头针与脑梗塞后血管的早期再通

Scalp Acupuncture and Early Blood Vessel Reopening

目的 观察头针对脑梗塞患者脑血管的早期再通及梗塞灶的影响。方法 采用针刺患者头皮血管舒缩区的方法 (头针组 )治疗脑梗塞患者 35例 ,并与单纯药物治疗 (对照组 )进行比较。结果 经 TCD及 CT检查显示 ,头针组在脑血管的早期再通 ,梗塞灶的收缩及临床症状的改善与对照组比有显著差异 (P<0 .0 1)。结论 脑梗塞患者早期进行头皮针治疗 ,可以提早血管的再通时间、缩小梗塞灶及改善临床症状。同时减少由于早期使用血管扩张剂而引起梗塞后出血的危险。

Purpose To observe the effect of scalp acupuncture on the early reopening of cerebral blood vessels and the focus of infarct in patients with cerebral infarction. Methods Thirty-five cases of cerebral infarction (a scalp acupuncture group) were treated by acupuncture of the patients' scalp vasomotor area. The results were compared with those in a simple medication group (control group). Results TCD and CT examinations showed that the early reopening of cerebral blood vessels, the contraction of the focus, and the improvement of the clinical symptoms in the scalp acupuncture group were significantly different from those in the control group ( P <0.01).Conclusion The early scalp acupuncture treatment of cerebral infarction can advance the time of blood vessel reopening, reduce the focus of infarct and relieve the clinical symptoms. Meanwhile, it can decrease the danger of post-infarction bleeding due to the early use of vasodilator.