OBSERVATION ON THE THERAPEUTIC EFFECT OF CT—AIDED SURROUNDING NEEDLING IN THE TREATMENT OF ISCHEMIC STROKE AND CHANGES OF PLASMA CATECHOLAMINE LEVEL

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循经感传过程中体觉系统中枢部位机能活动特点的观察

本文以短潜伏期皮层体觉诱发电位(SEP)为指标,对感传过程中皮层体觉区机能活动的特点进行了观察。观察对象为10名循经感传显著者和16名无感传者。以矩形波脉冲刺激侠溪或合谷穴,从对侧头皮体觉区下肢、上肢和头面部三个投射点引导 SEP,观察到针刺侠溪穴时无感传者 SEP C_2的振幅按下肢、上肢和面部三个投射点依次递减。针刺合谷时上肢投射点的 C_2振幅较下肢和面部者高,形成中间高两侧低的空间分布特点。而感传显著者,无论是针刺侠溪穴还是合谷穴 SEP C_2的振幅在三个投射点基本相同。结果提示,针刺时循经感传显著者的 S_1区各投射点出现了比较广泛的兴奋过程。     

CLINICAL OBSERVATION ON THE TREATMENT OF ACUTE CEREBRAL INFARCTION WITH SCALP-ACUPUNCTURE

With the rapid development of research onthe treatment of cerebrovascular diseases withscalp acupuncture, ear1y or earlier treatment ofacute cerebral infarction with acupuncture thera-py has become a common endeavor direction forall the medical workers in the field of acupunc-ture and moxibustion. In accordance with thescalppoint. distribution in different meridiansand 'their clinical indications and combing thedistributive area of blood flow of the cerebral an-terior and middle arteries and ce…     

电针头穴平衡区及晕听区治疗小脑梗塞恢复期眩晕的疗效分析

目的:探讨电针头穴平衡区及晕听区治疗小脑梗塞性眩晕的疗效.方法:将100例恢复期小脑梗塞性眩晕患者随机分为头针组和常规针刺组,头针组在常规治疗基础上用电针平衡区及晕听区治疗,常规针刺组在常规治疗基础上采用常规针刺治疗,每日1次,6次为一疗程,4个疗程后进行临床疗效评分,对头针组行经颅多普勒超声检测,观察治疗前后大脑前动脉(ACA)、大脑中动脉(MCA)和大脑后动脉(PCA)的平均血流速度(Vm)变化.结果:治疗后,头针组总有效率为90.0％(45/50),常规针刺组为68.0％(34/50),两组比较差异有统计学意义(P＜0.05);治疗后头针组的ACA及MCA的平均血流速度较治疗前明显增加(均P＜0.05).结论:电针平衡区及晕听区治疗恢复期小脑梗塞性眩晕疗效明显,可明显改善脑血流循环,具有临床推广应用意义.     

头皮针围刺治疗脑出血30例疗效观察

目的 观察头皮针围刺治疗脑出血的疗效。方法 将60例脑出血患者随机分为治疗组和对照组各30例，对照组使用甘露醇及神经营养药对症处理，治疗组在对照组治疗基础上加用头皮针经头颅CT定位围刺，观察两组血肿体积、神经功能缺损评分的变化。结果 治疗后第21d两组血肿体积较治疗前明显减少，两组间无显著差异；治疗后第21d血肿周围水肿体积、神经功能缺损评分两组虽无显著性差异，但治疗组各项指标优于对照组。结论 头皮针局部围刺病灶在头皮的投射区，能促进脑血肿及其周围脑水肿的吸收，改善局部供血，促进血液循环作用。     

OBSERVATION ON THE THERAPEUTIC EFFECT OF CT—AIDED SURROUNDING NEEDLING TREATMENT OF ISCHEMIC STROKE

121 cases of ischemic stroke were randomly divided into CT-aided surrounding needling group (CTASN, 61 cases) and scalp Acupuncture group (SA, 60 cases). After 30 sessions of treatment the therapeutic results of the two groups are significantly different (P<0.05), the therapeutic effect of CTASN group is better than that of SA group. The plasma contents of TXB2 and 6-keto-PGF1a of the two groups change considerably after acupuncture treatment, the change in CTASN group is more obvious.     

