针灸康复训练及熏洗治疗脑中风肢体瘫痪疗效观察

目的:观察针灸与康复训练及熏洗法治疗脑中风肢体偏瘫患者的疗效。方法:选择本院收治的脑中风肢体瘫痪60例患者,随机分为对照组和治疗组。对照组采用康复训练加熏洗方(伸筋草、细辛、制乳香、制没药、苏木、木瓜、桂枝、牛膝)治疗,治疗组在对照组治疗基础上采用针灸治疗,观察两组症状与肢体痉挛、运动功能及生活质量改善情况。结果:治疗组总有效率76.7%,对照组总有效率43.3%,治疗组显著优于对照组,差异有统计学意义(P<0.05)。治疗组痉挛改善情况显著优于对照组,治疗组治疗后Barthel指数评分、Fugl-Myer运动功能评分显著优于对照组。结论:针灸与康复训练结合中药熏洗对脑中风肢体瘫痪的肢体功能恢复确切疗效。

电针八髎穴结合重复经颅磁刺激治疗脑中风后尿潴留40例

目的:观察电针八髎穴结合重复经颅磁刺激治疗中风后尿潴留的疗效。方法:将80例中风后尿潴留患者随机分为电针、经颅磁刺激联合治疗组和对照组;联合治疗组采用电针八髎穴配合重复经颅磁刺激治疗,对照组采用电针治疗,同时给予假性重复经颅磁刺激。将两组的疗效进行对比观察。结果:两组治疗前后总有效率比较有显著性差异(P<0.01),联合治疗组疗效明显优于对照组。结论:电针八髎穴结合重复经颅磁刺激对中风后尿潴留有缓解症状,改善排尿功能的作用。

针刺配合康复治疗中风后吞咽障碍56例

目的:观察针刺配合康复治疗中风后吞咽障碍的疗效。方法:针刺风池、完骨、天柱等穴配合康复训练治疗本病56例。结果:总有效率为98.21%。提示:本方法对本病有调节皮质和脑干网状结构吞咽中枢,改善椎基底动脉血流量,改善中风后吞咽障碍的恢复。

针刺治疗中风后假性球麻痹效果的临床观察

针刺风池、天柱、翳风配合针刺通里、廉泉、金津、玉液治疗脑血管意外引起的假性球麻痹50例,其中气滞血淤型总有效率90%,肝阳上亢型有效率89%,风痰阻络型有效率92%。针刺后患者的吞咽有明显的改善。

Changes of Electroencephalogram in Post-stroke Hemiplegia Patients Treated with Electroacupuncture at the Nerve Trunk

Objective： To observe the short-term effects of electroacupuncture at different acupoints on patients with hemiplegia after cerebral infarction. Methods： Patients with cerebral infarction were randomly allocated into a group of electroacupuncture nerve trunk and a group of routine electroacupuncture in ratio of 2：1, which were treated with electroacupuncture at the nerve trunk or routine acupoints, respectively, once a day, for 14 d. Results： Electroacupuncture at nerve trunk had better effects than at routine acupoints. The short-term improvement of electroencephalogram had significant differences （P〈0.05）. Conclusion： Electroacupuncture at the nerve trunk could improve the neurologic impairment and brain function, and it has a better result than routine electroacupuncture.

Observation on clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia

Objective： To observe the clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia. Methods： A total of 154 cases with post-stroke insomnia were randomly divided into a control group and an observation group by the random digital table, 77 cases in each group. The control group was treated by auricular acupoint sticking, while the observation group was treated by auricular acupoint sticking plus music therapy, to compare the clinical effects at the end of the treatment and three months after the treatment between the two groups. Results： At the end of treatment, the total effective rate was 98.7% in the observation group, remarkably higher than 89.6% in the control group, with a statistically significant difference between the two groups （P〈0.05）. Three months after the end of the treatment, the total effective rate was 90.9% in the observation group, remarkably higher than 80.5% in the control group, with a statistically significant difference between the two groups （P〈0.05）. Conclusion： Auricular acupoint sticking plus music therapy was affirmative in the clinical effects for post-stroke insomnia, providing a new idea to design a best nursing and rehabilitative plan for the patients with post-stroke insomnia.

