祛风化痰针法对风痰型假性球麻痹患者TCD的影响

目的 观察祛风化痰针法对风痰型假性球麻痹患者TCD的影响。方法 将137例确诊为风痰型假性球麻痹的患者随机分入观察组（69例）和对照组（68例），分别给予祛风化痰针法和胞二磷胆碱钠注射液静滴加空白针刺法治疗，1个月后对治疗前后的经颅多普勒超声（TCD）结果进行比较分析。结果 治疗后观察组大脑前、中、后动脉的血流速度（Vm）和收缩期峰值（Sv）都显著增加（P〈0．01），血管搏动指数（PI）则明显降低（P〈0．05），而对照组少有变化。结论 祛风化痰针法有利于降低患者颅内动脉系统的外周阻力，改善大脑的血液供应状况，促进受损脑神经组织的功能恢复。

The Influence of Wind and Phlegm-removing Acupuncture on TCD in Pseudobulbar Paralysis Patients of Wind-phlegm Type

Objective To investigate the influence of wind and phlegm-removing acupuncture on TCD in pseudobulbar paralysis patients of wind-phlegm type. Method One hundred and thirty-seven patients exactly diagnosed as pseudobulbar paralysis of wind-phlegm type were randomly divided into observation and control groups, 70 cases each, and treated by wind and phlegm-removing acupuncture and intravenous of cytidine plus simple acupuncture respectively. The pretreatment and posttreatment results of transcranial Doppler (TCD) were compared one month later. Results After treatment, cerebral anterior, middle and posterior arterial flow velocity (Vm) and systolic peak (Sv) significantly increased (P<0.01) and vascular pulsation index (PI) significantly decreased (P< 0.05) in the observation group and they did not change in the control group. Conclusion Wind and phlegm-removing acupuncture helps to reduce the peripheral resistance of the intracranial arterial system, improve cerebral blood supply and promote the recovery of brain function.