目的 :观察中风后偏瘫肩痛患者中高脂血症的发生情况及针灸对其的影响。方法 :将90例患者随机分为单纯针灸组 (A组 )、针灸加中西药治疗组 (B组 )和单纯中西药治疗组 (C组 )

分别观察 3组的临床疗效及胆固醇 (TC)、甘油三酯 (TG)的变化。结果 :90例中

伴高脂血症者 67人

其中TC和TG增高者多见。三种疗法在对偏瘫肩痛取得疗效的同时

对异常血脂的调节也出现良好作用 (P <0 .0 1 )

而 3组间比较却无明显差异性 (P >0 .0 5)。结论 :直接参与中风后偏瘫肩痛治疗的针灸、中西药疗法

对机体内环境的调节存在着良性作用。Objective: To observe the effect of acupuncture an d moxibustion on blood lipid l evel in apoplectic hemiplegia patients with omalgia. Methods:9 0 cases of apople ctic hemiplegia patients with omalgia were randomly divided into simple acupunct ure (n=30)

acupuncture+medication (n=30) and simple medication (n=30) groups. M ain acupoints used were Shuigou(GV 26)

Neiguan (PC 6)

Tongli (HT 5)

Jiquan (HT 1)

Zusanli (ST 36)

Juegu (GB 39)

Sanyinjiao (SP 6) and Yongquan (KI 1) c o mbined with other acupoints.These acupoints were punctured once daily

wit h 5 days being a therapeutic course

4 courses altogether. Warm moxibustion was also applied to Zusanli (ST 36) and Guanyuan (CV 4) for deficiency-cold syndrome stroke patie nt s.Hua Tan Tong Luo Tang”(Decoction for Resolving Phlegm and Dredging Meridi an-c ollaterals) composed of Fuling (Poria 茯苓)

Banxia (Rhizoma Pinelliae 半夏)

etc. and Western medicines for pain-relief

lowering blood-lipid

etc. were used in medication and medication+acupuncture groups. Results: After t reatment

self-comp arison between pre- and post-treatment of each group showed that both plasma tot al cholesterol (TC) and triglyceride (TG) levels declined significantly (P<0.01)

but no significant differences among the 3 groups in TC and TG contents (P>0.0 5). The total effective rates for lowering blood lipid and improving clinical sy mptoms (including omalgia

etc) in acupuncture group

acupuncture+medication gr o up and medication group were 81.8%

78.3% and 81.8% respectively. Concl usion: Ac u-moxibustion and medication have a good therapeutic effect in relieving shoul der pain and lowering blood lipid in apoplectic hemiplegia patients.