针刺治疗大脑脚底综合征43例临床疗效分析

Analysis on Clinical Therapeutic Effects of 43 Cases of Weber Syndrome Treated with Acupuncture

目的：探讨针刺治疗大脑脚底（Ｗｅｂｅ ｒ） 综合征的临床疗效。方法：４３例患者按病种分为脑出血组，脑梗塞组； 按病程分为１５天以内，１５天～２月，２月以上３组。均采用＂醒脑开窍＂针刺治疗，３个疗程后 进 行疗效对比。结果：４３例患者中，治愈５例，占１１．６％；显效２３例，占５ ３．５％；有效１０例，占２３．３％；无效５例，占１１．６％。总有效率为８８．４％。经统计学处理，脑 出血组与脑梗塞组疗效对比差异无显著性意义（Ｐ＞０．０５）；１５天以内组与２月以上组之间 疗效差异有显著性意义（Ｐ＜０．０５）。结论：＂醒脑开窍＂针刺法治 疗Ｗｅｂｅｒ综合征疗效肯定，及早治疗是提高疗效的关键。

Purpose To explore clinical ther apeutic effect of acupuncture for treatment of Weber syndrome. Method s Forty-three cases were divided into cerebral hemorrhage group and cerebral infarction group according to kinds of disease, and group of less than 15 days, group of 15 days-2 months and group of over 2 months according to dur ation of illness.They were treated for 3 therapeutic courses with the needling m ethod of 'restoring consciousness and inducing resuscitation' and their thera peutic effects were compared. Results Of the 43 cases, 5 cases were cured, accounting for 11.6%; 23 cases were markedly effective, accou nting for 53.5%; 10 cases were effective, accounting for 23.3% and 5 cases wer e ineffective, accounting for 11.6%. The total effective rate was 88.4%.There was no significant difference in the therapeutic effect between the cerebral hem orrhage group and the cerebral infarction group(P>0.05); but there was a si gnificant difference between the group of less than 15 days and the group of ove r 2 months(P<0.01). Consclusion This needling method has a certain therapeutic effect on Weber syndrome, and treatment at early date is a key for increasing the theapeutic effect.