Spect-of Rcbf Observed The Immediate Effect Of Eye-acupuncture Treatment Of Stroke

Purpose:Pang eye-acupuncture therapy in our hospital is well-known Professor Peng Jingshan old Chinese medicine in 1973,invented a micro-needle therapy, more than 30 years,is widely used in clinical,especially for the efficacy of ischemic stroke significantly.In this study,patients with ischemic stroke in this study attempted to use ^99mTc-ECDSPECT cerebral perfusion imaging study of Pang's eye-acupuncture therapy in patients with ischemic stroke on local cerebral blood flow(rCBF) the impact of Pang's eyes to further explore the treatment of stroke,acupuncture mechanisms of disease.Material and method:Objective:Methods:Liaoning University of Traditional Chinese Medicine Affiliated Hospital,China Medical University Fourth Hospital from January 2008 to October 2008 during the Department of Neurology,in line with the traditional Chinese medicine diagnosis of stroke(in Meridian) acute phase,diagnosis of Western medicine atherosclerotic thrombosis in patients with cerebral infarction 8cases.Arrangements will be selected number of cases, recorded observation of the project,first SPECT examination,potassium chlorate have been fasting oral 400mg,to be closed choroid plexus,thyroid and nasal mucosa to reduce the reagent,the absorption and secretion;30 minutes after the intravenous ECD reagent(^99mTc-ECD),an immediate data collection,and record the results,in accordance with the principles of TCM syndrome differentiation, will be selected Syndromes cases,the specific sub-type as follows:Wind Fire Kang,heat-fu indeed,the wind resistance phlegm and blood stasis,qi deficiency and blood stasis,deficiency of five pneumatic type.Selection based on the principle of differentiation:the main points the needle eye:from the focal areas,areas under the coke.Eye with the needle point:Kang-based Canadian Wind Fire liver,kidney area,spleen;wind phlegm and blood stasis type resistance increases liver,spleen area;heat bowel real increase stomach area,the large intestine area;increase heart qi deficiency and blood stasis area,spleen; deficiency type pneumatic increase liver and kidney area.Patients were selected from different areas of the eye acupuncture points Shi eye,the patient in supine position from conventional disinfection,the use of outside the barbed law,and the skin was 10°-15°angle along the skin piercing points,the needle into the needle was left after the gas 20 minutes,no needles.When the needle to Spurs hand thumb and index finger pinch handle needle holders,gently rotate the needle after the slow 1/2,and then slowly the needle,Needle with a dry cotton ball immediately after the push pin should press 1 to 3 minutes.End of the needle eye operation,in accordance with the procedures before the line once again SPETC inspection,and record the results.Two imaging conditions are down in the same treatment,using visual and semi-quantitative analysis method to calculate the changes in rCBF before and after treatment,and by the statistical analysis of differences between the two.Results:1.Visual method:after treatment in patients with brain needle eye of the performance of eight regions for the uptake of radioactive distribution,and after treatment in patients with eye lesions needle Department of radioactive than the pre-treatment showed significant uptake of radioactive distribution.2.Semi-quantitative method:the needle eye in patients with cerebral blood flow after treatment the average faster than the needle eye before treatment was significantly increased;Needle eye before and after treatment in patients with regional cerebral blood flow compared with significant changes in the treatment of patients with eye needle in the brain after the eight regional cerebral blood flow ROI uptake ratios than those of the needle eye before treatment was significantly increased,and cerebral blood flow lesions Department ROI uptake ratios higher than in other regions the situation becomes even more evident.Conclusion:1.Eye-acupuncture therapy can be significantly improved in patients with ischemic stroke of the cerebral circulation.2.Eye-acupuncture therapy to improve cerebral blood supply may be to improve the mechanism of lesion penumbra around the blood supply organization.3.Eye-acupuncture therapy in the treatment of stroke patients and the existence of an immediate effect is effective.