针刺对中风痉挛性瘫痪血清氨基酸含量的影响  

Effect of acupuncture on content of serum amino acid in spasticity paralysis after stroke

作　　者：岳增辉[1] 李良[2] 叶禹[3] 姜京明[3] 李向荣[4] 

机构地区：[1]湖南中医药大学针灸推拿学院,湖南长沙410208 [2]湖南中医药大学 [3]湖南中医药大学第一附属医院,湖南长沙410007 [4]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《湖南中医药大学学报》2010年第9期212-215,共4页Journal of Hunan University of Chinese Medicine

基　　金：湖南省中医药科研计划重点项目(2008004);经穴-脏腑相关重点研究室;针灸推拿学重点学科;针灸生物信息重点实验室建设项目资助

摘　　要：目的研究针刺对中风痉挛性瘫痪血清氨基酸含量的影响。方法将64例病人随机分为透刺滞针组(观察组)36例和康复药物组(对照组)28例。观察组与对照组均采用bobath易化技术和药物疗法,观察组在对照组的基础上施行透刺滞针术。运用高效液相技术检测治疗前后血清中谷氨酸(Glu)、γ-氨基丁酸(GABA)的含量。结果观察组、对照组治疗前后血清Glu的含量及Glu/GABA值均降低,GABA的含量均升高,差异均具有统计学意义(P<0.05);两组治疗后比较,Glu、GABA的含量及Glu/GABA值差异均具有统计学意义(P<0.05),观察组疗效优于对照组。结论透刺滞针术结合康复、药物治疗对中风痉挛性瘫痪具有较好的疗效,其作用机制与调节血清中的Glu、GABA含量有关。〔Key words〕 To study the effect of acupuncture on content of serum amino acid in spasticity paralysis after stroke.Methods The 64 patients,all of them were used Bobath facilitation technique and drug treatments,were randomly divided into observation group（n=36） added Stuck elongated needle technique and control group（n=28） added rehabilitation.The serum Glu and GABA content before and after the treatment were detected.Results The serum Glu content and Glu/GABA before and after treatment were lower in both groups,but serum GABA content was increases,and all the differences of them were significant（P0.05）;after the treatment,the Glu and GABA contents and Glu/GABA between the two groups had significant differences（P0.05）,which showed that the effect in observation group was better than that in control group.Conclusion The Stuck elongated needle technique combined with the rehabilitation and medical treatment is effective to treat spasticity paralysis after stroke,and the mechanism may be relative to adjust serum Glu and GABA content.

关 键 词：中风痉挛性瘫痪 针刺疗法 透刺滞针术 谷氨酸、γ-氨基丁酸 

分 类 号：R246.1[医药卫生—针灸推拿学]