电针刺激颜面腧穴引起的大脑皮层诱发电位

<正> 以往我们在摸索“经络感传”现象客观指标时曾以电脉冲刺激人体手、足、躯干及面部的个别腧穴而从被试者的头皮上记录平均诱发皮层电位。晚近早崎芳等做了刺激井、腧穴引起的体觉诱发电位的研究,但未报道面部腧穴刺激的诱发反应。本工作拟观察面部不同区域腧穴受有规律的电针刺激所诱发的皮层电位特征,以作为进一步探讨经络理论的基础。对象与方法被试者共43人(男26人、女17人),年龄22～64岁,平均39.3岁,共中5人系     

OBSERVATION ON CLINICAL THERAPEUTIC EFFECT OF MRI-AIDED ENCLOSURE NEEDLING IN THE TREATMENT OF STROKE AND ITS INFLUENCE ON BLOOD RHEOLOGY

Objective: To observe clinical therapeutic effect of magnetic resonance imaging (MRl)-aided enclosure needling in the treatment of stroke patients and changes of the related blood rheology. Methods: A total of 61stroke patients were randomized into MR I-aided enclosure needling group (MRI-aided acupuncture group) (n = 31 ) and conventional acupuncture group (n= 30). For patients of MRl-aided acupuncture group, acupuncture needles were inserted into the subcutaneous tissues around the focus-projection scalp area displayed by MRI, with the needle tips toward the center of the projection region and with two needles being about 2 crn apart, combined with other acupoints according to the concrete syndromes or symptoms. For patients of conventional acupuncture group, Motor Area (MS 6)and Sensory Area (MS 7) on the contralateral side of the focus were punctured. The treatment was conducted once daily, continuously for 30 days. Results: After treatment, of the 31 cases in MRl-aided acupuncture group, 20 werecured basically, 10 responded with significant improvement of symptoms and signs, one case had some improvement.While in conventional acupuncture group, of the 30 cases, 11 were cured basically, 15 responded with striking amelioration of symptoms and signs and 4 had some amelioration. Ridit analysis showed that the therapeutic effect of MRI-aided acupuncture group was significantly superior to that of conventional acupuncture group (P ＜ 0.05). After treatment,the whole blood viscosity, plasma viscosity, hematocrit, whole blood reduction viscosity, hemagglutination index, and the total score of the two groups all decreased significantly in comparison with those of pre-treatment of each group,while whole blood viscosity, hematocrit, vascular sclerosis index and the total score of MRl-aided acupuncture group were obviously lower than those of conventional acupuncture group ( P＜ 0.05- 0.01 ), suggesting that the effect of theformer group in bettering blood rheology was pronouncedly superior to that of conventional acupuncture group. Conclusion: MRl-aided acupuncture group is obviously superior to that of conventional acupuncture group in improving clinicalsymptoms and signs and blood rheology in stroke patients.     

“足三里”穴传入途径的探讨

<正> “足三里”穴有全身性强壮作用,能“理脾胃”、“和肠消滞”、“通调经络气血作用”,为临床治疗腹腔内脏疾病的要穴,以“肚腹三里留”著称。在针麻手术中,多种外科、妇科手术以“足三里”穴做为体针麻醉的主穴.“足三里”穴完成这么多复杂功能的形态学基础是什么?下面对分布到“足     

头针与脑梗塞后血管的早期再通

目的　观察头针对脑梗塞患者脑血管的早期再通及梗塞灶的影响。方法　采用针刺患者头皮血管舒缩区的方法 (头针组 )治疗脑梗塞患者 35例 ,并与单纯药物治疗 (对照组 )进行比较。结果　经 TCD及 CT检查显示 ,头针组在脑血管的早期再通 ,梗塞灶的收缩及临床症状的改善与对照组比有显著差异 (P<0 .0 1)。结论　脑梗塞患者早期进行头皮针治疗 ,可以提早血管的再通时间、缩小梗塞灶及改善临床症状。同时减少由于早期使用血管扩张剂而引起梗塞后出血的危险。     

