CAJ | 학술논문

目的:探讨治疗神经外科术后病人偏瘫的最佳疗法.方法:将本病患者50例随机分为治疗组25例和对照组25例.对照组采用内科西药常规治疗,治疗组在对照组治疗基础上,术后3天加用针刺,取内关、水沟、曲池、合谷、三阴交、极泉、委中等穴,并合用头针,治疗30天(1次/日),以神经功能缺损评分进行治疗前后的功能评价.结果:采用针刺法能明显改善患者的神经功能缺损程度,治疗组总有效率为76.0%,对照组总有效率为42.4 %,经统计学处理(P<0.05),两组间差异有显著性意义.结论:治疗组疗效优于对照组.采用针刺配合西药治疗神经外科术后病人偏瘫有协同作用,疗效更好.
목적:탐토치료신경외과술후병인편탄적최가요법.방법:장본병환자50례수궤분위치료조25례화대조조25례.대조조채용내과서약상규치료,치료조재대조조치료기출상,술후3천가용침자,취내관、수구、곡지、합곡、삼음교、겁천、위중등혈,병합용두침,치료30천(1차/일),이신경공능결손평분진행치료전후적공능평개.결과:채용침자법능명현개선환자적신경공능결손정도,치료조총유효솔위76.0%,대조조총유효솔위42.4 %,경통계학처리(P<0.05),량조간차이유현저성의의.결론:치료조료효우우대조조.채용침자배합서약치료신경외과술후병인편탄유협동작용,료효경호.
Objective To probe into the optimum therapy for hemiplegia induced by neurosurgical operation. Methods 50 cases were randomized into treatment group (25 cases) and control group (25 cases). In control group, the routine western drugs in internal medicine were applied; in treatment group, on the basis of the treatment in control group, acupuncture was supplemented 3 days after the operation. Acupoints were Nèiguān (内关PC 6), Shuǐgōu (水沟GV26), Qūchí (曲池LI 11), Hégǔ (合谷LI 4), Sānyīnjiāo (三阴交SP 6), Jíquán (极泉HT 1), Wěizhōng (委中BL 40), etc. The scalp acupuncture was applied in combination. Such treatment was given for 30 days (once per day). The functional evaluation was conducted based on neurological functional defect scale (NDS) before and after treatment. Results Acupuncture improved remarkably NDS, the total effective rate was 76.0% in treatment group and was 42.4% in control group, indicating significant difference by statistical management (P<0.05). Conclusion The therapeutic effect in treatment group is superior to that in control group. The coordinative action is achieved in the combination of acupuncture with western medicine for hemiplegia after neurosurgical operation and the therapeutic effect is much improved.