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TCD下取穴治疗脑供血不足66例临床研究朱飞奇 张海燕 田有勇


  [摘  要]  目的:研究在tcd下电针取穴治疗脑供血不足的疗效。方法:66例脑供血不足的病人依据tcd分为脑前循环组、脑后循环组和混合循环组,针对不同的系统供血不足,选择不同的穴位,并与20例口服尼莫地平组比较。结果:(1)电针对脑前循环组、脑后循环组和混合循环供血不足引起的头晕,在改善程度上有显著的疗效,并且明显优于尼莫地平组;(2)电针对视物旋转和偏瘫等伴随症状亦有很好的疗效,在改善耳鸣方面明显优于尼莫地平组。结论:电针可以用于各种因素导致的头晕,并对伴随症状有好的疗效。

  [主题词]  脑缺血/针灸疗法;电针;脑超声描记术

  clinical study on electroacupuncture of tcd-guided acupoint s election for treatment of 66 cases with insufficiency of cerebral blood supply

  zhu feiqi, zhang haiyan, tian youyong(shiyan city people‘s hospital, hubei 442000, china)

  [abstract]  purpose  to study on the therapeutic effect of electro acupuncture of transcranial doppler‘s method(tcd)-guided acupoint selection on insufficiency of cerebral blood supply. methods  66 cases were divid ed into 3 groups, the front cerebral circulation group, the back cerebral circul at ion group and the mixed group. different acupoints were selected for treatment of  different groups, and twenty cases were treated with oral administration of nimo dipine as control group. results  (1)the 3 electroacupuncture groups  had significant therapeutic effects in improvement of dizziness induced by the cerebral ischemia, which were superior to that of nimodipine; (2)electroacupunct ure  had a very good therapeutic effects on vertigo, hemiplegia and other accompanied symptoms, and was superior to nimodipine group in improvement of tinnitus. conclusion  electroacupuncture can be applied to treat dizziness induced  by various factors, and has a very good therapeutic effect on accompanied sympto ms.

  [key words]  cerebral ischemia/acup ther; electroacupuncture; echo encephalography

  笔者自1998~2001年观察了在tcd(经颅多普勒)指导下电针根据不同的系统供血不足选取不同的穴位治疗66例脑供血不足的病人,并与口服尼莫地平治疗20例的疗效进行比较。

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