穴位埋线治疗对短暂性脑缺血发作患者脑灌注及疗效的影响

目的探讨穴位埋线治疗对短暂性脑缺血发作(TIA)患者脑灌注的影响及疗效。方法将67例TIA患者随机分为治疗组和对照组。对照组给予阿司匹林肠溶片100 mg口服,1次/d,治疗组在对照组基础上给予穴位埋线治疗,埋线穴位选取:风池,大椎,丰隆。治疗前和治疗后1个月分别行CT灌注成像检查(CTPI),了解脑血流灌注情况及判定疗效。结果治疗1月后,2组临床疗效比较,治疗组显效18例,有效13例,无效3例,总有效率91.18%;对照组显效10例,有效11例,无效12例,总有效率63.64%。2组治疗后MTT及TTP参数组间比较,治疗后治疗组MTT、TTP显著缩短,疗效优于对照组,有统计学意义(P0.01)。结论穴位埋线治疗对短暂性脑缺血发作疗效确切,能有效改善患者脑灌注。

Therapeutic effect of acupoint catgut embedding therapy on transient cer-ebral perfusion in patients with transient ischemic attacks

Objective To discuss the effect of acupoint catgut embedding therapy on transient cerebral perfusion in patients with transient ischemic attacks (TIA).Methods 67 patients with TIA were ran-domly divided into treatment group and control group.The patients of the control group took orally aspirin enteric-coated tablets 100 mg per night,in addition,those of treatment group underwent acupoint catgut embedding therapy with the embedding points of Fēngchí(GB 20),Dàzhuī(GV 14),Fēnglóng (ST 40).In order to understand the cerebral blood flow perfusion and curative effect,CT perfusion imaging was performed before and one month after treatment.Results After one month of treatment,the efficacy of the treatment group with effective rate of 91.18 % (remarkable effect 18 cases,effect 13 cases and in-efficacy 3 cases)was significantly better than that of the control group with effective rate of 63.64 % (re-markable effect 10 cases,effect 11 cases,and inefficacy 12 cases).And the improvement of cerebral is-chemia in CTPI imaging was better than that in the control group (P <0.01).Conclusion The positive therapeutic effect of acupoint catgut embedding therapy has been proved on TIA,which can significantly improve the patients with cerebral perfusion.