针刺治疗假性延髓麻痹325例临床和机理研究

Clinical and Experimental Studies on Acupuncture Treatment for 325 Cases of False Bulbar Paralysis

在选穴、配方针刺方向、深度、施术手法及其量学要求等方面进行了临床及实验研究。结果表明本组患者经治疗其临床治愈率为６８９２％，总有效率为９８０５％。对椎基底动脉供血不足患者颅底血流动力学结果：针刺风池穴后血流速度中收缩期峰值速度（ＳＶ）、平均流速（ＭＶ）在多时相明显加快，且持续时间较长，多可持续３０～６０分钟，血管阻力指数（ＲＩ）及血管搏动指数（ＰＩ）针刺后较针刺前明显改善，说明小动脉、微动脉阻力减低，因而脑血流得以改善。

Clinical and experimental studies on acupoint selection,acupoint prescription,acupuncture direction and depth,and manipulation and stimulative amount,and so on were carried out.The results indicated that the clinical cured rate was 68 92% and the total effective rate was 98 05% in the present group.Detection of basicranial hemodynamics in the patient of vertebrobasilar insufficiency showed that after acupuncture at Fengchi(GB20),systolic peak velosity in velocity of blood flow(SV)and mean velocity(MV)of blood flow in poly phases quickened obviously and lasted for longer time,generally lasting for 30 60 minutes,and vascular resistence index(RI)and vascular pulsation index(PI)improved markedly as compared with before acupuncture.It is suggested that resistence of small artery and micro artery decreases and cerebral blood flow improve.