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STUDY_2

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STUDY_2

    STUDY

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    ;18?WorldJ.Acup-Mox.Vo1.11,No.4,December,2001 ;STUDYoNSCALPELECTRoACUPUNCTURETREATMENToF ;APoPLEXYANDITSINFLUENCEoNHEMoRHEoLoGYIN ;ISCHEMICAPoPLEXYPATIENTS

    ;LiYingkun(李应昆)ChenXujun(陈旭军)

    ;AcupunctureDepartmentofTheAffiliatedHospitaltoChengduUniversityo

    fTCM,610075

    ;ABSTRACT.

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;iv;.

    ;es:Tocomparethetherapeuticeffectofscalp-electroacupuncturewiththatofconventional

    ;bodyacupunctureforapoplexy(windstroke)andtoobservetheinfluenceofbothacupuncturetherapiesonhemorheo1.

    ;ogyofischemicapoplexy.Methods:183patients,whosediseasesareattributedtoapoplexyaccordingtothediagnos

    ;ticcriteria,arerandomlydividedintotreatmentgroup(93cases)andcontrolgroup(90cases)andtreatedrespective.

    ;1ywithscalp-electroacupunctureandconventionalbodyacupuncture.11itemsofhemorheologyofpatients’bloodsam.

    ;piesaretestedwithNXE

    1Viscometerwhicharetakenintheearlymorningbeforeandaftertreatmentunderfasting

    ;scalp-electroacupunctureandconventionalbodyacupunctureexerttherapeuticeffectfor

    ;apoplexy,buttheeffectofscalp-electroacupunctureisobviouslybetterthanthatofconventionalacupuncturefP<

    ;0.O5);bothtreatmentgroupandcontrolgrouparestatisticallysignificantinreducingplasmaviscosity,highshearre.

    ;ducedviscosity,lowshearreducedviscosity,erythrocytesedimentationrate,hematocritandfibrinogen,(P<0.01

    ;and0.05);whilethetreatmentgroupisstatisticallysignificantinreducingwholebloodviscosity.ratioofwholeblood

    ;viscosity,erythrocyteindexofrigidityandelectrophoresistimeoferythrocyte(P<0.01;0.05),butthecontrol

    ;groupisnotsignificantstatisticallyininfluencingtheseindexes(P>0.05). ;KEYWORDSScalp-electroacupunctureConventionalbodyacupunctureTherapeuticeffectIschemic

    ;apoplexyBloodrheology

    ;Inordertocomparethetherapeuticeffect

    ;ofscalpelectroacupuncturewiththatofconven

    ;tionalbodyacupunctureforapoplexyandtheir

    ;influenceonhemorheologyofischemieapoplexy

    ;theauthorshavetreatedandobserved183Da.

    ;tients,followingisthereport:

    ;lCLINICALINFoRMATIoN

    ;Theapoplexypatients,whohavebeendi

    ;agnosedwithbothtraditionalChinesemedicine

    ;andWesternmedicineaccordingtotheTreat

    ;mentEssentialsofCerebralVascularDiseasesas.

    ;tablishedatthe2ndNationalCerebralDiseases

    ;AcademicConventionofChinaMediealAssocia.

    ;tion.andbythecriteriaofinternalmedicinefor.

    ;mulatedbyChinaNationalTraditionalChinese ;MedieineAssociation,havebeenincludedinthe ;studyastheobservedobjects,includingthose ;withapoplexyinvolvingthemeridiansandcollat

    ;erals,andinvolvingzang-fuorganswhoseacute ;stageofthediseaseisoverandmentaJstatebe. ;comesnorma1.Patientswithseverecardiac.pu1. ;ThisstudyisfinancedbykeyresearchfundofSichuanProvincialAdministrati

    onofTraditiona1ChineseMedicine.

    ;andithasbeenrewardedthe3rdSciencetechnologyProgressPrizeoftheProvincia1AdministrationofTraditional ;Chinesemedicine

    ;

    ;WorldJ.Acup-Mox.Vo1.11,No.4,December,2001?19? ;monary,hepaticandrenalfunctionalfailure,ex

    ;tremedepletionofthewholebody,subarachnoid ;hemorrageandthosewhicharenottheindica

    ;tionsofacupunctureareexcludedinthepresent ;study.

    ;Treatmentgroup:93casesconsistingof65 ;malesand28females,aged56;72years,of

    ;whom49withleftcerebralinjury,44withright

    ;cerebralinjury,33hemorrhagicapoplexyand60 ;ischemicapoplexy;40patientsbeingintheacute ;stageofthedisease,47intheconvalescentstage ;and6insequelastage.

    ;Controlgroup:90casesincluding59males ;and31females,aged54;73years,ofwhom44

    ;withleftcerebralinjury,46rightcerebralin

    ;jury,30hemorrhagictype,and60ischemic ;type;37patientsbeingintheacutestageofthe ;disease,43intheconvalescentstage,and10in ;sequelastage.

    ;Thesex,age,affectedarea,durationand ;natureofthediseaseofthetwogroupsareof ;comparability(P>0.05).

