Font Size: a A A

Under After Acupuncture Improvement Aneurism Arachnoidea Cavity Hemorrhage Blood Vessel Of Brain Jing Luan Clinical

Posted on:2015-06-28Degree:MasterType:Thesis
Country:ChinaCandidate:Y C XieFull Text:PDF
GTID:2284330467461312Subject:Acupuncture and Massage
Abstract/Summary:PDF Full Text Request
Objective: Through studying the acupuncture point stimulation, play to dredgecollaterals, through adjusting the role of God, to investigate the therapeutic effect ofacupuncture on cerebral vascular spasm, which provides theoretical basis for the.Methods:Strict inclusion criteria,40patients met the inclusion criteria of cerebralvasospasm after aneurysmal subarachnoid hemorrhage, using random number table methodwith the machine is divided into an acupuncture group of20cases,20cases in the controlgroup, nimodipine.Treatment group used dredge collaterals, activate Tiaoshen treatment,the main point to take the7points Baihui, Yintang, mainly with Fengchi, also includepeople, Jianyu, Quchi, Yanglingquan; Acupoints selection of treatment based on syndromedifferentiation according to the clinical manifestations. Patients in the control group weregiven western medicine diagnosis, to observe the curative effect of nimodipine. Thetreatment group in the selected main points and acupoints of the acupuncture treatment atthe same time, once a day,2weeks treatment.The control group treated with nimodipine10mg, q12h, pump, prevention and treatment of cerebral vasospasm, improvemicrocirculation,2weeks treatment.After a predetermined time after treatment, therelevant examination to determine the clinical effect:1by observing the patient’s ownfeeling and the doctor’s examination of clinical symptoms, the clinical efficacy evaluation;2using transcranial Doppler (TCD) reflect the hemodynamic parameters in patients andcompared with each other;The3control group and treatment group respectively, andpostoperative lumbar puncture measurement of intracranial pressure, intracranial pressurechanges between the two groups;4hospital until3months after discharge of two groupswere Glasgow prognostic score.Results:1.in the treatment group6cases are clinical cured, markedly effective rate (30%);11cases effective, efficient (55%);3cases ineffective, inefficient (15%); the total effective17cases, total effective rate (85%). The control group clinical effective in2cases, markedlyeffective rate (10%);8cases effective, efficient (40%);10cases ineffective, inefficient(50%), the total effective,10cases, total effective rate (50%). Statistically, there wassignificant difference between two groups p<0.05), the treatment group was better thancontrol group.2.Before and after treatment of blood flow velocity measurement, measuring changesin index values and the values of the intracranial pressure was statistically significant (P <0.05), and can improve the prognosis of the patients in treatment group were significantly more than index determination, changes in the control group.Conclusion:1.acupuncture point stimulation can relieve cerebral vasospasm caused by headache,dizziness, nausea, vomiting and other symptoms;2.acupuncture stimulation on patients with cerebral vasospasm intracranial artery canbe improved, the intracranial arteries;3. This effect is considerable, reasonable, simple operation, low cost, the risk rate islow, it is worthy of clinical promotion.
Keywords/Search Tags:Acupuncture, Nimodipine, Cerebral vasospasm, Lumbarpuncture, Transcranial Doppler
PDF Full Text Request
Related items