头部电针治疗缺血性中风的效应差异

Clinical therapeutic effects of electroacupuncture at different acupoints of the head on ischemic apop-lexy

目的 :对比头部不同穴位在缺血性中风治疗中的作用。方法 :按双侧小脑在头皮的投影选取玉枕、完骨、风池 ,并与其他头针取穴印堂、神庭、四神聪进行对比研究 ,采用经颅多普勒检测脑血流速度 ,以神经功能缺损程度评分和生活能力恢复进行临床疗效评价。结果 :治疗组愈显率为80 0 % ,对照组为 6 1 6 % ,两组比较 ,P <0 0 5。结论 :按小脑在头皮投影选取头穴治疗缺血性中风效果好于其它头部取穴。

Objective To compare therapeutic effects of different acupoints of the head on ischemic apoplexy. Methods The patients of ischemic apoplexy were treated by electroacupuncture at Yuzhen (BL 9),Wangu (GB 12) and Fengchi (GB 20) at the projection area of the cerebellum on the scalp as treatment group,and by Yintang (EX-HN3),Shenting (GV 24),Sishencong (EX-HN1) as control group. The velocity of blood flow was determined with transcranial Dopplers method,and the clinical therapeutic effects were assessed by the neurologic function scores. Results Improvement of blood flow for the acupoints selected on projection region of the cerebellum was better than that of other head acupoints;the cured and markedly effective rate was 80.0% in the treatment group and 61.6% in the control group with a significant difference between the two groups ( P <0.05). Conclusion The acupoints selected according to the projection region of the cerebellum have a better therapeutic effect on ischemic apoplexy.