針刺對出血性中風術後腦內壓的研究

張家昇
中國醫藥學
中醫針刺對急性期腦血管疾病之治療效果常有所爭議，而現代醫學治療其方向皆為希望減低腦壓、增加腦部血液灌流，以期減少急性期腦細胞之傷害，而獲得日後病患功能之最大保留和恢復，現在科技進展已可直接測量腦內壓，利用此些設備並配合血壓、中心靜脈壓等可以偵測針刺時腦之腦壓及同時之血流變化，以瞭解針刺對急性腦血管疾病生理影響和療效。

篩選60例出血型腦中風的患者作為研究對象，經手術24小時後按隨機分組法分為實驗組、對照組各30例，所有研究對象均在加護病房（ICU）例行的呼吸、心跳、血壓等監視器監視下進行，並持續測定腦內壓、中央靜脈壓，針刺前均予以測量利用經顱杜朴勒超音波測腦血流圖當做基本值，實驗組針刺：人中，雙側內關，三陰交；對照組：不予針刺， 但用0.3cm圓形貼布貼住穴位。兩組皆在施術前後測量上述各參數值(1)，實驗組並加電針維持針感，30分鐘後再測各參數值(2)，另外使用中谷義雄於1950年發表，且經相關學者沿用迄今的十二個良導點為測量位置，左右側共廿四個電透點。在針刺前後記錄各良導點電流值，統計分析腦出血手術患者在針刺前後其十二經絡皮膚電阻變化之狀況(3)。

以上病人針刺每日一次，連續三日，每次留針30分鐘。將所測參數值與基本值以SPSS電腦軟體統計，將每組數據以平均值+-標準差表示，然後用Student-t test及變異數分析計算其P值，若P<0.05則認為有統計學上之義意，以此來評估研究針刺對腦內壓及腦血流的影響。

關鍵字：電針、腦內壓

Studies of the effectiveness of electroacupuncture on intracranial pressure after Cerebral hemorrhage operation

Chia-Sheng Chang
College Hospital China Medical College
The efficacy of Acupuncture for CVA is always argumentative. The contemporary medical treatments are often concentrated on reducing the cerebral pressure and increasing the cerebral circulation, in order to decrease further cerebral injury. Therefore, hopefully most of the motor and sensory functions can be maintained and also shorten the recovery period. Nowadays medical technologies can be used to measure cerebral pressure. Cerebral circulation can be monitored and therefore, the effectiveness of the treatment can be evaluated. These medical facilities can be used to investigate cerebral pressure and circulation during acupuncture treatment, in order to understand the physiological changes and evaluate the treatment efficacy. 

60 CVA subjects were selected for this study. Random selection method was used to group 60 patients evenly into treatment group and control group. All subjects were under respiratory, cardiac and blood pressure monitoring at the ICU. Cerebral pressure an
關鍵字：electroacupuncture, intracranial pressure