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題名 | 電針對腦中風手術後顱內壓與經絡電阻之影響=The Effects of Electroacupuncture on Intracranial Pressure and the Meridian Electric Resistance after Cerebral Hemorrhage Operation |
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作者 | 高宗桂; 林昭庚; 謝慶良; 張永賢; 張家昇; 周德陽; | 書刊名 | 中國醫藥科學雜誌 |
卷期 | 1:3 2000.09[民89.09] |
頁次 | 頁157-166 |
分類號 | 413.91 |
關鍵詞 | 電針; 醒神開竅法; 顱內壓; 良導絡; Electroacupuncture; Xing shen kai qiao; Intracranial pressure; Ryodoraku; |
語文 | 中文(Chinese) |
中文摘要 | 處理急性腦血管意外以減低顱內壓、增加腦部血液灌流量來減少急性 期腦細胞之傷害,這些都是有利於日後生理功能之恢復。今日的科技已可直接測 量顱內壓及腦部灌流壓之情況來評估治療效果,也可藉由經絡電阻診察儀來測量 十二經絡代表穴的電流以幫助了解針刺前後人體體能的變化。因此,本研究利用 顱內壓及皮膚電阻之變化來評估醒神開竅法針刺對腦實質內出血型中風術後的 影響。本研究篩選30位腦實質內出血形腦中風手術後24小時患者,皆於手術房 中裝置顱內壓、中央靜脈壓、動脈導管的測定儀器後,以醒腦開竅法刺人中穴、 雙側內關穴、雙側三陰叉穴並附加電針。我們於針刺前後測量顱內壓、昏迷指數、 中央靜脈壓、心跳、血壓以及十二經絡良導點皮膚電阻之變化。 結果顯示針刺可以降低顱內壓及明顯減低十二經絡良導點的電阻,血比容與 血小板濃度皆下降,對於昏迷指數雖在統計上有提高之趨勢,臨床症狀並無立即 改善的變化。我們的結論是醒神開竅法針刺可以降低腦實質內出血型中風患者術 後的顱內壓及十二經絡良導點的電阻,由此推測醒腦開竅法針刺有利於腦中風患 者的恢復。 |
英文摘要 | The contemporary medical treatments of cerebral vascular accident (CVA) often focus on reducing the cranial pressure to increase the cerebral perfusion pressure in order to decrease further cerebral injury. Using an intra-cranial pressure monitor and hemodynamic parameters, cerebral perfusion can be evaluated, and by using Ryodoraku, electric current can be estimated. These medical facilities can be used to investigate cerebral pressure and perfusion change during acupuncture treatment, so as to understand the physiological changes and evaluate the treatment efficacy. For the purposes of the study, 30 CVA patients who had undergone surgical removal of crania hematocele were selected from our Intensive Care Unit. All subjects received continuous respiratory, cardiac and blood pressure monitoring. Intracranial pressure and central vein pressure were also measured continuously. Xing Shen Kai Qiao acupoints, such as Gv26, Pc6 (both) and Sp6 (both) were punctured by 30 needles. Data were obtained pre- and post-treatment by electroacupuncture 30 minutes. In addition, the electric resistance of the 12 electro-permable points that presented by Dr. Nakatani et. al. in 1950, were measured before and after the treatment. Treatment was given once a day in 3 concessive days. All data were present in mean ± MSE and evaluated by paired student's t- test, the P value <0.05 is statistic significance. This study showed that intracranil pressure and central vein pressure were decreased. Both hematocrit and concentration of platelet were decreased too. These coordinate with the increase of Glasgow Coma Scale and hemodynamics in statistics. The ryodoraku value of electro-permable points after acupuncture was elevated. It means suspect that electroacupuncture on some special acupoints has the effects to improve general weakness after cerebral hemorrhage operation. |
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