摘要
Objective： To research the clinical curative effect and explore the mechanism of penetrating of scalp-point on acute hypertensive intracerebral hemorrhage （ICH）. Methods： 66 patients were randomly divided into two groups： one is the scalp-point therapeutic group, the other is the western medicine group. The two groups were all treated by dehydration, etc. In addition, there are 20 normal people to be set as the healthy group. To select the nervous functional deficit mark, activity of daily living （ADL） form, the amount S-100B protein as indexes and analysis the results. Results： the recordings indicate the patients＇ Serum S-100B protein are related with nervous functional deficiency mark. After 28 days, the recovery of patients＇ nervous function of scalp acupuncture group was obviously superior to that of control group （P〈0.05）. Conclusions： The results suggested that the patients＇ Serum S-100B had positive correlation with nervous functional deficit; The penetrating of scalp-point had the better regulatory effect on the level of Serum S-100B, and could improve the nervous functional deficit and ADL, so as to improve the coordination and compensation function and the general nervous function between cortical functional areas
目的:探讨头穴透刺治疗急性高血压性脑出血的临床疗效及相关机理。方法:将66例急性高血压性脑出血患者随机分为针刺组和西药组,另设健康正常组20例。两组均采用西药常规治疗,针刺组加用头穴透刺,对两组患者的神经功能缺损程度、S100B 蛋白等指标进行相关分析及疗效判定。结果:患者神经功能缺损程度与 S100B 蛋白指标呈较显著的正相关,治疗28 d 后,上述指标的调节,针刺组均优于西药组(P<0.05)。结论:血清S100B 蛋白与神经功能缺损程度存在较高的相关性;头穴透刺对患者血清 S100B 蛋白的含量具有艮性调节作用,对患者的神经功能缺损程度和日常生活活动能力具有改善作用,从而改善皮层功能区之间的协调代偿机能及全身神经功能。
