针刺廉泉穴结合舌尖梅花针治疗脑卒中失语症的效果及对血液流变学的影响

Effect of combination of acupuncture treatment at Liench'üan and plum blossom needle treatment at the tip of tongue on aphasia after stroke and its significance on hemorheology

目的:从血液流变学角度探讨针刺廉泉穴为主结合舌尖梅花针点刺治疗脑卒中后失语的机制。方法:全部51例患者按随机单盲法分为观察组30例,对照组21例。观察组以针刺廉泉结合舌尖梅花针点刺;对照组以头皮针运动区、语言区Ⅰ,Ⅱ,Ⅲ针刺,均以30d为1个疗程。1个疗程后观察疗效。结果:观察组总有效率为97%(29/30),治愈率为23%(7/30);对照组21例,总有效率为76%(16/21),治愈率为5%(1/21),两组疗效差异有显著性意义(χ2=8.107,P<0.05)。观察组血液流变学各项指标,除血沉指数和红细胞硬化指数外,其余治疗前后均有显著性意义(P<0.01或P<0.05);对照组患者红细胞聚集指数、血沉方程K与红细胞硬化指数在治疗前后差异有显著性意义(P<0.01或P<0.05)。并且观察组与对照组在全血黏度方面差异有显著性意义(P<0.05)。结论:针刺廉泉穴结合舌尖梅花针为主治疗脑卒中性失语症的临床疗效很显著,优于头皮针组。

AIM:To explore the combination of acupuncture treatment at Liench'üan(Ren 23) which was the key process and plum blossom needle treatment at the tip of tongue to treat aphasia after stroke and its therapeutic mechanism from hemorheology. METHODS:By single blind randomized method,30 patients out of the 51 patients were assigned to the treatment group and another 21 patients to the control group.Combination of acupuncture treatment at Ren 23 and plum blossom needle treatment at the tip of tongue was applied to the treatment group while scalp acupuncture at motor area and language Ⅰ,Ⅱ,Ⅲarea was applied to the control group,30 days as a treatment course.The therapeutic effect was observed after 1 treatment course. RESULTS:The total effective rate in the treatment group was 97%(29/30) and curative rate was 23%(7/30),while those of the control group(21 patients) were 76%(16/21) and 5%(1/21),respectively.The effects of the two groups had significant difference(χ2=8.107,P< 0.05).All markers in hemorheology in the treatment group except erythrocyte sedimentation rate and erythrocyte aggregation index were significantly different before and after treatment(P< 0.01 or P< 0.05).The erythrocyte aggregation index, erythrocyte sedimentation equation K and erythrocyte sclerosis index had significant difference before and after treatment(P< 0.01 or P< 0.05). There was significant difference in blood viscosity between the treatment group and the control group(P< 0.05). CONCLUSION:Combination of acupuncture treatment at Ren 23 and plum blossom needle treatment at the tip of tongue has significant clinical therapeutic effect on aphasia after stroke, and the effect is better than that of the scalp acupuncture.