针刺头部穴位治疗中风偏瘫的临床观察  

Clinical Observation of Scalp Acupuncture on Apoplectic Hemiplegia

作　　者：陈治忠[1] 李艳慧[2] 梅华达 

机构地区：[1]广州中医药大学针灸推拿学院,广州510405 [2]广州中医药大学第一附属医院,广州510405 [3]广州中医药大学,97级博士生广州510405

出　　处：《广州中医药大学学报》2000年第1期43-45,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：为了寻找更有效的针灸处方以更好地恢复中风病人偏瘫肢体的功能 ,用针刺头穴为主 (取颞穴、百会、风府、神庭、头维 )治疗中风偏瘫病人 ,与针刺头针相应区域 (取偏瘫对侧头部运动区和感觉区 )进行比较 ,观察其临床疗效 ,并测定其治疗前后血浆血栓烷B2 (TXB2 )、 6 -酮前列腺素F1α (6 -Keto -PGF1α)含量变化。结果显示 ,头穴组 37例病人中基本痊愈 2 6例 ,显效 9例 ,有效 2例 ;头针组 (对照组 ) 36例病人中基本痊愈12例 ,显效 15例 ,有效 8例 ,无效 1例 ,组间比较 P <0 .0 5。同时 ,治疗前后血浆TXB2 、 6 -Keto -PGF1α含量变化均有显著性差异 (P <0 .0 5或P <0 .0 1)。表明上述头穴组穴位处方是治疗中风偏瘫的有效处方。Self-prescription scalp acu-points were used to treat the patient with apoplectic hemiplegia and its clinical effect was compared with traditional scalp acupuncture. Contents of plasma TXB 2,6-Keto-PGF 1α were also measured before and after the treatment. Results showed that in the treatment group (36,self-prescription scalp acu-points) 26 cases were cured, 9 markedly effective, 2 effective and 0 ineffective,while 12,15,8 and 1 respectively in the control group (36,traditional scalp acupuncture) (P< 0.05 ). The differences of plasma TXB 2,6-Keto-PGF 1α content before and after the treatment were significant. It is concluded that self-prescription scalp acu-points were effective for apoplectic hemiplegia.

关 键 词：中风后遗症 针灸疗法 偏瘫 针灸效应 头颈部穴位 

分 类 号：R255.2[医药卫生—中医内科学] R246.6[医药卫生—中医学]