| Purpose:The cerebrovascular disease is a common clinical disease, frequently-occurring disease, its incidence, mortality and disability rate is very high, it is associated with malignant tumor, heart disease is the leading cause of death worldwide population of three diseases and various age group has the morbidity. The cerebral infarction accounted for about75%, within the scope of the world, with an incidence of150to200/100000of our country in recent years, statistics show that the cause of death, cerebral vascular disease in order to reside the second, and cerebral vascular disease has the young tendency, to serious harm to human health, to the family, society, nation a heavy burden. Cerebral ischemia neuronal injury once reached the irreversible stage, will be unable to repair, therefore, how to conduct a systematic, standardized treatment, as soon as possible to restore the defect, motor function, reduce the mortal ity and disabil ity rate, raise the whole people especially in the quality of life of the elderly has been the important research of ischemic cerebral vascular disease content. In traditional Chinese medicine, acupuncture and moxibustion for treatment of ischemic stroke has a long history, and has achieved satisfactory curative effect, gradually obtained the domestic and foreign medical profession recognized.The experiment in the mentor Li Jiakang under the guidance of the head body by Electroacupuncture plus Acupoint Injection in the treatment of ischemic stroke with conventional acupuncture treatment, in reference to the1995Fourth National Academic Conference on cerebrovascular disease by" stroke patients clinical neurologic impairment score standard"lsymptom quantification and classification standard of evaluation.Methods:1. Source of cases115cases of stroke patients from2010May to20110ctober in Hubei Provincial Traditional Chinese Medical Hospital inpatient or outpatient department of acupuncture and moxibustion. Were randomly divided into two groups, the treatment group of58people,57people in control group, treatment group with head acupuncture, body acupuncture, acupoint injection; the control group using a simple scalp acupuncture and body acupuncture; two groups of data by t test or inspection data, using the Ridti analysis, grade, gender, age, disease severity, process, as well as the degree of neural function defect score, statistically, there were no significant difference (P>0.05), comparable to.2The treatment methodsThe treatment group:electric acupuncture, body acupuncture combined with point injection. Points:1." China:selection of scalp acupuncture scalp acupuncture point is called international standardization program"lbefore slash the top temporal, parietal and temporal after slash (both limb contralateral) and the top line, bilateral top side line, during operation, patients in the sitting position, after routine disinfection, selection of global licensing0.35mm x40mm disposable acupuncture needle acupuncture needle, needle tip and skin forms a15degree angle fast penetration, in subgaleal and scalp penetration0.81inches to get gas, acupuncture, electroacupuncture in the limb contralateral to the temporal top front slash and temporal top after the slash, using continuous wave the current size, in patients under treatment for degrees,30minutes to remove the electric acupuncture, scalp acupuncture to stay4hours after taking needle. The acupuncture: take the limb ipsilateral shoulder Vera, binao, Quchi, hand in three, Waiguan, Hegu (double), biguan, futu, blood, Liangqiu, Zusanli (double), Lung Fung, Sanyinjiao (double), Taichong (double) and other points, choose the upper shoulder Vera and binao, Quchi and Guanzhong group, associated with lower extremity biguan and Zusanli acupuncture afford with electroacupuncture, current size to patients can endure, retaining30points. The acupuncture point injection:vitamin B121ml, in patients with Cervical Jiaji acupoint selection two, local disinfection, the vertical needle feed treated patients feel tingling pain and withdrawing without blood, slow injection of0.5ml liquid. Day treatment once,15times as a course.Control group:scalp acupuncture plus body acupuncture. Select one of the above points, only pure acupuncture, electroacupuncture and point injection without.3. Outcome measuresAfter1courses of treatment in two groups were observed before and after treatment in patients with clinical efficacy, the degree of neural function defect score changes and treatment of clinical efficacy and patient severity, course of disease and the relationship between, and observation of patients in two groups before and after treatment of blood lipid and blood rheology.Results:1. By comparing the two groups before and after treatment of nerve function defect score, that body with acupuncture and traditional acupuncture can improve the recovery of neurological function in stroke patients, compared between the two groups, through statistical analysis, two groups had significant difference with control group, the treatment group was significantly, indicating the treatment group on stroke in patients with nerve functional recovery and prognosis is better;2. Through the15treatment, the treatment group and the control group in comparison of head and body with acupuncture and traditional acupuncture can improve the ischemic stroke in patients with blood lipid indices, on triglyceride regulation is more obvious, among two groups of comparison in the regulation of blood lipid in the patients with the treatment group is superior to control group;3. Through the15treatment, two groups compare head body acupuncture and acupoint injection with traditional needling can all improve stroke patients blood rheology indexes, and whole blood viscosity change is more obvious, among two groups of comparison, through statistical analysis, have significant difference, the treatment group in improving stroke in patients with blood rheology indexes than the control group; 4. Treatment groups through a course of treatment, the curative effect and the duration of the disease, through statistical analysis, there was significant difference in efficacy, shorter, its therapeutic effect is more obvious, the prognosis is good, but not obvious, poor prognosis;5. Through a course of treatment, the two groups after treatment in the total efficiency of the statistical analysis, there is significant difference, the treatment group was significantly better than the control group,(P<0.01).Conclusion:This paper through the observation of head and body with acupuncture on ischemic stroke clinical efficacy, to look for the clinical treatment of some help, and discussed the effect of electroacupuncture and acupoint injection for treatment of ischemic stroke mechanism. The main topic of this observation results show that:1. Head of electroacupuncture combined with acupoint injection in the treatment of ischemic stroke outcome is certain;2. Head body acupuncture and acupoint injection with with traditional acupuncture on ischemic stroke in patients with neurological deficits are improved, and the adjustable patient serum lipid, blood rheology, but the treatment group was superior to control group;3. Head body with acupuncture and traditional acupuncture on ischemic stroke patients treated with disease duration, severity and other related factors have effect;4. Head body with acupuncture treatment of ischemic stroke has the advantages of simple operation, good treatment effect, is worth in the clinical promotion. |
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