摘要
Objective： To investigate the efficacy of scalp acupuncture in combination with body acupuncture for treating pseudobulbar paralysis. Methods： Eighty patients were randomly divided into treatment and control groups, 40 cases each. The control group was treated by the routine method of Western 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 influence of the treatment on mean blood velocity（MBV） 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 MBV between pretreatment and posttreatment showed P 〈 0.01. Conclusion： Scalp acupuncture in combination with body acupuncture has a good effect on pseudobulbar paralysis.
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,针剌前后 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。
