“调神通络”针法治疗急性脑梗塞临床研究

本文根据“各种原因导致气血逆乱于上 ,脑络痹阻或血溢于脑 ,致气滞血瘀 ,脑络瘀阻 ,神明不调 ,而致中风”之论 ,运用头体针相结合的“调神通络”针刺法治疗急性脑梗塞 ,采用神经功能缺损积分、上田氏偏瘫十二级肢体功能评定、日常生活活动的指数进行临床对比观察。结果表明治疗组疗效优于对照组。

Clinical Research on the Treatment of Acute Cerebral Infarction with Acupuncture Approach"Mind Regulation & Meridian-collateral Dredging"

Objective: To observe the clinical therapeutic effect of acupuncture approach “ Mind Regulation and Meridian collateral Dredging" for the treatment of acute cerebral infarction. Methods: Clinical comparative observations were made by adopting the accumulated scores of nervous functional defect of the patients, 12 degrees limb function evaluation of hemiplegia and daily life activity index. There were 58 cases in treatment group and 40 cases in control group. In treatment group, scalp acupoints used were Dingzhongxian (MS 5), Dingpangxian Ⅱ(MS 9),etc combined with body acupoints Fenchi (GB 20), Binao (LI 14), Quchi (LI 11), Yongquan (KI 1) and Zusanli (ST 36).In control group, Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Neiguan (PC 6), Shousanli (LI 10), Yanglingquan (GB 34),etc. The needles in scalp points were manipulated forcefully with lifting and thrusting methods while those in body acupoints were manipulated with uniform reinforcing reducing method after Deqi and retained for 30 min.Results: After the treatment all the indexes of the 2 groups revealed improvement in nerve functional accumulated scores, limb function and daily life index.However, those of the treatment group were significantly better than those of the control group (P< 0.05). Conclusion: The acupuncture approach of “Mind Regulation and Meridian collateral Dredging" can promote the functional restoration of the limbs and better the daily life management ability of the patients in the acute stage of cerebral infraction.