头颅磁共振成像定位围针对中风偏瘫患者血液流变学的影响

目的 :观察头颅磁共振成像 (MRI)定位围针对中风患者血液流变学的影响。方法 :将确诊的 40例中风偏瘫病人随机分为两组 ,其中 2 0例用MRI定位围针法治疗 ,另 2 0例用传统头针法治疗 ,对治疗前后患者血液流变学变化进行比较。结果 :两种针法对中风患者的血液流变学多项指标均有改善作用 ,经统计学处理发现 ,MRI定位围针法在改善血液流变学方面优于传统头针组 ,两组比较差异有显著性意义 (P <0 0 5)。结论 :MRI定位围针法治疗中风偏瘫具有肯定的疗效

Effect of MRI-guided Surrounding Needling on Hemorheology of Stroke Patients

Objective:To observe the therapeutic effect of magnetic resonance imaging (MRI) location guided surrounding needling on hemorheology of stroke patients. Methods: 40 stroke patients suffering from hemiplegia were randomly and evenly allocated into surrounding needling group and conventional scalp acupuncture group. In the former group, after locating the cerebral focus with MRI scanning, filiform needles were inserted into the scalp around the focus projecting region with every two needles being about 2?cm apart and twirled rapidly (180～200 times/min) for 2?min. In the later group, Motor Area (MS 6) and Sensory Area (MS 7) on the contralateral side of the focus were punctured and stimulated with the same methods. In addition, some other body acupoints were used in combination according to pattern identification. Indexes of hemorheology of both groups were determined by using NXE 1 Viscosimeter. Results: The mean values of the whole blood viscosity (ηb), plasma viscosity (ηp), erythrocyte sedimentation rate (ESR), Hematocrit (HCT), reduced viscosity (RV), erythrocyte aggregation index (RAI), index of rigidity (IR), blood sedimentation formula K and total integral of healthy people ( n =30) were all significantly higher than those of the 40 stroke patients ( P <0.01). Self comparison of each group displayed that after 30 sessions of treatment, ηb, ηp, HCT, RV, RAI, IR and total integral in surrounding needling group; and ηb, ηp, HCT, RV, RAI and total integral in conventional scalp acupuncture group all lowered significantly ( P <0.05). Comparison between two groups showed that the effects of surrounding needling on ηb, HCT, IR and total integral were significantly superior to those of conventional scalp acupuncture group ( P <0.05), displaying that surrounding needling is apparently better than conventional scalp acupuncture in improving some indexes of hemorheology of stroke patients. Conclusion: MRI guided surrounding needling is significantly superior to conventional scalp acupuncture in bettering hemorheology of stroke patients.