Influence of Acupuncture on Remodeling of Swallowing Functions for Patients with Pseudobulbar Palsy after Cerebral Infarction

Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudobulbar palsy after cerebral infarction were randomly allocated into an observation group and a control group, 36 cases in each group. The treatment neurological therapies, once a day, with one day rest group was treated with acupuncture based upon routine after continuous treatment for six days, and therapeutic effects were assessed after six courses of the treatments. The control group was treated with routine neurological therapies, with the therapeutic effects observed after the treatment for 42 d. Results： The total effective rate was 80.6% in the observation group and 58.3% in the control group, with statistical significance in comparison of difference between the two groups （P〈0.05）, and with statistical significance in comparison of the score of deglutition disorder between the observation group and control group （P〈0.01）. Conclusion： Nape acupuncture can obviously improve the clinical symptoms and signs for the patients with pseudobulbar palsy, with affirmative therapeutic effects, and is worthy of popularization.

Therapeutic Efficacy Observation on Acupuncture Treatment for Vascular Cognitive Disorder Following a Cerebral Infarction

Objective：To observe the event related potential 300 （P300） after scalp acupuncture treatment in patients with cognitive disorder due to cerebral infarction,and evaluate its therapeutic effect.Methods：Sixty-six patients aged below 70 years old with cognitive disorder after initial onset of cerebral infarction were randomized into a treatment group and a control group.Conventional neurological drugs and physical trainings were prescribed to both groups.In addition,the treatment group received scalp acupuncture.The two groups were compared by evaluating the latency and amplitude of P300 before and after the 3-month treatment.Results：After treatment,the latency of P300 was shortened by 39.1 ms in the treatment group,versus 16.7 ms in the control group,and the difference was statistically significant （P0.05）.Conclusion：P300 can objectively evaluate the therapeutic effect of scalp acupuncture in treating the patients with cognitive disorder due to cerebral infarction.Scalp acupuncture has positive effect in treating this group of patients.

Clinical Study on Acupuncture Treating Thalamic Pain

Objective： To evaluate the clinical effect of acupuncture in managing thalamic pain syndrome. Methods： Eighty patients with thalamic pain syndrome were randomly allocated into two groups, with 40 cases in the treatment group receiving combined scalp and body acupuncture treatment and 40 cases in the control group receiving single body acupuncture treatment. The intervention was given for 28 d in total, and the effects were evaluated after 14-day and 28-day treatments. Results： The inner-group comparison of McGill Pain Questionnaire （MPQ） showed significant differences after the treatment d 14 in both of the two groups （P〈0.05）, and after the treatment d 28, the differences were even more significant （P〈0.01）. After 28-day treatment, compared with pre-treatment, the Transcranial Doppler （TCD） test detected significant changes in the two groups （P〈0.05）. The total effective rate was 72.5% in the treatment group versus 47.5% in the control group, and the difference was statistically significant （P〈0.05）. The 3-month follow-up study found the relapse rate was 0 in the treatment group and 15.8% in the control group, and the difference was significant （P〈0.05）. Conclusion： Acupuncture is effective in treating thalamic pain syndrome and combined scalp and body acupuncture can achieve even better results.

Therapeutic Efficacy Analysis of Balancing Yin-yang Manipulation for Post-stroke Upper Limb Spasticity

Objective: To observe the effect of balancing yin-yang needling manipulation on post-stroke upper limb spasticity and changes of electromyography(EMG) after treatment. Methods: A total of 60 eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Based on routine medication, cases in the control group were treated with conventional needling manipulation, whereas cases in the observation group were treated with balancing yin-yang manipulation. After the courses of treatment were completed, the therapeutic efficacies were evaluated using modified Ashworth scale and clinical spasticity index(CSI), coupled with the integrated electromyography(IEMG) and root mean square(RMS) value of biceps in passive flexion of the elbow joint during isokinetic testing recorded with the surface EMG. Results: The total effective rate in the observation group was 86.7%, versus 53.3% in the control group, showing a statistical significance(P < 0.05). After treatment, there was between-group statistical significance in severity of elbow spasticity(P<0.05); there were intragroup(P<0.01, P<0.05) and inter-group(P<0.05) statistical significances in CSI index; and there were intra-group(P<0.01, P<0.05) and inter-group(P<0.01, P<0.05) statistical significances in IEMG and RMS values. Conclusion: Balancing yin-yang and conventional needling manipulations can both improve upper limb spasm and reduce CSI as well as IEMG and RMS values in stroke patients; however, balancing yin-yang manipulation is better than conventional manipulation in clinical effect.