头皮针围刺治疗脑出血30例疗效观察

Observations on the Curative Effect of Scalp Surrounding Acupuncture on 30 Cerebral Hemorrhage Patients

目的 观察头皮针围刺治疗脑出血的疗效。方法 将 6 0例脑出血患者随机分为治疗组和对照组各 30例 ,对照组使用甘露醇及神经营养药对症处理 ,治疗组在对照组治疗基础上加用头皮针经头颅 CT定位围刺 ,观察两组血肿体积、神经功能缺损评分的变化。结果 治疗后第 2 1d两组血肿体积较治疗前明显减少 ,两组间无显著差异 ;治疗后第 2 1d血肿周围水肿体积、神经功能缺损评分两组虽无显著性差异 ,但治疗组各项指标优于对照组。结论 头皮针局部围刺病灶在头皮的投射区 ,能促进脑血肿及其周围脑水肿的吸收 ,改善局部供血 。

Purpose To investigate the curative effect of scalp surrounding acupuncture on cerebral hemorrhage.Method Sixty patients with cerebral hemorrhage were randomly divided into treatment and control groups, 30 cases each. The control group received expectant treatment with mannitol and neural nutrients and the treatment group, scalp surrounding acupuncture according to cephalic CT location in addition to the treatment the control group received. Changes in hematoma volume and neural function deficit score were observed in both groups.Results Hematoma volume obviously decreased at the 21st day after treatment as compared with before treatment in the two groups but there was no significant difference between them. Although there were no significant differences in edema volume around hematoma and neural function deficit score between the two groups at the 21st day after treatment, indices were better in the treatment group than in the control group.Conclusion Acupuncture surrounding the scalp projection area of the focus can promote the absorption of cerebral hematoma and edema around it, improve local supply of blood and facilitate blood circulation.