摘要
ngjiazhoumicrocirculationduetocerebofotherfactors.Alternativeacupunctu目的:分析针刺时机、选穴配伍、刺激量、针刺部位在改善脑梗死患者甲襞微循环方面作用的优劣,推导出针刺治疗脑梗死的最佳疗效方案。方法:①选择2002-01/2004-01武装警察部队总医院中西医结合科住院患者63例,男40例,女23例。其中脑血栓形成48例,腔隙性脑梗死15例,均自愿接受规范化针刺治疗。选用30号华佗牌毫针,于每日14:00左右开始针刺治疗,每穴均按相关要求取得相应针感。同时常规西药治疗。②考察毫针针刺治疗脑梗死的针刺时机、选穴配伍、刺激量、针刺部位4个因素在获得临床疗效和改善甲襞微循环的主次作用,同时考察了上述4个因素的各3个水平[针刺时机:病程1～10,11～20,21～30d;选穴配伍:头穴、体穴、头体穴(头穴指头针穴名标准化方案的顶颞前斜线、顶颞后斜线等,视临床表现可加取相应头穴;阴经体穴指“醒脑开窍”法穴组,主穴为内关、人中、三阴交,副穴为极泉、尺泽、委中。阳经体穴指“上下配穴”法穴组,主穴为上闪电、下闪电,配穴为臂中、足三里。瘫侧刺为单纯针刺瘫痪侧体穴和致病梗死灶侧头穴,健侧刺与之相反,健瘫侧交替刺为两者的交替);刺激量:轻刺激量、中刺激量、重刺激量(轻刺激量:隔日针刺1次,体针针感为感传或肢体抽动1次,头针捻转100次/min,行针次数为2次,行针间隔10min,留针20min,15次为1个疗程;中刺激量:每日针刺1次,体针针感为感传或肢体抽动1次,头针捻转150次/min,行针次数为4次,行针间隔5min,留针20min,30次为1疗程;重刺激量:每日针刺1次,体针针感为感传或肢体抽动3次,头针捻转250次/min,行针次数为6次,行针间隔5min,留针20min,30次为1疗程);针刺部位:健侧刺、瘫侧刺、健患侧交替刺]在获得临床疗效和改善甲襞微循环方面作用的优劣。③应用正交设计法,对影响脑�
AIM： To analyze effect of occasion of acupuncture, matching points, stimulated volume and acupuncture sites on improving jiazhou microcireulation due to cerebral infarction so as to derivate the optimum program of acupuncture treatment. METHODS： ① Totally 63 patients inc.luding 40 males and 23 females were selected from Department of Integrated Traditional Chinese Medicine and Western Medicine for Rehabilitation, General Hospital of Chinese People＇s Armed Police Force from January 2002 to January 2004. Among them, there were 48 cases with cerebral thrombosis and 15 cases with lacunar cerebral infarction, and all patients were volunteers. No. 30. Huatuo milli-needle was selected to acupuncture at about 2 o＇clock in the afternoon each day, and each point was obtained relevant needle respond. Western medicine was used at the same time. ② Effects of occasion of acupuncture, matching points, stimulated volume and acupuncture sites were analyzed to determine which was the main factor on clinical effect and improvement of jiazhon microcirculation due to cerebral infarction; meanwhile, 3 levels of each factor were also analyzed [occasion of acupuncture：, course of 1-10, 11-20 and 21-30 days; matching points： head points, body points and head-body points （head points pointed to acupunctures of parietotemporal anterior oblique line and parictotemporal posterior oblique line, and correlated head points could be selected additively on clinics; yin meridians pointed to acupuncture groups of restoring consciousness and inducing resuscitation, including main acupunctures of Neiguan, Renzhong and Sanyinjiao, and minor acupunctures of Jiquan, Chize and Weizhong; yang meridians pointed to acupuncture groups of matching points from the top down, including main acupunctures of Shang shandian and Xia shandian, and minor acupunctures of Bizhong and Zusanli; single acupuncture was performed at the sides of paralysis and focal infarct, otherwise, there was opposite to acupuncture at healthy side; aeupunctures were perf
出处
《中国临床康复》
CSCD
北大核心
2006年第15期23-25,共3页
Chinese Journal of Clinical Rehabilitation
