摘要
本组采用针刺阳经六穴治疗脑梗塞住院患者32例,基本痊愈20例,显效4例,有效6例,总有效率93.75%。口服卡兰片治疗脑梗塞31例,基本痊愈8例,显效5例,有效13例,总有效率83.87%。按照1986年中华全国中医学会制定的中风病疗效评定标准,采用 Ridit 检验进行分析,针刺组疗效明显优于卡兰片组。治疗前测定两组患者的大多数血液流变学指标均高于同年龄正常人,经过针刺或卡兰片治疗后,血小板最大聚集率,血液粘度和红细胞比积均明显下降,提示针刺可能通过改善血液流变性以疏通经络、活血化瘀,促进瘫痪肢体运动功能的恢复。
This article reports the curative effects of acupuncture on 6 acupoints of Yang meridian in treating 32 cases of cerebral infarction in comparison with another 31 cases treated with calan tablets.55 out of 63 patients have been diagnosed as cerebral infarction by computer tomography. Diagnosis of 8 cases relied on history,symptoms,signs together with cerebrospinal fluid examina- tion.Patients were divided randomly into two treatment groups:acupuncture group and calan tablet group.Therapeutic method:(1)For acupuncture group,main acupoints consisted of Jianyu(L.I.15), Quchi(I.I.11),Hegu(L.I.4)in the upper extremity and Huantiao(G.B.30),Yanglingquan(G.B.34), Guangming(G.B.37)in the lower extremity.According to the syndrome differentiation,Taichong (Liv.3),Fengchi(G.B.20),Tianshu(St.25),Fenglong(St.40),Zusanli(St.36),Sanyinjiao(Sp.6), Taixi(K.3)were added.The lifting and thrusting was manipulated.The needles were retained for 30 minutes after the patient felt local sourness,distension and heaviness.Acupuncture was carried out every day for 6 weeks.(2)For calan tablet group,calan tablet 5 mg was administered 3 times a day for the same treatment session as the former group.Result:The total effective rates were 93. 75% and 83.87% respectively.The therapeutic effect in the acupuncture group was much better than that in the calan tablet group(P<0.05).The majority of hemorheological indices of patients in two groups were obviously higher than those of ttie normal in the same age group.After acupuncture or taking calan tablet,the maximum rates of platelet aggregation,whole blood viscosity,hematocrit levels were reduced to a certain extent.The differences before and after treatment were statistically significant.
