Clinical Study Of Surrounding Needling Based On CT Location In Treating Hemorrhage Sroke

BackgroundStroke, also known as apoplexy, including ischemic stroke and hemorrhagic stroke Hemorrhagic stroke, also called cerebral hemorrhage (cerebralhem orhage CH), refers to the parenchymal hemorrhage of primary. It is the clinical common for emergency and severe cases, which acute onset, mortality and disability are high, Sequelae hard to be cured. In the future as the aging of our population, the incidence of intracerebral hemorrhage shows ascendant trend, cerebral hemorrhage patients are increasing number, which have seriously affected the patients' activities of daily living, reduced quality of life and high rehabilitation cost brought a heavy burden to families and society and individual. Therefore, more and more attention has been paied to the treatment of cerebral hemorrhage and subsequent rehabilitation. This problem has become the arduous task of the medical profession and research hot spots. This problem for cerebral hemorrhage, the research on the limbs of patients to minimize dysfunction and decrease mortality, that has far-reaching social significance.ObjectiveThe topic for the current treatment of cerebral hemorrhage with high incidence, high morbidity, high disability, treatment of this characteristic is difficult adopt Treatment of Stroke Evaluation Standards, Neurological Deficit Score(NDS), Activities of Daily Living rating scale(ADL), Hematoma and edema volume, CT Value, Tumor Necrosis Factor(TNF-a) and Interleukin-6(IL-6) and the Main Symptom scale to study the changes for scores and values about different sclales and values before and after treament, To study the clinical effect of the Surrounding Needling based on CT location (ie, cranial CT imaging shows lesions in the ipsilateral projection area from the nearest area), adopted arrounding needling(CT positioning around needle)for the treatment of cerebral hemorrhage.Explore new treatment prevention and treatment of the disease. Providing clinical with a simple and effective therapy.Method82 patients of cerebral hemorrhage, came from the clinic of first and third affiliated hospital of Guangzhou University of Traditional Chinese Medicine, were randomly divided into Surrounding Needling based on CT location group (Surrounding Needling group, n=41) and Traditional Scalp Acupuncture group (Scalp Acupuncture group, n=41), Both groups were in the implementation that based on the basis of symptomatic treatment. The areas of surrounding needling group for acupuncture were selected according to the localization by CT and needles were inserted in the scalp around the selected areas, the areas of scalp acupuncture group were selected according to the front slash of top (motor area) and the rear slash of top(sensory area) needles were inserted in the scalp along the slash. Both groups have 180-200 times frequency of twisting per minute, twisting for 2 minutes after had the sense of needle, needles retained for 30 minetes,there was a twisting during needles retention for about 1 minute. Per day for a time of treatment,5 days was a course of treatment. Between courses of treatment for 2 days off.2 courses were over.Compared two groups pre-treatment and post-treatment, Self-comparisons with the various indexes including:Treatment of Stroke Evaluation Standards, Neurological Deficit Score(NDS), Activities of Daily Living rating scale(ADL), Hematoma and Edema volume, CT Value, Tumor Necrosis Factor a(TNF-a) and Interleukin-6(IL-6) and the Main Symptom Scale. All results were analyzed by SPSS 13.0.Results1. The total efficacy:In 40 cases of Surrounding Needling group 7 cases(17.5%) were cured,24 cases(60%) were well effective,8 cases (20%) were effective,1 case (2.5%) was no effective, the total effective rate was 97.5%; in 40 cases of Scalp Acupuncture group,3 cases (7.5%) were cured,20 cases(50%) well effective,9 cases (22.5%) effective,8 cases(20%) were no effective,total effective rate was 80%. The effect of them were tested,there are significant differences(P<0.05);The total effective rates of them, there is a significant difference(P<0.05).The rusult showed that Surrounding Needling group has better effect than Scalp Acupuncture group. 2. Absorption of the hematoma and edema, CT value:Compared the two groups with the various indexes of after treatment, there are significant differences (P<0.05);Self-comparisons with the various indexes of the two groups pre-treatment and post-treatment, there are significant differences (P<0.05). Statistically showed that both of groups can increase the absorption of hematoma and edema volume and decrease CT Value, and Surrounding Needling group has better effect than Scalp Acupuncture group.3. Neurological Deficit Score(NDS), Activities of Daily Living scale(ADL), the Clinical Efficacy of standard stroke score:Compared the two groups with the various indexes of after treatment, there are significant differences(P<0.05);Self-comparisons with the various indexes of the two groups pre-treatment and post-treatment, there are significant differences (P<0.05). Statistically showed that both of groups can increase the scores of ADL, decrease scores of the NDS and the Clinical Efficacy of standard stroke score, and Surrounding Needling group has better effect than Scalp Acupuncture group.4. Tumor Necrosis Factor a(TNF-a) and Interleukin-6(IL-6):Compared the two groups with the various indexes of after treatment, there are significant differences(P<0.05),Self-comparisons with the various indexes of the two groups pre-treatment and post-treatment, there are significant differences (P<0.05). Statistically showed that both of groups can decrease scores of TNF-a and IL-6, and Surrounding Needling group has better effect than Scalp Acupuncture group.5. Main Symptoms:Compared the two groups with the various values of the Main Symptom Scale after treatment,there are not significant differences (except for individual symptoms) (P>0.05);Self-comparisons with the various indexes of the two groups pre-treatment and post-treatment, there are significant differences (P<0.05).Statistically significant showed that both of groups can promotion and improvement the Scores of the Main Symptoms, there are not significant differences between them after treatment. It may be related to the small sample size or symptom rating is not precise classification as numerical grade.Conclusion1. Surrounding Needling based on CT location group and Traditional Scalp Acupuncture group can all speed up the absorption of hematoma and edema volume, decrease CT Value and Neurological Deficit Score and the Clinical Efficacy of standard stroke score and TNF-a and IL-6 levels, improve the Activities of Daily Living score, promotion and improvement the Scores of the Main Symptoms.Both of the two methods of treatment for cerebral hemorrhage have clinical effect.2. Surrounding Needling group has better effect than Traditional Scalp Acupuncture group.3. Surrounding Needling based on CT location is easy and convenient and effective, easy implemented, with clinical feasibility and broad prospect for clinical application.