CAJ | 학술논문

目的:观察针灸对多发性脑梗死患者大脑葡萄糖代谢的影响.方法:将16例多发性脑梗死患者随机分为治疗组与对照组各8例,对照组采用阿司匹林、圣通平、二甲双胍、格列吡嗪,予以抗血小板、降压、降糖等常规治疗;治疗组在对照组用药的基础上加用针灸治疗.两组均治疗14 d后用PET对脑内病灶数与葡萄糖代谢情况进行观察.结果:脑内葡萄糖代谢减低灶两组比较,差异有统计学意义(P<0.05),治疗组优于对照组.结论:针灸可以激活脑实质的葡萄糖代谢,补偿或协助受损的神经网络重建.
목적:관찰침구대다발성뇌경사환자대뇌포도당대사적영향.방법:장16례다발성뇌경사환자수궤분위치료조여대조조각8례,대조조채용아사필림、골통평、이갑쌍고、격렬필진,여이항혈소판、강압、강당등상규치료;치료조재대조조용약적기출상가용침구치료.량조균치료14 d후용PET대뇌내병조수여포도당대사정황진행관찰.결과:뇌내포도당대사감저조량조비교,차이유통계학의의(P<0.05),치료조우우대조조.결론:침구가이격활뇌실질적포도당대사,보상혹협조수손적신경망락중건.
Objective: To investigate the effects of acupuncture on the cerebral glucose metabolism of multiple cerebral in-farction patients. Methods: 16 patients with multiple cerebral infarction were randomly divided into two groups, 8 cases in each group; patients in the control group were treated by Aspirin, nifedipine GITS, diformin tablet and glipizide for an-tiplatelet, antihypertension and glucose-decreasing, and patients in the treatment group are treated with acupuncture as well as the same treatment of the control group. The glucose metabolism decreased lesion number in repeated stroke patients was ob-served after 14 days. Results: The difference of glucose metabolism decreased lesion number between the two groups was sig-nificant(P<0.05). Conclusion: Acupuncture might activate the cerebral area bilaterally and reconstruct its function.