醒脑开窍针刺对脑梗死患者脑葡萄糖代谢影响的穴位特异性研究

The Clinical Research on "The Resuscitating" Acupuncture Method Cure Stroke Patient.Observe the Glucose Metabolism

目的:探讨针刺"醒脑开窍"组穴对急性脑梗死患者脑葡萄糖代谢的经穴特异性效应,研究针刺治疗脑梗塞的中枢机制。方法:选取急性基底节脑梗死患者18例,分为经穴组(基础治疗+醒脑开窍主穴针刺)、非经非穴组(基础治疗+非经非穴针刺)和对照组(基础治疗),每组6例。以脑梗死患者治疗前后PET-CT的18F-FDG(18氟标记脱氧葡萄糖)显像资料作为中枢代谢改善评价标准,从分子水平动态的观察针刺经穴、非经穴及无针刺干预对脑梗死全脑、脑梗死中心和梗死周围水肿带葡萄糖代谢的影响。结果:观察组患者全脑代谢、脑梗死中心和梗死周围水肿带代谢呈明显激活状态,其激活广度及强度均明显优于非经非穴组和对照组。结论:醒脑开窍针刺法治疗基底节梗死病人,可有效改善病人脑内相应部位葡萄糖代谢,与非经非穴相比有显著的特异性效应。

Objective：Discuss ＂the resuscitating＂ acupuncture method cure stroke patient.Observe the glucose metabolism change of different local brain areas method choose 18 patients suffered from basal ganglia infarction and divides into three groups which group have 6 patients.The control group use western internal medicine as a routine method.＂The resuscitating＂ acupuncture group add this acupuncture method.The non-point group add acupuncture of some non-points.And take the raster display information of 18F-FDG determined by PET before and after cure method as the standard to estimate the glucose metabolism in brain.Results： ＂The resuscitating＂ acupuncture method group cure basal ganglia acute infarction.The glucose metabolism in central infarct and the edema area around has the current to improve.And the same improving current happened in other brain area.Compare with two other groups,the current is better in the acupuncture method group.Conclusion： After ＂the resuscitating＂ acupuncture method curing basal ganglia acute infarction,the glucose metabolism in brain has a current of getting better.