上海针灸杂志2024，Vol.43Issue(12)：1296-1301,6.DOI:10.13460/j.issn.1005-0957.2024.12.1296
十二井穴放血联合通腑化痰汤灌肠治疗出血性卒中急性期意识障碍的疗效观察
Therapeutic observation of bloodletting at the twelve Jing-well points plus enema with Tong Fu Hua Tan decoction in treating consciousness disorders in the acute stage of hemorrhagic stroke
摘要
Abstract
Objective To observe the clinical efficacy of bloodletting at the twelve Jing-well points plus enema with Tong Fu Hua Tan decoction in treating consciousness disorders in the acute stage of hemorrhagic stroke.Method Eighty patients with consciousness disorders in the acute stage of hemorrhagic stroke were allocated to a control group and an observation group according to the random number table method,with 40 cases in each group.The control group was treated with enema with Tong Fu Hua Tan decoction,and the observation group additionally received bloodletting at the twelve Jing-well points.Before and after the treatment,the two groups were observed for changes in the Glasgow coma scale(GCS)score,National Institutes of Health stroke scale(NIHSS)score,modified Rankin scale(mRS)score,cerebral hematoma volume,cerebrovascular hemodynamic indicators(mean blood flow velocity,peripheral vascular resistance,and dynamic resistance),and serum levels of interleukin-1β(IL-1β)and tumor necrosis factor(TNF-α).The clinical efficacy was compared between the two groups.Result The observation group had a higher total effective rate than the control group(P＜0.05).After the treatment,both groups showed increases in the GCS score and mean cerebrovascular blood flow velocity(P＜0.05)and decreases in the NIHSS score,cerebral hematoma volume,peripheral vascular resistance,dynamic resistance,and serum levels of IL-1β and TNF-α(P＜0.05).After the intervention,the GCS score and mean cerebrovascular blood flow velocity were higher in the observation group compared to the control group(P＜0.05),and the NIHSS score,mRS score,cerebral hematoma volume,peripheral vascular resistance,dynamic resistance,and serum levels of IL-1β and TNF-α were lower in the observation group(P＜0.05).Conclusion Compared to using enema with Tong Fu Hua Tan decoction alone,its combination with bloodletting at the twelve Jing-well points can produce more significant clinical efficacy in treating consciousness disorders in the acute stage of hemorrhagic stroke;this integrated method can better improve cerebral blood flow,promote the recovery of the patient's consciousness and nervous function,and inhibit inflammatory responses.关键词
放血疗法/针药并用/卒中/脑出血/意识障碍Key words
Bloodletting therapy/Acupuncture medication combined/Stroke/Cerebral hemorrhage/Consciousness disorders分类
医药卫生引用本文复制引用
康井宝,邬合旭,袁雄..十二井穴放血联合通腑化痰汤灌肠治疗出血性卒中急性期意识障碍的疗效观察[J].上海针灸杂志,2024,43(12):1296-1301,6.基金项目
秦皇岛市科学技术研究项目(202301A021) （202301A021）
