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利用磁共振PWI技术观察头皮针对脑梗死患者脑血流灌注影响研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2016年06期
页码:
40-44
栏目:
针灸推拿
出版日期:
2016-12-10

文章信息/Info

Title:
Effect of Scalp Acupuncture on Cerebral Blood Flow in Patients with Cerebral InfarctionUsing Magnetic Resonance PWI Technique
作者:
胡进1储浩然1王颖1谢宗亮1张佳乐2
1. 安徽中医药大学第二附属医院,安徽 合肥 230061;2. 安徽中医药大学针灸骨伤临床学院,安徽 合肥 230038
Author(s):
HU Jin CHU Haoran WANG Ying XIE Zongliang ZHANG Jiale
1. The Second Affiliated Hospital of Anhui University of CM, Hefei 230061, China;2. Acupuncture Clinical College, Anhui University of CM, Hefei 230038, China
关键词:
头皮针 体针 临床观察 脑梗死
Keywords:
scalp acupuncture acupuncture clinical observation cerebral infarction
分类号:
R246.6
DOI:
10.19288/j.cnki.issn.1000-2723.2016.06.010
文献标识码:
A
摘要:
目的 观察并探索头皮针结合体针治疗脑梗死的作用疗效及作用途径。方法 将180例脑梗死患者随机分为头针组、体针组、综合组(头皮针结合体针),每组均60例,头针组取顶中线、顶旁1线、顶旁2线、顶颞前斜线、顶颞后斜线、颞前线、颞后线;体针组主穴取患侧肩髃、曲池、外关、合谷、伏兔、双膝眼、双足三里。配穴取患侧极泉、尺泽、内关、气冲、委中、阴陵泉、三阴交、太冲;综合组穴位及操作同头针组和体针组,头皮针联合体针。每周治疗6d,休息1d之后继续治疗,4周为1疗程,1疗程之后观察临床疗效。结果 从神经功能缺损程度评分、日常生活活动能力、上肢简式Fugl-Meyer运动评分、肌张力痉挛程度的测定、残疾程度等多方面进行疗效评价,经过1个疗程的治疗,综合组疗效较为显著。在神经功能缺损程度评分(NIHSS)、日常生活活动能力(ADL BI)、上肢简式运动能评价方法(FMA)、下肢简式运动能评价方法(FMA)、肌张力痉挛程度的测定(A Shworth)、残疾程度(Rankin评分)的评价上,综合组优于头针组和体针组,差异具有统计学意义(P<0.05),在治疗前后进行PWI检查,观察灌血区域及时间的改善,结果表明综合治疗方法能显著改善患者脑灌血区域及时间,差异具有统计学意义(P<0.05)。结论 头皮针结合体针能发挥协同作用,更好地改善脑梗死患者后遗症。其作用机制可能与改善患者脑血流灌注区域及时间有关。
Abstract:
Objective To observe the combined scalp acupuncture effect features and advantages of acupuncture in the treatment of cerebral infarction. Methods 180 cases of cerebral infarction were randomly divided into acupuncture group, acupuncture group and integrated group(scalp acupuncture combined with body acupuncture), each group of 60 cases, scalp acupuncture group take the top line, top 1, top 2 side line side line, D, D, temporal front and posterior temporal line; Acupuncture the group took ipsilateral Jianyu, Quchi, Hegu, Waiguan, futu, double knee eye, double zusanli. With the ipsilateral Jiquan, chize, Neiguan, air, Weizhong, yinlingquan, Sanyinjiao, Taichong;comprehensive group the combination of scalp acupuncture combined with body acupuncture. Treatment 6 days a week, rest 1 days after the treatment, 4 weeks for 1 courses, 1 after the observation of clinical efficacy. Results To evaluate the curative effect score, from the degree of nervous function defect and activities of daily living, simple type Fugl-Meyer motor score, upper limb muscle spasticity was measured and the degree of disability and other aspects, after 1 courses of treatment, the curative effect is more significant in combination group. The score in the degree of neural function defect(NIHSS), activities of daily living(ADL BI), the upper limb movement simple evaluation method(FMA), lower limb movement simple evaluation method(FMA), the determination of muscle spasticity(A Shworth), the degree of disability evaluation(Rankin score), statistically significant differences(P<0.05), PWI was performed before and after treatment, improve blood irrigation area and the time of observation, the results showed that the method can significantly improve the treatment of patients with cerebral blood perfused area and time, the difference was statistically significant(P<0.05). Conclusion Scalp acupuncture has obvious advantages in the treatment of cerebral infarction, and has significant clinical curative effect.

