头电针治疗帕金森病的疗效观察

目的观察头电针对于Hoehn-Yahr分级1．5～3．0级的帕金森病患者的临床疗效。方法将30例患者随机分为治疗组15例，在接受美多巴等常规西药治疗的同时，利用头电针针刺患肢对侧顶颞前斜线（MS6）、额旁3线（MS4），顶旁1线（MS8）、顶旁2线（MS9）、枕下旁线（MSl4），双侧病变针双侧，深度达到帽状腱膜；对照组15例，口服美多巴，按照病人常规剂量服药分级。利用Webster量表和UPDRS运动部分对疗效进行评分。结果治疗组和对照组患者在震颤、强直、运动障碍等方面均有明显改善（P〈0．05）；Webster评分示两组之间疗效差异无显著性意义（P〉0．05），但对于运动症状的改善治疗组优于对照组（P〈0．05）。结论头电治疗帕金森病疗效肯定，尤其在运动症状的改善方面优于对照组，且无副作用，为治疗帕金森病的安全有效的辅助方法。

Therapeutic effect of scalp electroacupuncture on Parkinson disease

Objective To observe the therapeutic effect of scalp electroacupuncture on Parkinson disease (PD) of grade 1.5-3.0 on Hoehn-Yahr scale. Methods Thirty patients with Parkinson disease were randomized equally into the treatment group and control group. Patients in the treatment group were treated by scalp eletroacupuncture at the contralateral points of MS6, MS4, MS8, MS9 and MS14 in cases of unilateral lesions or at the bilateral points for bilateral lesions, with also medication with Madopar. The patients in the control group were given Madopar only. The scores of Webster scale and the motor function of United Parkinson's Disease Rating Scale (UPDRS) were used to for assessment before and after the therapeutic course (6 weeks). Results Tremor, rigidity and bradykinesia were obviously improved in both the groups (P<0.05). The difference in the score of Webster scale was not significant between the two groups (P>.05), but the treatment group showed greater improvement in motor functions than the control group (P<0.05). Conclusion Scalp electroacupuncture is effective and safe for therapy of Parkinson disease.