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 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 (MRI) aided enclosure needling in the treatment of stroke patients and changes of the related blood rheology. Methods: A total of 61 stroke patients were randomized into MRI aided enclosure needling group (MRI aided acupuncture group) (n=31) and conventional acupuncture group (n=30). For patients of MRI 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 cm 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 MRI aided acupuncture group, 20 were cured 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 MRI aided acupuncture group were obviously lower than those of conventional acupuncture group (P<0.05-0.01), suggesting that the effect of the former group in bettering blood rheology was pronouncedly superior to that of conventional acupuncture group. Conclusion: MRI aided acupuncture group is obviously superior to that of conventional acupuncture group in improving clinical symptoms and signs and blood rheology in stroke patients.