参考文献/References

[1] 邢成名. 缺血性脑血管病[M]. 北京:人民卫生出版社,2003:3.
[2] 刘国权,王四安,梁昌华. 基层医院急性脑梗死流行病学特点及预后分析[J]. 右江医学,2013,41(4):555-556.
[3] 孙怀玲,李翔敏. 头穴透刺治疗脑卒中临床研究[J]. 中国针灸,2001,21(5):275-278.
[4] 高波,刘奉立,张维新. MR灌注加权成像在脑血管性疾病中的应用进展[J]. 中国中西医结合影像学杂志,2010,8(3):259-262.
[5] 高志群. 针灸康复优化技术治疗中风后偏瘫的研究[D]. 合肥:安徽中医药大学,2014.
[6] 包飞,王道海,张云祥,等. 体针与头体针联合对动脉硬化性脑梗死急性期的治疗作用比较[J]. 中国针灸,2008,28(1):10-12.
[7] 王金海,杜小正,赵敏,等. 头穴透刺对缺血性中风病患者平衡功能影响的临床研究[J]. 江西中医学院学报,2013,25(2):40-42.
[8] 杜广中,张登部,卜彦青. 头体针对缺血性中风脑血管功能影响的对比观察[J]. 中国针灸,1999,19(5):265-266.
[9] 鲍春龄,东贵荣,王海桥,等. 阴阳调衡透刺针法为主分期治疗缺血性中风后偏瘫的多中心随机对照临床研究[J]. 上海中医药杂志,2015,49(6):30-34.
[10] 焦俊杰,郭洪亮,何有娣,等. 眼针对脑梗死半身不遂患者神经功能缺损程度和Barthel指数的影响[J]. 中国针灸,2016,36(6):581-585.
[11] 程红亮,李飞,胡培佳,等. 通督调神针法治疗脑卒中后痉挛瘫期的临床研究[J]. 中医药临床杂志,2012,24(6):499-501.
[12] 孙曌. 靳三针治疗缺血性中风偏瘫的临床与机制探讨[D]. 广州:广州中医药大学,2010.
[13] 贾超. 靳三针疗法治疗脑梗塞偏瘫的规范化研究[D]. 广州:广州中医药大学,2009.
[14] 程红亮,崔乐乐,张闻东,等. 芒针透刺治疗脑卒中后吞咽障碍的临床研究[J]. 云南中医学院学报,2014,37(1):45-48.
[15] 石云. 现代康复医学疗法结合针刺治疗脑卒中86例[J]. 云南中医学院学报,2007,30(2):47-49.
[16] 唐军,储瑾,王燕平,等. 针药联合治疗脑卒中吞咽障碍90例临床观察[J]. 云南中医学院学报,2015,38(4):41-43.
[17] 韩德雄. 靳三针疗法结合康复训练治疗缺血性卒中偏瘫的疗效研究[D]. 广州:广州中医药大学,2010.

备注/Memo

备注/Memo:
* 基金项目: 安徽中医药大学临床科研基金项目(2014lc01024) 收稿日期: 2016 - 09 - 23 作者简介: 胡进(1984-),男,安徽合肥人,主治医师,研究方向:针灸防治脑病。
更新日期/Last Update: 2016-11-20