目的：观察发病24 h内康复训练联合温针灸治疗对急性重症脑卒中患者生命体征的影响，评价其安全 性。方法：重症脑卒中患者85例纳入研究，在常规治疗基础上，于起病24 h内依次给予现代康复训练及传统 温针灸治疗，均为30 min/次，1 次/d，共10 d。治疗过程中采用心电监护仪实时监测患者收缩压、舒张压、心 率、呼吸频率的变化，并根据生命体征变化调整康复治疗强度。比较每天治疗0、10、20及30 min时患者的 生命体征。结果：温针灸治疗的第1、2、3天，治疗10 min时间点的收缩压及心率高于0 min时间点，差异有 统计学意义（P<0.05）；其余各时间点血压、心率及呼吸频率差异均无统计学意义（P>0.05）。结论：发病24 h 内合适强度的康复治疗对重症脑卒中患者血压、心率、呼吸均无明显影响，具有较高的安全性。

To assess the safety of rehabilitation combined with warm acupuncture therapy for stroke patients within 24 hours of onset. Methods: Eighty-five patients with stroke were enrolled. All the cases were treated with rehabilitation combined with warm acupuncture therapy within 24 hours of stroke onset, 30 minutes per day, once daily for a continuously of 10 days. During the treatment, electrocardiogram monitors were used to record the changes of blood pressure, heart rate and breathing rate. The data of vital signs at 0, 10, 20 and 30 min of each day were compared. Results: During the warm acupuncture therapy at the first 3 days, the systolic blood pressures and heart rates at 10 min were higher than those at 0 min (P<0.05). But no other significantly changes were detected. Conclusion: It's relatively safe to give rehabilitation combined with warm acupuncture therapy to stroke patients within 24 hours of the onset, which has no effects on the vital signs of patients.