CT定位头部围针治疗中风偏瘫的疗效观察

目的:对CT定位头部围针治疗中风偏瘫的疗效进行观察.方法:中风偏瘫的病人57例随机分为CT定位头部围针治疗组29例,传统头针组28例.经过30次针刺治疗,两组作疗效对比.结果:CT对照分析提示,经治疗后83%的病灶缩小,部分病灶完全吸收消失.两组疗效差异在统计学有显著意义(P＜0.05),CT定位头部围针治疗组优于传统头针组.结论:CT定位头部围针可以随病灶的位置、大小、形态、数量具体来用针,比较而言,传统头针在头部运动和感觉区用线状针刺,前者有更好的针对性.提示CT定位头部围针可作为治疗中风偏瘫的有效方法之一.     

温针灸对缺血性中风患者血液流变学的影响和疗效观察

目的观察温针灸治疗对血液流变学的影响,了解其对缺血性中风中经络患者的治疗作用和相关性。方法将90例急性期缺血性中风中经络患者随机分为治疗组和对照组,对照组采用基础药物治疗,治疗组在基础药物治疗基础上加用温针治疗,两组治疗前后均行血液流变学指标检查和疗效判定。结果两组治疗后血液流变学指标与治疗前相比差异有统计学意义(P0.05),两组治疗后血液流变学指标比较差异有统计学意义(P0.05),两组治疗后总有效率比较差异有统计学意义(P0.01)。结论温针灸对急性期缺血性中风中经络患者的血液流变学改善作用明显,其总有效率优于药物治疗,是治疗缺血性中风中经络患者的有效方法之一。     

CT定位围针法治疗中风失语症临床研究

目的:通过对CT定位围针法治疗中风失语症进行多中心、大样本、随机对照临床试验,观察该疗法治疗中风失语症的临床疗效。方法:采取多中心、大样本、随机对照、盲法评价研究方法,选择符合纳入标准的中风失语症患者作为研究对象,随机分为CT定位围针组与传统头针组进行对比治疗,以简化《汉语失语症检查法》(北京医科大学高素荣等制定)的记分标准评定疗效,进行四级评判,系统观察治疗前后患者的症状变化及不良反应,评价CT定位围针法治疗中风失语症的有效性、安全性,并规范该疗法治疗中风失语症的治疗方法。结果:两组失语各项评分比较和临床疗效比较,治疗组均优于对照组。结论:CT定位围针法对中风失语症患者有显著疗效,优于传统头针言语一、二、三区组。可明显改善患者《汉语失语症检查法》评分及主要症状等。     

放血加动气针法治疗手偏瘫临床疗效观察

目的:探讨放血加动气针法治疗中风后手偏瘫的临床疗效。方法:100例中风后手偏瘫患者随机分为治疗组和对照组各50例,治疗组采用放血加动气针法治疗,对照组采用传统针刺方法,治疗前后采用肌张力Ashworth分级量表评分、Fugl-Meyer功能量表的手功能评分和血液流变学指标评估。结果:3个疗程后治疗组疗效、肌张力、手功能及血液流变学指标均明显优于对照组(P0.05)。结论:放血加动气针法是治疗中风后手功能障碍的有效方法。     

头针滞针法治疗中风偏瘫临床研究

目的：观察比较头针滞针法与常规头针法治疗中风偏瘫的疗效差异。方法：将100例中风偏瘫的患者随机分为治疗组50例,采用头针滞针法治疗;对照组50例,采用常规头针法治疗。结果：治疗组治愈率为84.0%,总有效率为94.0%;对照组治愈率为56.0%,总有效率为86.0%。结论：头针滞针法治疗中风偏瘫优于常规头针法。     

CT定位围针法治疗中风后神经功能缺损患者50例临床研究

目的 研究CT定位围针法治疗中风后神经功能缺损的临床疗效.方法 将100例患者随机分为治疗组与对照组各50例,治疗组以CT所示病灶在同侧头皮垂直投射区的周边进行围针治疗,对照组采用传统针刺病灶侧头皮言语区(言语一、二、三区)、运动区(顶颞前斜线)、感觉区(顶颞后斜线)的方法治疗.两组均每天治疗1次,15天为1个疗程,共治疗2个疗程.分别于治疗前、治疗后15天、30天,对两组患者主要临床神经功能缺损程度进行评分并观察临床疗效.结果 治疗组总有效率94％,对照组总有效率76％,两组比较差异有统计学意义(P＜0.01).治疗后15天、30天两组患者主要临床神经功能缺损程度评分均较治疗前有明显改善,差异有统计学意义(P＜0.01)；两组治疗后30天和治疗后15天比较差异有统计学意义(P＜0.01)；两组治疗后同时间点比较差异有统计学意义(P＜0.01). 结论 CT定位围针法对中风后神经功能缺损患者疗效肯定,且优于传统头针.     

