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电针加穴位注射治疗大脑后交通动脉瘤性动眼神经麻痹对照观察
引用本文:张晓哲.电针加穴位注射治疗大脑后交通动脉瘤性动眼神经麻痹对照观察[J].中国针灸,2008,28(4):248-250.
作者姓名:张晓哲
作者单位:北京天坛医院疼痛中心针灸科,北京,100050
摘    要:目的:探讨大脑后交通动脉瘤性动眼神经麻痹的最佳治疗方法。方法:将78例患者随机分为2组。针刺组穴取睛明、球后、承泣等;电针加穴位注射组在针刺组治疗的基础上加电针、腺苷钴胺局部穴位注射。2组患者经3个月治疗后进行疗效对比观察。结果:针刺组总有效率为41.7%,电针加穴位注射组总有效率为77.8%,2组疗效相比差异有非常显著性意义(P〈0.01)。电针加穴位注射组中脑瘤发病在2周之内手术的患者针刺疗效优于2周以上手术者(P〈0.01);术后1月之内针刺治疗者疗效优于1月以上针刺者(P〈0.01)。结论:电针加穴位注射是治疗大脑后交通动脉瘤所致动眼神经麻痹的有效方法且优于单纯针刺治疗,大脑后交通动脉瘤的及早诊断与手术、针刺及时的干预治疗都关系到动眼神经麻痹的预后。

关 键 词:电针  水针  动眼神经疾病/针灸疗法  动脉瘤/并发症  眼肌麻痹/针灸疗法  @动眼神经麻痹  电针加  穴位注射  注射治疗  大脑  后交通动脉瘤  动眼神经麻痹  对照观察  artery  posterior  cerebral  aneurysm  induced  paralysis  treatment  combined  electroacupuncture  关系  干预治疗  及早诊断  单纯针刺治疗
文章编号:0255-2930(2008)04-0248-03
修稿时间:2007年11月9日

Comparative observation on electroacupuncture combined with acupoint-injection for treatment of oculomotor paralysis induced by aneurysm of cerebral posterior communicating artery
ZHANG Xiao-zhe.Comparative observation on electroacupuncture combined with acupoint-injection for treatment of oculomotor paralysis induced by aneurysm of cerebral posterior communicating artery[J].Chinese Acupuncture & Moxibustion,2008,28(4):248-250.
Authors:ZHANG Xiao-zhe
Institution:Acupuncture Section, Pain Relieving Center, Beijing Tiantan Hospital, Beijing, China. zhang-xiaozhe@hotmail.com
Abstract:OBJECTIVE: To compare clinical therapeutic effects of electroacupuncture (EA) combined with acupoint-injection and simple acupuncture on oculomotor paralysis induced by aneurysm of cerebral posterior communicating artery. METHODS: Seventy-eight cases were randomly divided into an acupuncture group and an EA plus acupoint-injection group. In the acupuncture group, Jingming (BL 1), Qiuhou (EX-HN 7), Chengqi (ST 1), etc., were selected and the EA plus acupoint-injection group were treated by the same method as in the acupuncture group, in combination with EA and local acupoint injection of adenosine cobaltamine. After treatment of 3 months, their therapeutic effects were compared. RESULTS: The total effective rate was 41.7% in the acupuncture group and 77.8% in the EA plus acupoint-injection group, with a very significant difference between the two groups (P<0.01). The therapeutic effect in the patients who received the operation within 2 weeks after attack was better than that in those who received the operation over 2 weeks after attack (P<0.01); the therapeutic effect in the patients who received acupuncture treatment within 1 month after the operation was better than that over 1 month after the operation(P<0.01). CONCLUSION: EA plus acupoint-injection is an effective method for oculomotor paralysis induced by aneurysm of cerebral posterior communicating artery, with a better therapeutic effect than that of simple acupuncture, and early diagnosis, surgery and timely acupuncture treatment are closely related with its prognosis.
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