世界针灸学会联合会

会员登录

XingNaoJing Acupoint-injection at Fengchi for Pseudobulbar Paralysis Caused by Ischemic Stroke and its Effect on TXB2 and 6-keto-PGF1a:a Randomized Controlled Pilot Study

2018/05/03 13:40
本站原创
370
<p style="text-align: center;">CHEN Yinghua&nbsp;</p><p style="text-align: center;">(Department of Acupuncture and Moxibustion, First Affiliated Hospital of Heilongjiang University of Chinese Medicine ,Harbin, People’s Republic of China)</p><p style="text-align: justify;"><strong>Abstract</strong>:&nbsp;<strong> Objective</strong>: Pseudobulbar paralysis caused by ischemic stroke (PBP-IS)should be an urgent problem to be solved among the diseases of the nervous system. So far, modern medicine has not find an effective way to tackle this problem. Several studies suggest acupoint-injection may be applied to the treatment of pseudobulbar paralysis(PBP).However, current evidence is not enough to prove its efficacy. Therefore,this pilot study was desgined to certificate the feasibility and&nbsp; validity&nbsp; of&nbsp; Xingnaojing&nbsp; acupoint-injection&nbsp; at&nbsp; (XNJ-AI)&nbsp; Fengchi(GB20)&nbsp; for&nbsp; treatment&nbsp; of pseudobulbar paralysis caused by ischemic stroke (PBP-IS).&nbsp; Methods: This study was an assessorblinded ,two-parallel-group, randomized controlled trial. Participants with (PBP-IS) was recruited and randomly divided into two groups .Participants in the controll group received the oral aspirin (one&nbsp; 100mg&nbsp; tablet&nbsp; once&nbsp; a&nbsp; day&nbsp; for&nbsp; two&nbsp; weeks)&nbsp; .In&nbsp; addition&nbsp; to&nbsp; the&nbsp; oral&nbsp; aspirin&nbsp; ,patients&nbsp; in&nbsp; the treatment group received Xingnaojing acupoint-injection(XNJ-AI) at Fengchi (GB20) (once a day for&nbsp; two&nbsp; weeks).Measures&nbsp; was&nbsp; taken&nbsp; before&nbsp; and&nbsp; after&nbsp; treatments.&nbsp; The&nbsp; primary&nbsp; outcome&nbsp; was assessed by the Kubota water experiment. The secondary outcome was to measure the TXB2and 6-keto-PGF1a.&nbsp; <strong>Results</strong>:&nbsp; We&nbsp; observed&nbsp; a&nbsp; significantly&nbsp; greater&nbsp; improvement&nbsp; in&nbsp; swallowing function(P&lt;0.05),and an obvious drop in the TXB2 values(P&lt;0.05) with a remarkable rise in the 6-keto-PGF1a values(P&lt;0.05).<strong>Conclusion</strong>: XNJ-AI at GB20 may improve the patients’ swallowing function and balance the TXB2and 6-keto-PGF1a.</p><p><strong>Key&nbsp; words</strong>:&nbsp; Acupuncture&nbsp; and&nbsp; moxibustion,&nbsp; Xingnaojing,&nbsp; Acupoint-injection,&nbsp; Pseudobulbar paralysis, Swallowing function, TXB2,6-keto-PGF1a</p><p><br/></p>