COMMENTS ON THE THERAPEUTIC TIMETABLE OF ISCHEMIC APOPLEXY AND SUPER-EARLY INTERVENTION OF ACUPUNCTURE

According to the pathological process of ischemic apoplexy, which involves its onset and development, this paper expounds the great significance of adopting various active and effective measures within the therapeutic timetable for favorable prognosis and improvement of apoplexy. The author’s viewpoints differ from the conventional thinking towards the management of apoplexy, stressing super early intervention with acupuncture.

STUDY ON SCALP ELECTROACUPUNCTURE TREATMENT OF APOPLEXY AND ITS INFLUENCE ON HEMORHEOLOGY IN ISCHEMIC APOPLEXY PATIENTS

Objectives: To compare the therapeutic effect of scalp electroacupuncture with that of conventional body acupuncture for apoplexy (wind stroke) and to observe the influence of both acupuncture therapies on hemorheology of ischemic apoplexy.Methods: 183 patients, whose diseases are attributed to apoplexy according to the diagnostic criteria, are randomly divided into treatment group (93 cases) and control group (90 cases) and treated respectively with scalp electroacupuncture and conventional body acupuncture. 11 items of hemorheology of patients’ blood samples are tested with NXE-1 Viscometer which are taken in the early morning before and after treatment under fasting condition. Results: Both scalp electroacupuncture and conventional body acupuncture exert therapeutic effect for apoplexy, but the effect of scalp electroacupuncture is obviously better than that of conventional acupuncture (P< 0.05 ); both treatment group and control group are statistically significant in reducing plasma viscosity, high shear reduced viscosity, low shear reduced viscosity, erythrocyte sedimentation rate, hematocrit and fibrinogen, (P<0.01 and 0.05); while the treatment group is statistically significant in reducing whole blood viscosity, ratio of whole blood viscosity, erythrocyte index of rigidity and electrophoresis time of erythrocyte (P<0.01～ 0.05), but the control group is not significant statistically in influencing these indexes (P>0.05).

OBSERVATION ON THE THERAPEUTIC EFFECT OF ENCLOSING NEEDLING UNDER CT ORIENTATION FOR TREATMENT OF ISCHEMIC CEREBRAL STROKE AND ITS INFLUENCE ON PLASMA NO

In the present paper, 61 cases of ischemic cerebral apoplexy were randomly divided into enclosing needling group (n=31) and scalpacupuncture group (n=30). After 30 sessions of treatment, there was a significant difference between the two groups in the therapeutic effect (P<0.05), indicating enclosing needling being superior to scalpacupuncture. Both enclosing needling and scalpacupuncture could lower plasma NO content while the former was more apparent in lowering plasma NO level.

EFFECT OF ACUPUNCTURE ON PLASMA β-EP IN PATIENTS WITH ISCHEMIC STROKE

In the present study, the therapeutic effect of acupuncture at Shuigou(GV 26), Neiguan (PC 6) and Zusanli (ST 36) in treatment of 30 cases of ischemic cerebral apoplexy patients and its action on plasma βEP (endorphine) level were observed. After treatment, of the 30inpatients, 16 cases were cured basically, 9 had marked improvement, 4 had slight improvement and the rest one had no any changes. The significantly effective rate was 83.3% and the total effective rate was 96.7%. Before acupuncture treatment, the content of plasma βEP inpatients with ischemic stroke increased significantly in comparison with that of normal group (P<0.01). While after treatment, plasma βEP level decreased to approach to the normal level, which may be one of the mechanisms of acupuncture in alleviating stoke patients.

Eye-acupuncture as adjuvant therapy for stroke:A bibliometric analysis of clinical studies

Background:Eye-acupuncture(EA)is a fine-needle acupuncture therapy for systemic diseases.This bibliometric analysis aims to provide a comprehensive review of the characteristics of EA for ischemic or hemorrhagic apoplexy based on clinical studies.Methods:A total of 195 clinical studies from six databases such as CNKI,VIP,Wanfang Data,SinoMed,PubMed and the Cochrane Library from inception to December 31,2017 were included.Bibliometric information mainly including study type,participant characteristics,intervention and comparison details,and outcomes were extracted.Data was analyzed descriptively using SPSS
software to determine their distribution(range,interquartile range)and central tendency(median).Results:The studies covered 108 RCTs,36 controlled clinical trials,45 case series and 6 case reports on EA for treatment of ischemic or hemorrhagic apoplexy,involved 15466 stroke patients.EA was used at different stages of ischemic or hemorrhagic apoplexy:acute stage(n Z 38),recovery(n Z 32),sequela(n Z 13)and unclear(n Z 112).The most frequently used EA acupoints were in the upper-jiao and lower-jiao regions.The commonly used comparisons were EA alone versus traditional acupuncture,or EA plus traditional acupuncture versus traditional acupuncture.Neurological deficit scale,Modified Barthel Index,and activities of daily living were the most frequently used outcome measures.Conclusion:EA as an adjuvant therapy is effective and safe in treating stroke at acute and recovery stages,but high-quality RCTs are lacking.

Clinical Research of Buyang Huanwu Teng（补阳还五汤）Granulein Treatment of lschemic Apoplexy

Patients with ischemic apoplexy were treated with Buyang Huanwu Tang Granule for 10weeks. The total effective rate was 88. 5% .The clinical cure and markedly effective rates were 42 . 3%Buyang Huanwu Tang Granule could improve hemorrheologic indexes and enhance the activity ot erythrocytesodium pump ([0Kos Na ) in patients of ischemic apoplexy. The effect of Buyang Huanwu Tang Granule No.1with large dosage of Radix Astrtagali was superior to Buyang Huanwu Tang Granule No. 3.