头针交叉刺久留针法治疗中风后偏瘫疗效观察

目的：观察头针7交叉刺久留针治疗中风偏瘫的临床疗效。方法：将124例中风偏瘫患者随机分为头针交叉刺久留针治疗组和传统头针对照组，观察两种头针法的即刻效应和续效作用。结果：两组头针法的即刻效应是一致的，但治疗组的续效作用好于对照组，尤其是治疗组的愈显率71．3％明显优于对照组的45．5％（P＜0．05）。结论：头针交叉刺久留针是治疗中风偏瘫的有效方法，健、患侧头部穴线交替使用可以减少患者痛苦。     

头针结合体针治疗中风后偏瘫45例疗效观察

目的:观察头针结合体针治疗中风后偏瘫的临床疗效。方法:将90例中风后偏瘫患者随机分成两组,对照组45例采用体针治疗,治疗组在对照组治疗基础上联合头针治疗,观察两组Fugl-Meyer评分及临床疗效。结果:总有效率治疗组为91.1%,对照组为66.7%,组间比较,差异有统计学意义(P0.05)。两组Fugl-Meyer评分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P0.05)。结论:头针结合体针治疗中风后偏瘫有较好的临床疗效。     

醒脑开窍针法治疗中风恢复期疗效观察

目的:观察醒脑开窍针法治疗海岛居民中风恢复期的临床疗效。方法:将106例中风恢复期患者按就诊先后随机分为醒脑开窍针法组(治疗组)56例和传统针法组(对照组)50例,均每日针2次,每周治疗5天,连续治疗6周观察疗效。结果:治疗组和对照组的患者的肢体运动功能均有明显改善,且治疗组对中风患者偏瘫肢体的运动功能改善更为显著(P＜0．05)。结论:醒脑开窍针法是治疗海岛居民中风恢复期更有效的针刺方法。     

头针、体针配合推拿治疗中风偏瘫的疗效观察

目的:探讨头针,体针,推拿对中风偏瘫的影响.方法:将50例中风患者随机分为治疗组与对照组各25例,分别给予头针,体针配合推拿及传统针刺方法治疗2个月,观察两组病例治疗前后语言功能、肢体瘫痪水平的变化.结果:治疗组愈显率64.0%,与对照组的40.0%比较差异有明显性意义(P＜0.05).结论:头针、体针配合推拿法对中风偏瘫作用显著,是临床治疗中风偏瘫有效的方法之一.     

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.     

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

Ｓｔｒｏｋｅｉｓａｃｏｍｍｏｎｌｙｍｅｔａｎｄｆｒｅｑｕｅｎｔｌｙｏｃｃｕｒｒｉｎｇｄｉｓｅａｓｅｉｎｃｌｉｎｉｃ ,ａｎｄｉｓｏｎｅｏｆｔｈｅｄｉｓ ｅａｓｅｓｗｉｔｈｈｉｇｈｅｒｍｏｒｂｉｄｉｔｙ ,ｈｉｇｈｅｒｍａｉｍｒａｔｅａｎｄｈｉｇｈｅｒｄｅａｔｈｒａｔｅｉｎｔｈｅｗｏｒｌｄ .Ｉｎｏｒｄｅｒｔｏｓｅａｒｃｈｆｏｒｍｏｒｅｅｆｆｅｃｔｉｖｅａｃｕｐｕｎｃｔｕｒｅｔｈｅｒａｐｙｆｏｒｔｒｅａｔｍｅｎｔｏｆｉｓｃｈｅｍｉｃｓｔｒｏｋｅ ,ｔｈｉｓｐａｐｅｒｓｕｍｓｕｐｒｅｓｕｌｔｓｏｆＣＴ ａｉｄ…     

头部不同针刺法治疗梗塞性痴呆临床观察

目的 观察头部不同针刺法治疗梗塞性痴呆的疗效及对脑血流的影响.方法 将40例患者随机分为头颅CT定位围针组(简称治疗组)20例,常规头针组(简称对照组)20例,治疗6星期后观察疗效,并于治疗前后做脑血流图比较.结果 治疗组总有效率90.0%,对照组为65.0%,两组疗效经Ridit分析,P＜0.05:治疗组在治疗后的脑血流图各项指标中,除了上升时间未见明显变化外,转折波比值、波幅、流入容积速度等均有较大的增加(P＜0.01):两组患者治疗前后转折波比值、波幅、流入容积速度差值比较,差异有统计学意义(P＜0.05或P＜0.01).结论 结果表明头颅CT定位围针治疗梗塞性痴呆的疗效优于常规头针治疗,且治疗组在改善脑血流方面较对照组明显.     

