脑出血急性期头针治疗的临床研究

Clinical Study on Effect of Scalp Acupuncture in Treating Acute Cerebral Hemorrhage

目的：观察脑出血急性期加用头针治疗的疗效并探讨其作用机理。方法：将６４例确诊为急性脑出血患者随机分为针刺组及对照组。两组均用甘露醇、速尿降颅压，止血芳酸止血，针刺组加用头针治疗。并于治疗前后作神经功能缺损评分对比分析以及血液流变学、血栓素、前列环素、内皮素的测定和经颅多普勒（ＴＣＤ）的检测。结果：神经功能缺损评分、肢体功能及言语功能的恢复针刺组均明显优于对照组。针刺组血浆粘度、血栓素、内皮素治疗后有明显下降，与对照组比较有显著性差异（Ｐ＜００５）。针刺组ＴＣＤ示脑血流有明显改善。结论：脑出血急性期加用头针治疗是安全可行的，对脑出血造成的肢体瘫痪及言语障碍的恢复效果明显。

Objective: To study the therapeutic effect of scalp acupuncture in treating acute cerebral hemorrhage and its mechanism. Methods: Sixty four patients were divided into two groups, the acupuncture group and the control group. All were treated with mannitol and furosemide to reduce intracranial pressure, p aminomethyl benzoic acid for hemostasis. The acupuncture group received scalp acupuncture additionally. Neurofunction deficit scoring (NDS), hemorheology, thromboxane, prostacyclin, endothelin and transcranial Doppler (TCD) ultrasonic examination were taken before and after treatment. Results: NDS of the acupuncture group was markedly better than that of the control group, especially in function recovering of limbs and speech. Blood viscosity, thromboxane and endothelin level of the acupuncture group lowered obviously, as compared with the control group, the difference was significant, P<0 05. TCD showed that the cerebral blood flow was markedly improved in the acupuncture group. Conclusion: Scalp acupuncture is safe and effective in treating acute cerebral hemorrhage, it is particularly effective in recovering limb paralysis and speech disturbance caused by cerebral hemorrhage.