The Study Of Scalp Treatment Of Qi And Blood Stasis Clinical Observation Of Ischemic Stroke

1 The objects Acupuncture has been an important means of rehabilitation of stroke, its effect certainly, especially for the rehabilitation of neurological deficit, such as limb movement, swallowing, language pronunciation, etc. are promoted, and the treatment of earlier and better treatment. Reported in the literature suggested acupuncture treatment for stroke and other cerebrovascular diseases have achieved some effect, but in clinical applications, acupuncture treatment for stroke is still a lack of systematic research. How to improve the efficacy, shorten the course of treatment, and better services for stroke patients. In recent years, numerous case reports that the head and body acupuncture treatment of ischemic stroke with a good clinical effect, in order to further validate the clinical efficacy of treatment and provide the basis for the clinical, the proposed treatment of head and body acupuncture qi deficiency and blood stasis ischemic A randomized controlled study of stroke.2 The methods Selected 60 cases met the diagnostic patients signed informed consent under the premise of the control method of random stratified, divided into treatment group and control group, treatment group received electroacupuncture combined with Ti head acupuncture treatment, the control group were treated with Dan Chun Electric Acupuncture. Department of Neurology, two groups Junan conventional treatment, Lowering the intracranial pressure to maintain nutrition and to maintain water and electrolyte balance and acid-base balance, symptomatic treatment and divided, and actively deal with complications. Acupuncture point selection scheme:acupoints program is as follows:(1) scalp acupoints:According to "scalp acupuncture points were standardized international program," acupoints, take the opposite lower limb and trunk paralysis before the slash on top of temporal 1/5, upper limb paralysis before taking a slash in the contralateral temporal top 2/5, top contralateral temporal facial paralysis before the slash to take the next 2/5; lower limbs and trunk numbness, paresthesia, after taking a slash on the contralateral temporal top 1/5, upper limb numbness, paresthesia, after taking a slash in the contralateral temporal top 2/5, abnormal facial sensation after taking a slash under the contralateral temporal top 2/5. (2) body acupuncture point(?):with hand, foot and Meridian, supplemented by the sun and the Shaoyang Meridian:the main point:upper extremity:shoulder skeleton, song pool, hand three years, foreign relations, gu; lower extremity:ring dance Yanglingquan, Zusanli, Xie River, Kunlun. Points for:Speech negative, water choking with Yamen, Lian Quan, Tong Lane; mouth askew distribution to warehouse through buccal car; skin is not benevolent, with the affected area of skin Needle; urine and feces disorders (incontinence, urinary retention, etc.) with the p(?)le, curved bone, GuanYuan; elbow Spasm with Magarisawa; knee Spasm with Ququan; foot inversion with hanging bell, according to the sea through Qiu Hui; foot eversion with the letters, too River; foot drop with solution stream. EA:EA EA with G-6805 instrument, voltage 6V, frequency of 200-250 times/min, a major hole in the scalp acupuncture areas electricity, use dense wave. Body needle in song pool, three years for a group of hand, foot three years, Yanglingquan, as a group, on the positive side, lower side is negative, use density waves, muscle strength in patients with mild and tolerable for the degree of tic, left needle 30min.1 day,10 times as a treatment, a total of three courses of acupuncture were observed after the results.3 The results (1) The first body electric for ischemic stroke rate in patients with neurologic impairment and efficacy Before treatment, two groups of nerve function deficit points by statistically not significant (P>0.05), After treatment, neurologic impairment score and treatment were significantly different (P<0.01), note by treatment of neurologic impairment groups had improved remarkably. Between the two groups after treatment showed that the treatment group and control group points prompted by the statistical significant difference (P<0.05). After (?) courses of treatment, the treatment group the basic recovery rate, efficiency and total effective rate was higher, by Radit analysis, the two groups for improving the efficacy of nerve function deficit was significantly different, p<0.05, prompt treatment group treatment is better than the control group treatment. Prompt treatment of head and body acupuncture qi deficiency and blood stasis type of ischemic stroke better than simple body acupuncture treatment group.(2) The first body of electroacupuncture on patients with ischemic stroke clinical medicine The combination of the first acupuncture treatment acupuncture treatment after3, according to Chinese medicine score, treatment group, total effective rate was 96.67%, with clinical cure rate was 23.33%, effective rate is 50% effective rate was 23.33%; by simple body acupuncture treatment of 3 courses in the control group, clinical cure rate was 13.33%, effective rate is 43.33% effective rate was 36.67%; note of national unity based medicine assessment criteria, the treatment group, clinical cure rates were significantly higher, and statistically significant, treatment group was higher than the total effective efficiency, but no statistical significance, p>0.05.(3) The first body of EA on ischemic stroke patients hemorheology The control group after treatment, the value of the indices of blood has been reduced compared with before treatment, a significant statistical difference (P<0.05), and with plasma viscosity, hematocrit, erythrocyte aggregation index change was significant difference significance (P<0.01); treatment group the indices of blood values are decreased after the treatment, a significant difference was significant (P<0.05), and to high shear whole blood viscosity, plasma viscosity degree, hematocrit, erythrocyte aggregation index were very significant difference was significant (P<0.01). Two groups before and after treatment compared hemorheology indexes margin, compared with the control group and treatment group in the whole blood high shear viscosity, plasma Zhanduo has obvious improved, the difference was significant statistical significance (P<0.05), the rest showed no significant statistical difference.4 The conclusions(1) The treatment of head and body acupuncture combined with blood stasis type of ischemic stroke with good clinical efficacy, patients can significantly improve neurologic impairment, neurological deficit scores according to standards in the basic recovery rate and the total efficiency to significantly better than that of body acupuncture treatment group. According to TCM symptom score, clinical cure rates better than simple body acupuncture treatment group, but there was no significant difference in efficiency;(2) The treatment of head and body acupuncture combined with blood stasis type of ischemic stroke by improving blood rheology, blood of stroke patients can improve the high viscosity state;(3) The treatment of head and body acupuncture qi deficiency and blood stasis type of ischemic stroke with good clinical efficacy, is worthy of promotion, and further study.