实用临床医药杂志2025，Vol.29Issue(12)：91-94,99,5.DOI:10.7619/jcmp.20246531
针刺放血法联合通腑化痰汤对出血性中风患者意识恢复及脑电图的影响
Effects of acupuncture bloodletting combined with Tongfu Huatan Decoction on consciousness recovery and electroencephalogram in patients with hemorrhagic stroke
摘要
Abstract
Objective To explore the effects of acupuncture bloodletting combined with Tongfu Huatan Decoction on consciousness recovery time and electroencephalogram in patients with hemor-rhagic stroke.Methods A total of 100 patients with hemorrhagic stroke were randomly divided into control group and study group,with 50 patients in each group.The control group was treated with oral administration of Tongfu Huatan Decoction,while the study group received combined treatment of ac-upuncture bloodletting and Tongfu Huatan Decoction.Serological indicators[N-terminal pro-brain natri-uretic peptide(NT-proBNP),central nervous system-specific protein(S100β),aquaporin(AQP-1),and angiogenin 1(Ang-1)],consciousness disturbance scores[Glasgow Coma Scale(GCS),Full Out-line of Unresponsiveness(FOUR),and Coma Recovery Scale-revised(CRS-R)],electroencephalo-gram improvement,cerebral blood perfusion indicators[cerebral blood flow(CBF),cerebral blood volume(CBV)],consciousness recovery time,and the occurrence of adverse reactions and compli-cations were analyzed before and after treatment in both groups.Results Before treatment,there were no statistically significant differences in all indicators in two groups(P＞0.05).After treatment,the study group showed decreased levels of serum NT-proBNP,S100β,AQP-1,and Ang-1 in two groups,and showed significant differences between two groups(P＜0.05).The scores of GCS,FOUR,and CRS-R,as well as the levels of CBF and CBV increased in two groups,with more sig-nificant increase in the study group(P＜0.05).The improvement of electroencephalogram in the study group was significantly better,and the consciousness recovery time was shorter than that in the control group(P＜0.05).However,there were no statistically significant differences in adverse re-actions and complications between the two groups(P＞0.05).Conclusion Acupuncture bloodlet-ting combined with Tongfu Huatan Decoction can enhance cerebral function,reduce cerebral dam-age,and shorten consciousness recovery time in patients with hemorrhagic stroke.关键词
针刺放血法/通腑化痰汤/出血性中风/意识障碍/意识恢复/脑电图/血清学指标/不良反应Key words
acupuncture bloodletting/Tongfu Huatan Decoction/hemorrhagic stroke/con-sciousness disturbance/consciousness recovery/electroencephalogram/serological indicators/ad-verse reactions分类
医药卫生引用本文复制引用
秦鑫,袁雄,邬合旭,洪月光..针刺放血法联合通腑化痰汤对出血性中风患者意识恢复及脑电图的影响[J].实用临床医药杂志,2025,29(12):91-94,99,5.基金项目
河北省秦皇岛市科学技术研究与发展计划项目(202301A021) （202301A021）