头穴丛刺对大鼠缺血脑组织血管内皮生长因子表达的影响

目的：探讨头穴丛刺法对大鼠缺血脑组织血管内皮生长因子（VEGF）表达的影响。方法：128只大鼠随机分为假手术组、模型组、头针组和头穴丛刺组；头针组大鼠取病灶侧百会透曲鬓，头穴丛刺组大鼠双侧百会透曲鬓及百会穴；均进针2mm，持续捻转10min，留针2h。以免疫组化法测定血管内皮生长因子的表达，测定微血管密度。结果：在缺血后各时间点，经头穴丛刺干预后的VEGF表达明显增强，优于头针组；在7d、14d、21d三个时间点，经头穴丛刺干预后微血管密度增多，优于头针组。结论：头穴丛刺法可以通过促使VEGF表达上调，促进微血管新生。     

THERAPEUTIC EFFECTS OF ACUPUNCTURE PLUS FACIAL MUSCLE TRAINING THERAPY IN THE TREATMENT OF INTRACTABLE FACIAL PARALYSIS

Objective: To observe the clinical effect of scalp acupuncture combined with face muscle training on chronic facial paralysis.Methods: Sixty-two patients were randomly divided into two groups for treatment of chronic facial paralysis.Results: The experimental group had 90.63% effective rate including 15 cured, 14 valid and 3 invalid, and the control group had 66.67% effective rate including 8 cured, 12 valid and 10 invalid.The difference of the effective rate in the two groups was statistically significant(P0.05).Conclusion: Scalp acupuncture with face muscle training in treating chronic facial paralysis is clinically effective and should be promoted for its clinical value.     

头针丛刺运动区下点治疗顽固性面瘫临床观察

[目的] 探讨运用头针丛刺方法针刺焦氏头穴运动区下点治疗顽固性特发性面神经麻痹的临床疗效。[方法] 将56例患者随机分为两组, 治疗组采用头针丛刺方法针刺焦氏头穴运动区下点, 对照组采用常规针刺方法针刺面部穴位, 针刺1个月后观察临床疗效。[结果] 两组患者治疗后与治疗前相比差异均有统计学意义(P<0.05), 治疗后组间比较差异有统计学意义(P<0.05), 治疗组优于对照组。治疗组总有效率为96.4%, 对照组总有效率为85.7%.[结论] 运用头针丛刺方法针刺焦氏头穴运动区下点, 治疗顽固性面瘫疗效确切优于传统针刺方法。     

头穴围刺结合运动疗法对脑梗死大鼠血管新生机制的影响

目的:观察头穴围刺结合运动疗法对脑梗死大鼠血管新生的影响。方法:采用健康雄性wistar大鼠75只随机分为假手术组、模型组、头穴围刺组、运动组、围刺+运动组,每组15只。参照Zea-Longa报道的线栓法,制备大脑中动脉梗死(MCAO)脑缺血再灌注模型,采用对应的方法进行干预,干预14天后进行行为学评估;每组随机选取5只大鼠用TTC染色法测定脑梗死面积比;RT-PCR法检测β-catenin mRNA、GSK-3βmRNA表达水平,western-blot检测血管内皮细胞VEGF水平。结果:14天后围刺+运动组mNSS评分、脑梗死面积比优于模型组、头穴围刺组和运动组(P<0.01)。围刺+运动组与其它各组相比可明显上调β-catenin蛋白表达、下调GSK-3β水平、增加VEGF表达(P<0.01)。结论:头穴围刺结合运动疗法可促进脑梗死大鼠的血管新生。     

THE ASSESSMENT OF SCALP ACUPUNCTURE FOR TREATING ISCHEMIC STROKE

One hundred and seventeen acute cerebral infarction patients were randomly divid-ed into two groups: Scalp acupuncture group(Group A) and pure medication group(Group B). Thefunction of the nervous system, brain electrical activity mapping and somatosensory evoked potentialswere observed before and after the treatment. It was found that the indexes in the two groupschanged significantly (P<0. 05). The curative effects in Group A were better than that in Group B(P<0. 001 ). The curative effects of scalp acupuncture on acute cerebral infarction were objectivelyconfirmed by means of electrophysiological studies.     