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.     

脑出血急性期头针治疗的临床研究

目的 观察脑出血急性期加用头针治疗的疗效并探讨其作用机理。方法 将６４例确诊为急性脑出血患者随机分为针刺组及对照组，两组均甘露醇，速尿降颅压，止血芳酸止血，针刺组加用头针治疗。并于治疗前后作神经功能缺损评分对比分析以及血液流变学，血栓素，前列环素，内皮素的测定和经颅多普勒（ＴＣＤ）的检测。结果 神经功能缺损评分，肢体功能及言语功能的恢复针刺组均明显优于对照组。针刺组血浆粘度，血栓素，内皮素治疗后有     

Influence of surrounding acupuncture by cranial MRI location on blood rheology in apoplectic patients

Purpose: To study the function of surrounding acupuncture located by cranial MRI on apoplexy.Method: Forty cases of the patients diagnosed as cerebral infarction were divided into the group of surrounding acupuncture by MRI location and the group of traditional scalp acupuncture, 20 cases in each group, and were treated respectively with surrounding acupuneture by MRI location and traditional scalp acupuncture, to determine the indexes of blood rheology before and after treatments.Results: There was significant difference (P<0.01) in comparison of various indexes in blood rheology between the apoplectic patients and healthy adults of same age. In comparison before and after the treatments in the group of surrounding acupuncture by MRI location there was significant difference (P<0.01) in various indexes of blood rheology, except ESR and ESR equation K value. In comparison before and after the treatments in the group of traditional scalp acupuncture, there was significant difference (P<0.05) in various indexes of blood rheology, except ESR, sclerosis index and ESR equation K value.Conclusion: The findings indicate that blood becomes thick and flows slowly and resistance increases in blood flow in the apoplectic patients. The two kinds of the needling techniques have an improving function in various indexes of blood rheology in the apoplectic patients and surrounding acupuncture by MRI location was better than traditional scalp acupuncture in improving blood rheology. JIANG Gang-hui, associate professor, has mainly done the clinical study in treating diseases of brain and spinal cord with acupuncture. Translator: HUANG Guoqi     

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。     

颈夹脊配合头针对卒中后假性球麻痹吞咽障碍的影响

目的观察颈夹脊配合头部运动区在治疗卒中后假性球麻痹吞咽障碍治疗中的作用。方法将卒中后假性球麻痹吞咽障碍的患者60例,进行回顾性分析。分为对照组及针刺组,对照组给予西医常规用药,针刺组采用药物治疗加颈夹脊配合头部运动区针刺治疗。结果与对照组相比,针刺组临床治愈率及显效率明显提高（P〈0.05）。结论 与西医常规治疗相比,加以颈夹脊配合头部运动区针刺治疗能显著改善卒中后假性球麻痹吞咽障碍患者的预后。     

头针结合体针缓解腰椎间盘突出症疼痛的研究

目的观察头针结合体针缓解腰椎间盘突出症所致下肢疼痛及腰痛的临床疗效。方法将41例腰椎间盘突出症患者随机分为体针+头针组和体针组,体针+头针组给予针刺足运感区,并配合针刺病变椎间盘旁的背俞穴及突出椎间盘刺激的神经支配区域的穴位;体针组仅给予常规毫针针刺体穴。采用视觉模拟评分法评定下肢及腰痛的程度。结果体针+头针组在2次治疗后,体针组在4次治疗后,下肢疼痛VAS分值显著降低(P<0.05);2组均在4次治疗后,下肢疼痛VAS分值显著降低(P<0.05),但体针+头针组VAS减少值显著高于体针组(P<0.05);1个疗程后,2组下肢疼痛及腰痛VAS分值均显著低于治疗前(P<0.05和0.01),且体针+头针组VAS减少值显著高于体针组(P<0.05)。结论单纯体针治疗和体针配合头针治疗均能有效缓解腰椎间盘突出所致下肢疼痛及腰痛,而头针配合体针治疗起效时间短,镇痛效果显著优于单纯体针治疗。     

“醒脑开窍”针法配合肩关节围刺治疗肩周炎

目的：观察醒脑开窍针法配合肩关节围刺治疗肩周炎的临床效果。方法：将120 例患者随机分为治疗组及对照组各60 例。在一般内科治疗及康复锻炼的基础上,对照组给予常规针刺治疗,治疗组则施以醒脑开窍针法配合肩关节围刺,分别治疗28 天后进行疗效评价。结果：对照组有效率为73.33%,治疗组有效率为93.34%,两组有效率差异有统计学意义（P<0.05）。结论：“醒脑开窍”针法配合肩关节围刺治疗肩周炎疗效显著,值得进一步推广应用。