alone.“Efficiency study of traditional Chinese medicine versus Western medicine on ischemic stroke”, which is registered and sponsored by China Academy of Chinese Medical Sciences and led by Yanming Xie; it began in February 2009. The aim of this study is to study the efficiency of traditional Chinese medicine on early rehabilitation and secondary prevention of ischemic stroke is same or better than that of Western medicine. “Establishment and evaluation to the effects of a clinical pathway for acute ischemic stroke” Phase 4, which is registered and sponsored by Guangzhou University of Traditional Chinese Medicine and led by Yefeng Cai; it began in December 2009. The aim of this study is to determine whether the clinical pathway for acute ischemic stroke (with combination of traditional Chinese medicine and western medicine) is able to improve the outcome of acute ischemic stroke and evaluate its effect on hospital day and cost, etc. Meanwhile, the study will discuss the safety and efficiency of this kind of clinical pathway.DISCUSSIONBased on our bibliometric results with the Web of Science, we found the following research trends in studies on acupuncture in stroke rehabilitation over the past 20 years. In all, 92 publications on acupuncture in stroke rehabilitation studies were retrieved from the Web of Science from 1992 to 2011, of which almost half the publications derived from Chinese and American authors and institutes. The number of publications on acupuncture in stroke rehabilitation has gradually increased over the past 20 years. Most papers on acupuncture in stroke rehabilitation appeared in journals with a focus on rehabilitation research, such as Stroke, Archives of Physical Medicine, Cochrane Database of Systematic Reviews and Journal of Alternative and Complementary Medicine.In the , there are three registered trials-“Ca n acupuncture benefit surgical patients with haemorrhagic stroke?”;“Efficiency study of traditional Chinese medicine versus Western medicine on ischemic stroke” and “Establishment and evaluation to the effects of a clinical pathway for acute ischemic stro ke”. All the three studies are sponsored by Chinese institutions since February 2009.Much attention and effort has been devoted to stroke treatment and rehabilitation using acupuncture. The findings of the present study may be of interest to fellow researchers who are currently undertaking studies on acupuncture in stroke rehabilitation or those who may do so in the future.DATA SOURCES AND METHODOLOGYDesignA bibliometric study.Time and settingWe carried out this bibliometric study at Fifth People's Hospital of Shenyang in February 2012.Data retrievalIn this study, we used bibliometric methods to quantitatively and qualitatively investigate research trends in studies of acupuncture in stroke rehabilitation. For this purpose, we employed the Web of Science, a research database of publications and citations that is selected and evaluated by the Institute for Scientific Information in Philadelphia, PA, USA.For bibliometric analyses, we searched the Web of Science using the key words stroke or “cerebral infarct”, “cerebrovascular disease”, “cerebral ischemia”, “rehabilitation” and “acupuncture”. We limited the period of publication from 1992 to 2011 in compiling a bibliography of all articles related to acupuncture in stroke rehabilitation. We searched 92 results, and we downloaded the data on February 20, 2012.Inclusion criteriaThe inclusion criteria are as follows. (1) Peer-reviewed articles on acupuncture in stroke rehabilitation that were published and indexed in the Web of Science, including original research articles, reviews, meeting abstracts, proceedings papers, book chapters, editorial material,1197and news items. The year of publication was 1992-2011 (inclusive). The citation databases are as follows: Science Citation Index-Expanded (SCI-E), 1899-present; Conference Proceedings Citation Index-Science(CPCI-S) 1991–present; Book Citation Index-Science (BKCI-S), 2005–present. (2) Clinical trials on acupuncture in stroke rehabilitation were included.Exclusion criteria(1) Web of Science: We excluded articles that required manually searching or telephone access. We excluded documents that were not published in the public domain. We excluded a number of corrected papers from the total number of articles analyzed.(2) : We excluded clinical trials that were not registered on the database. We also excluded clinical trials in that dealt with magnetic stimulation other than acupuncture in stroke rehabilitation.Data evaluationThe outcomes of all articles referring to acupuncture in stroke rehabilitation were measured using the following criteria: (a) type of literature on acupuncture in stroke rehabilitation included in the Web of Science from 1992 to 2011; (b) annual publication output on acupuncture in stroke rehabilitation included in the Web of Science from 1992 to 2011; (c) journal publications on acupuncture in stroke rehabilitation included in the Web of Science from 1992 to 2011; (d) distribution of publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011 by subject area; (e) publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011according to country;(f) publications on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011 by institution; (g) the most cited papers on acupuncture in stroke rehabilitation in the Web of Science from 1992 to 2011;(h) trials on acupuncture in stroke rehabilitation in on.Author contributions:Feng Sun retrieved the references, extracted the data, conceived and designed the study, and wrote the manuscript. 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