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…

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

In this study, 61 cases of ischemic stroke patients are randomly divided into surrounding needling group (n=31) and scalp acupuncture group (n=30). The ischemic focus of the brain is determined by CT examination. For patients of the surrounding needling group, Gauge 29-30 stainless steel filiform needles are inserted into the surrounding scalp of the focal projection region one by one, with the needle tips toward the center of the focal projection area, and combined with other body acupoints according to syndrome differentiation. For patients of scalp acupuncture group, Motor Area (MS 6) and Sensory Area (MS 7) of the contralateral side of the focus are used. The treatment is performed once daily in both groups, with 30 sessions being a therapeutic course. After one course of treatment, in surrounding needling and scalp acupuncture groups, 20 and 11 cases are cured basically, 10 and 15 have a marked improvement, 1 and 4 are effective, the therapeutic effect of the former group is significantly superior to that of scalp acupuncture group. After treatment, plasma epinephrine (E) and norepinephrine (NE) levels of the two groups decrease considerably compared with pre treatment of each group (P<0.01), and the effects of surrounding needling on E and NE are more evidently than those of scalp acupuncture (P<0.05). Results suggest that the therapeutic effect of acupuncture may be related to the decline of plasma E and NE levels.