【摘要】目的：观察针刺早期介入治疗急性缺血性中风的临床安全性和有效性。方法： 采用临床随机对照试验研究，将 90 例急性期患者随机分为药物组和针刺组，每组各 45 例。于治疗前后进行神经功能缺损评分、Bathel指数评分及血液生化指标的测定，对两组 进行组间和自身前后对照。结果：急性期针刺治疗前后神经功能评分和ADL评分有显著 差异(P＜0.01), 两组间相比有显著差异(P＜0.01) ，血脂与血流变指标无统计学差异。 结论：针刺早期介入治疗中风安全性高，可改善患者的致残程度，提高患者的生存质量。 【关键词】针刺疗法；中风；日常生活活动；血液流变学 【Abstract】Objective: To observe the clinical efficacy and safety of early acupuncture in the treatment of acute ischemic stroke. Methods: In clinical randomized controlled trial, 90 subjects were divided into drug group and acupuncture group, 45 cases in each group. The neurological deficit score, Bathel index and some blood laboratory indexes were detected before and after treatment in both groups. Results: In acute stage, there were striking differences in the neurological deficit score and activities of daily living (ADL) between before and after treatments in acupuncture group (P＜0.01), and between acupuncture group and drug group (P＜0.01); but there was no difference in blood lipid and rheology between two groups. Conclusion: Acupuncture is rather safe in the early treatment of acute ischemic stroke, and improvement of disability and the patients' quality of life. 【Key Words】Acupuncture Therapy; Stroke; Activities of Daily Living; Hemorheology 【CLC Number】R246.