头体针结合治疗假性延髓麻痹的临床观察

Clinical Observations on the Treatment of Pseudobulbar Paralysis by Combined Scalp and Body Acupuncture

目的观察头针结合体针治疗假性延髓麻痹的疗效。方法将80例患者随机分为治疗组和对照组各40例,对照组采用西医常规治疗方法,治疗组在此基础上加用头针结合体针治疗。观察两组治疗前后的疗效,并通过经颅多普勒(TCD)观察两组治疗对大脑前动脉(ACA)、大脑中动脉(MCA)和大脑后动脉(PCA)的平均血流速度(VM)影响。结果治疗组总有效率为97.5%,痊愈率为75%,对照组总有效率为12.5%,无痊愈者。两组比较有显著差异(P<0.01)。TCD发现治疗组使大脑各动脉的流速明显加快,并改变了左右脑血流的失衡状态,针刺前后VM比较P<0.01。结论头针结合体针对假性延髓麻痹有很好的治疗作用。

Objective To investigate the efficacy of scalp acupuncture in combination with body acupuncture for treating pseudobulbar paralysis. Method Eighty patients were randomly divided into treatment and control groups ,40 eases each. The control group was treated by the routine method of Westem medicine and the treatment group, by combined scalp and body acupuncture on the basis of the former. The curative effect was evaluated after treatment in both groups. The influeee of the treatment on mean blood volocity （VM） in anterior,middle and posterior cerebral arteries was observed by transcranial Doppler（TCD） in both groups. Results The total efficacy rate was 97.5% in the treatment group and 12.5% in the control group. The recovery rate was 75% in the treatment group and 0% in the control group. There was a significant difference between the two groups（P 〈 0.01 ）. TCD showed that blood velocity in cerebral arteries was significantly increased and the unbalanced stasis of the right and left cerebral blood flow changed in the treatment group. A comparison of VM between pretreatment and posttreatment showed P 〈 0.01. Conclusion Scalp acupuncture in combination with body acupuncture has a good effect on pseudobulbar paralysis.