    ;2METHoDS

    ;2.1Comparisonoftherapeuticeffectbetween ;thetwogroups

    ;(1)Treatmentgroup:Electroacupuncture ;isappliedinthisgroup,andthescalppointsare

    ;choseninaccordancewiththeInternational ;StandardizationofScalpAcupuncture ;DingnieQianxianxian(MS6)andDingnie

;Houxiexian(MS7)areused.Bothscalppoints

    ;oftheoppositesideoftheparalysislimbsare ;needledwith1.5cur/stainlessneedles(0.32 ;mmindiameter)whichareinsertedswiftlyinto ;thescalppointat15.withthescalpandtothe ;subgaleallayer.Alongeachline(scalppoint)3

    ;needlesareinsertedrespectivelyinto3spotsto ;coverthewholeline,i.e.the3spotsarethein

    ;tersectingpointsofthetreatmentlineandGov

    ;ernorVesse1.DingpangxianI(MS8)andDing

    ;pangxianII(MS9)separately.Intreatmentthe ;neediesarelifted.thrustandrotatedslightlyaf

    ;tergainingneedlingsensationsandthenconnect

    ;edtoaWQ102ElectroacupunctureTherapeutic ;Apparatus(manufacturedbyBeijingHaidian ;E1ectronicMedicalInstrumentFactory)for ;stimulatingscalp.-pointswithdense?-sparse ;waves,6V,frequencyof200;300pulses/rain

    ;anddurationof30min.Theintensityofthe ;electricalstimulationissettothelimitationof ;patient’stolerance.Thetreatmentisperformed

    ;oncedaily,continuouslyfor6days,followedby

;oneday’srest,thenthenext6successivedays’

    ;treatment.andthetotaltreatmentconsistsof30 ;sessions.

    ;(2)Controlgroup:Conventionalbody ;acupunctureisappliedwithpointsofFoot

    ;YangmingandHandYangmingMeridiansas

    ;theprincipalpointsandthoseofTaiyang ;MeridiansandShaoyangMeridiansastheauxil

    ;iarypoints.i.e.Pointgroup1:Fengchi(GB ;20),Jianyu(LI15),Quehi(LI11),Hegu(LI ;4),Shousanli(LI10)andYanglingquan(GB ;34);Pointgroup2:Biguan(ST31),Fengshi ;(GB31),Waiguan(TE5),Juegu(GB39), ;Zusanli(ST36)andQiuxu(GB40).

    ;Theabove..mentionedacupointsontheaf.- ;fectsideareneedled,withoneacupointgroup ;usedineachsessionandwiththetwogroupsam

    ;ployedalternately.Theacupunctureneedlesare ;manipulatedwithuniformreducingandreinforc

    ;ingmethodandretainedfor30minutesafterthe ;arrivalofqi(Deqi).Thetreatmentisconducted ;oncedailyandcontinuouslyfor6sessions,lot

;lowedbyoneday’srest.thenthenext6succes—

    ;

    ;?

    ;20?WorldJ.Acup-Mox.Vo1.11,No.4,December,2001 ;sivedays’treatment,andthetotaltreatment

    ;consistsof30sessions.

    ;2.Indexesofhemorheology

    ;11itemsofindexesofhemorheology:plas

    ;mflviscosity(),Highsearrate(Hr),Low

    ;shearrate(Lr)ofwholebloodviscosity(), ;ratioofwholebloodviscosity(RWBV),high ;shearreducedviscosity(HSRV),lowshearre

    ;ducedviscosity(LSRV),erythrocyteindexof ;rigidity(EIR),redcellaggregationindex ;(RCAI),hematocrit(HCT),erythrocytesedi

    ;mentationrate(ESR),fibrinogen(Fg),and ;electrophoresistimeoferythrocyte(ETE)ofthe ;bloodsamplesaredetectedwithNXE——1Vis

    ;cometer.Thebloodsamplesofapoplexypatients ;arecollectedintheearlymorningbeforeandaf

    ;tertreatmentwhenthestomachisempty. ;RESUL

    ;3.1Comparisonbetweentwogroupsinthe ;therapeuticeffect

    ;Thetherapeuticeffectisevaluatedinaccor

    ;dancewiththestandardsformulatedbyTaianA. ;cademicSymposium.After30sessionsoftreat

    ;ment,bothscalpelectroacupunctureandbody

    ;acupunctureareofremarkableeffectinpromot

    ;ingtherehabilitationofapoplexy(P<0.05), ;andthetherapeuticeffectofthetreatmentgroup ;isbetterthanthatofcontrolgroup(P<0.05). ;(Table1).

    ;Table1.Compari~nbetweenTreatmentGroupandControlGroupintheThera

    peuticEffect

    ;3.2Effectofacupunctureonhemorheologyof ;ischemicapoplexy

    ;(1)Changesofbloodrheologyafterscalp

    ;electroacupuncturetreatment

    ;Afterscalpelectroacupuncturetreatment,

    ;allthe11indexesofhemorheologyin35

    ;apoplexypatientsoftreatmentgrouphaveobvi

    ;OUSchangesincomparisonwithpretreatment

    ;(Table2).

    ;Table2.ChangesofHemorheoiogyafter ;TreatmentinTreatmentGroup(?s)

    ;

    ;WorldJ.Acup-Mox.Vo1.11,No.4,December,2001 ;(2)Changesofbloodrheologyaftercon

    ;ventionalbodyacupuncture

    ;Followingbodyacupuncturetreatment,on

    ;lysixindexesincludingplasmaviscosity,high ;shearreducedviscosity,lowshearreducedvis

    ;cosity,erythrocytesedimentationrate,hemat

    ;ocritandfibrinogenin32patientsofcontrol ;grouphaveapparentchangesincomparisonwith ;pretreatment(Table3).

    ;Table3.ChangesofBloodRheologyafterConventionalBody

    ;AcupunctureinControlgroup(X?S)

    ;4DISCUSSION

    ;4.1Themainclinicalmanifestationsofwind ;strokeareflaccidityandmotorimpairmentof ;limbs.Inaccordancewiththetheoryoftradi

    ;tionalChinesemedicine,itisoftencausedby ;malnutritionofmeridiansandblockageofmerid

    ;iansandcollateralsinducedbyqistagnationand

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