病灶定位围针治疗缺血性中风的临床观察  

Therapeutic Effect of Focus-Locating Scalp Circum-Needling for Ischemic Stroke

作　　者：李艳慧[1] 李旅萍[2] 林国华[1] 

机构地区：[1]广州中医药大学第一附属医院针灸科,广州510405 [2]广东惠州市人民医院,广东510000

出　　处：《广州中医药大学学报》2004年第5期376-378,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】 观察病灶定位围针治疗缺血性中风的临床疗效。【方法】 将61例缺血性中风病人随机分为两组,病灶定位围针组(31例)采用X线断层扫描成像术(CT)确定病灶位置,以CT所示病灶在同侧头皮的投射区为针刺部位;头针组(30例)采用传统的头针运动区和感觉区为针刺部位。针刺治疗30次,观察治疗前后临床症状及体征的变化,以及血浆去甲肾上腺素(NE)、肾上腺素(E)含量的变化情况。【结果】 病灶定位围针组基本痊愈20例,显效10例,有效1例,无效0例;头针组基本痊愈11例,显效15例,有效4例,无效0例;统计结果显示,病灶定位围针组疗效优于头针组(P<0.05)。两组均能降低患者血浆NE、E含量(均P<0.01),且以病灶定位围针组的作用更明显(P<0.05或P<0.01)。【结论】 病灶CT定位围针能明显改善中风病人的临床症状及体征,降低中风急性期患者血浆NE、E含量,从而减轻由于异常释放的NE、E造成的神经元功能障碍及继发性脑损害,使血管扩张、脑循环改善而促进脑组织的代偿能力,故认为病灶CT定位围针是治疗缺血性中风的一种有效方法。【Objective】 To observe the therapeutic effect of focus-locating scalp circum-needling for ischemic stroke (IS) at acute stage. 【Methods】 Sixty-one cases of IS were randomized to two groups: group A (n=31) was treated with acupuncture on homolateral scalp region projected by CT-located focus; group B (n = 30) was treated with acupuncture on conventional scalp regions which were in charge of motor and sensory function. The cases were treated with acupuncture once a day for 30 days. The changes of symptoms and signs and the plasma contents of norepinephrine (NE) and epinephrine (E) were observed before and after treatment. 【Results】 Twenty cases were cured, 10 markedly effective, 1 effective and 0 ineffective in group A; 11 cases were cured, 15 markedly effective, 4 effective and 0 ineffective in group B. The therapeutic effect in group A was better than that in group B (P<0.05). Plasma contents of NE and E were decreased in the two groups (P<0.01) and the decrease was more obvious in group A than that in group B (P<0.01 or P<0.05). 【Conclusion】 By improving the symptoms and signs and decreasing plasma contents of NE and E in patients with IS at acute stage, focus-locating scalp circum-needling can reduce the neural functional disorder and secondary brain injury induced by the abnormal release of NE and E, dilate blood vessels and improve the cerebral blood circulation, thus promoting the cerebral compensation. It is indicated that focus-locating scalp circumneedling is an effective method for IS.

关 键 词：颅内栓塞/针灸疗法 中风/针灸疗法 肾上腺素/血液 去甲肾上腺素/血液 

分 类 号：R743.33[医药卫生—神经病学与精神病学]