电针加穴位注射治疗大脑后交通动脉瘤性动眼神经麻痹对照观察

发布时间：2018-03-28 10:15

本文选题：电针　切入点：水针　出处：《中国针灸》2008年04期

【摘要】：目的:探讨大脑后交通动脉瘤性动眼神经麻痹的最佳治疗方法。方法:将78例患者随机分为2组。针刺组穴取睛明、球后、承泣等;电针加穴位注射组在针刺组治疗的基础上加电针、腺苷钴胺局部穴位注射。2组患者经3个月治疗后进行疗效对比观察。结果:针刺组总有效率为41.7%,电针加穴位注射组总有效率为77.8%,2组疗效相比差异有非常显著性意义(P0.01)。电针加穴位注射组中脑瘤发病在2周之内手术的患者针刺疗效优于2周以上手术者(P0.01);术后1月之内针刺治疗者疗效优于1月以上针刺者(P0.01)。结论:电针加穴位注射是治疗大脑后交通动脉瘤所致动眼神经麻痹的有效方法且优于单纯针刺治疗,大脑后交通动脉瘤的及早诊断与手术、针刺及时的干预治疗都关系到动眼神经麻痹的预后。
[Abstract]:Objective: to explore the best treatment method of posterior communicating artery aneurysm oculomotor nerve palsy. Methods: 78 patients were randomly divided into two groups. Electroacupuncture plus acupoint injection group plus electroacupuncture on the basis of acupuncture group treatment, Results: the total effective rate of acupuncture group was 41.7, and the total effective rate of electroacupuncture plus acupoint injection group was 77.8 points injection group. The effect of acupuncture in patients with brain tumor in 2 weeks after operation was better than that in patients with operation of more than 2 weeks, and the curative effect of acupuncture in one month after operation was better than that in patients with acupuncture more than one month. Conclusion: electroacupuncture plus acupoint therapy is more effective than that of patients with acupuncture more than one month after operation. Injection is an effective method for the treatment of oculomotor nerve palsy caused by posterior communicating artery aneurysm and is superior to acupuncture alone. The early diagnosis and operation of posterior communicating aneurysm and the timely intervention of acupuncture are related to the prognosis of oculomotor palsy.
【作者单位】：北京天坛医院疼痛中心针灸科
【分类号】：R246

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