头针用于分娩镇痛的作用观察

目的观察头针对分娩镇痛的效果.方法70例足月、单胎、初产妇随机分为头针组(针刺头部生殖区)和对照组(未做任何处理),根据WHO疼痛4组分级标准评定镇痛前后疼痛级别,对两组产妇活跃期及第2产程、两组新生儿Apgar评分、两组产妇产后出血量进行比较.结果 头针组产妇疼痛1～2级33例,对照组为2例,两组相比,产痛差异有非常显著性意义(P＜0.01);头针组活跃期为(130.70±74.16)分钟,第2产程为(40.70±21.65)分钟,对照组活跃期为(166.15±62.65)分钟,第2产程为(53.30±26.93)分钟,两组比较差异有显著性意义(均P＜0.05);两组新生儿Apgar评分差异无显著性意义;产后出血量两组差异无显著性意义.结论头针镇痛在阴道分娩中有较好疗效,对母婴无不良影响,值得在临床中推广应用.     

头皮针治疗急性缺血性中风120例疗效观察

目的　观察头皮针治疗急性缺血性中风的疗效。方法　运用头皮针疗法治疗急性缺血性中风 ,对比观察了治疗组与对照组治疗前后的血清丙二醛 (MDA)、谷胱甘肽过氧化氢酶 (GSH- PX)的变化及疗效评分。结果与结论　头皮针治疗具有明显的抗氧化作用 ,能促使 GSH- PX酶活性升高 (P<0 .0 5 ) ,而 MDA酶活性降低 (P<0 .0 5 ) ,疗效评分比较两组具有显著性差异 (P<0 .0 5 )。其机理与头皮针扩张缺血区脑血管 ,改善脑供血及促进侧枝循环尽早建立有关。     

穴位磁疗法治疗脑卒中运动功能障碍的临床研究

目的:研究穴位磁疗法对脑卒中运动功能障碍的治疗作用。方法:将符合条件的100例患者随机分成磁疗组(穴取头部运动区和/或病灶相应头皮投影区及体穴)、电针组(穴取头部运动区、足运感区及体穴)各50例,进行临床观察。结果:磁疗组的总有效率为90.0％,电针组为74.0％(P<0.05)。且Brunnstrom、Barthel指数分级、手功能综合评价和步行能力评价等指标的改善,磁疗组均明显优于电针组(P<0.05)。结论:说明穴位磁疗法配合穴位治疗对脑卒中运动功能障碍的康复有明显效果。     

补骨合剂促进口腔种植体骨整合的组织形态计量学研究

为证实补骨合剂对口腔种植体骨整合的促进作用,运用组织形态计量学方法对杂种犬口腔种植体模型进行了实验研究,并设立空白对照组对比。结果显示,实验组第1周成骨细胞指数、第2周骨矿化沉积速率显著高于对照组（P＜0．01）;第4、12周实验组骨融合指数比对照组显著提高;第4周实验组骨缺陷面积显著减少（P＜0．05）。提示补骨合剂可以提高种植区早期骨矿化沉积速率。增加种植区早期成骨细胞数目,促进骨基质合成,提高种植区骨性结合率,缩短骨整合时间。     

A CONTROL STUDY OF SCALP ACUPUNCTURE IN TREATING APHASIA AFTER ACUTE CEREBROVASCULAR DISEASES

A control study of clinical therapeutic effects of scalp acupuncture was made onforty-four Patients suffering from aphasia caused by acute cerebrovascular diseases,and was observedfor 4 weeks.The results revealed that the therapeutic effect in the scalp acupuncture group was betterthan that in the controlgroup.Aphasia was cured more rapidly in the scalpacupuncturegroug than inhe control group.The difference was of significance statistically.