头穴透刺电针治疗缺血性中风临床观察.pdfVIP

· 6· Shanghai J Acu—Mox，Jun2008，Vol 27，No 6 文章编号：1005-0957(2008)06-0006-03 · 临床研究· 头穴透刺电针治疗缺血性中风临床观察 肖晓华 ， 李瑞春 ， 朱红霞 ， 帅记焱。， 徐明芳 ， 指导 傅 缨。 (1．九江市中医院，江西332000；2．九江市第一人民医院；3．南昌大学医学院) 【摘要】 目的 ’探讨头针治疗缺血性中风的方法及机制。方法 将112例患者随机分为头针组和体针组，两组均治疗4个 疗程。观察两组病例治疗前后神经功能缺损评分、血流变、血脂等的变化。结果 治疗后两组患者神经功能缺损积分均明显 减少，以头电针治疗效果为佳，差异有统计学意X(P0．01)。两组红细胞压积、血浆黏度等均明显降低，头针组疗效优于体 针组。两组总胆固醇、甘油-=11、低密度脂蛋白均明显降低，头针组疗效优于体针组。结论 头穴透刺电针对缺血性中风作 用显著，并能显著改善血流变、血脂多项指标。 【关键词】 中风；针灸疗法；头针；透针；电针；血液流变学；血脂 【中图分类号】 R246．6 【文献标识码】A Clinical Study of the Treatment of lschemic Stroke with Scalp Point-through-point Electroacupuncture XIAO Xiao～hna ． LIRui—chun ，ZHUHong-xia ，SHUAIJi—yah。，XUMing-fang ， Supervisor FUying ． 1．Jiufiang Hospital ofTraditional Chirvese Medicine，Jiujiang 332000，China：，2．Jiujiang First People’S Hospital，China；3．Nanchang University Medical School，China 【Abstract】0bjective To explore the method and。mechanism of scalp acupuncture treatment for ischemic stroke．Methods One hundred and twelve patients were randomly allocated to an observation(scalp acupuncture)group and a control(body acupuncture) group．Both groups were treated for 4 courses．Neural deficit，hemorheological parameters and blood lipids were examined in both groups before and after treatment．Results ．Neural deficit score significantly decreased in both groups after treatment．Scalp electroacu- puncture had a better therapeutic effect．There was a very significant difference(P0．01)．Hematocrit and plasma viscosity signifi- cantly decreased in both groups．The therapeutic effect Was better in the scalp acupuncture group than in the body acupuncture group． Total cholesterol，triglyceride and low—density lipoprotein significantly decreased in both groups．Scalp electmacupuncture had a better therapeutic effect than body acupuncture．Conclusion Scalp point—through—point electroacupuncture has a marked eff