穴位埋线加小剂量抗痫西药治疗癫痫全身强直―阵挛发作临床观察.docVIP

穴位埋线加小剂量抗痫西药治疗癫痫全身强直―阵挛发作临床观察(湖南中医学院针灸推拿系,长沙410007) [摘　要]　方法:采用穴位埋线配合小剂量抗痫西药(治疗组)治疗癫痫全身强直―阵挛发作64例,并与西药抗痫组(对照组)65例进行对照观察。结果:①治疗组的临床疗效优于对照组(P0.05)。结论:穴位埋线加小剂量抗痫西药治疗癫痫全身强直一阵挛发作基本无创伤,无局麻药过敏,能减轻抗痫西药副作用。 [主题词]　癫痫,强直阵挛型/穴位疗法;癫痫持续状态/针灸疗法;埋线;针药并用 Clinical Observation on Treatment of Epilepsy General Tonic?Clonic Attack with Catgut Implantation at Acupoint plus Antiepileptic Western Medicine of Small Dose Deng Yuanjiang,Wang Jingjing,Lin Yaping,et al(Department of Acupuncture?Moxibustion and Massage,Hunan College of TCM,Changsha 410007) [Abstract]　Purpose　To explore therapeutic methods of epileptic general tonic?chonic attack.Methods　Sixty?four cases of epileptic general tonic?clonic attack treated with catgut implantation at acupoint plus antiepileptic Western medicine of small dose were served as treatment group and 65 cases treated with antiepileptic Western medicine as control group,and their therapeutic effects were observed and compared.Results　Clinical therapeutic effect in the treatment group was superior to that in the control group (〖WTBX〗P0.05).Conclusion　Catgut implantation at acupoint plus antiepileptic Western medicine has a satisfactory result for epileptic general tonic?clonic attack,with non?allerge of local anesthetics,and reducing side?effect of antiepileptic Western medicine. [Key words]　Embedding,Thread;Acupuncture Medication Combined;Status Epileptics/acup ther;Epilepsy,Tonic?Clonic/acupoint ther 癫痫(Ep)是神经内科常见病,其特点为反复发作,缠绵难愈,属难治性疾病,目前尚缺乏特效疗法。其临床表现复杂,诊断分类较繁,但以全身强直―阵挛发作(大发作)的临床表现典型,易于诊断,危害性大。笔者自1993年以来,采用穴位埋线加小剂量抗痫西药治疗癫痫全身强直―阵挛发作64例,疗效满意,小结如下。 1　临床资料 1.1　一般资料 采用计算器随机数分组法(CASIO fx?180P计算器),将确诊为Ep全身强直―阵挛发作的患者随机分为治疗组和对照组,治疗组64例,对照组65例。治疗前两组均作间歇期脑电图(EEG)检查,采用日本光电公司ME?175E?W型16导脑电图机进行描记,按国际10/20系统安放氯化银电极,由专人负责EEG检查。两组的一般资料见表1,两组性别、年龄、病程、EEG检查结果、原发与继发比较,经统计学处理,差异均无显著性意义(P0.05)。 1.2　诊断标准 参照《临床疾病诊断依据治愈好转标准》中的Ep大发作的诊断标准[1]:(1)表现为突发突止的全身强直、阵挛发作,伴有意识丧失,呼吸暂停和尿失禁,一次发作达数分钟,部分患者发病初期可有先兆,事后无记忆。(2)常规脑电图或诱发试验脑电图可见癫痫波形(棘波、尖波、慢波或棘慢波综合等)。(3)