四川中医2026，Vol.44Issue(1)：70-75,6.DOI:10.26946/j.cnki.1000-3649.sczy.2509150007
井穴刺络放血治疗急性脑卒中的临床研究
Clinical study on the treatment of acute cerebral stroke by bloodletting acupuncture at Jing-well points
摘要
Abstract
Objective To investigate the clinical effect of bloodletting acupuncture at Jing-well points on patients with phlegm-heat syndrome of ischemic stroke.Methods According to the inclusion criteria,patients with ischemic stroke who came to Foshan Hospital of Traditional Chinese Medicine(TCM)from May 2023 to May 2024 and were admitted to the hospital with phlegm-heat syndrome based on TCM differentiation were selected as the study subjects.60 research subjects were randomly divided into a control group and a treatment group according to the random number table method,with 30 cases in each group.The control group received conventional treatment,and the treatment group was combined with bloodletting acpuncture at Jing-well points based on the treatment of the control group.The heart rate,systolic blood pressure,diastolic blood pressure,simplified Fugl-Meyer Motor Function Scale(FMA Scale),National Institutes of Health Stroke Scale(NIHSS)score,modified Rankin score(MRS Score),TCM syndrome score and clinical effective rate of the two groups were observed.Results In the inter-group comparison,the NIHSS scores after 3 days of treatment(treatment group 1.00 vs control group 2.50),the NIHSS scores after 5 days of treatment(treatment group 1.00 vs control group 2.50),and the MRS scores(treatment group 1.00 vs control group 2.00)were significantly lower than those of the control group.The systolic blood pressure after 5 days of treatment(treatment group 132.97±11.20 vs control group 125.37±9.02)and the FMA score(treatment group 36.00 vs control group 34.00)were higher than those of the control group,and the differences were statistically significant(P＜0.05).In the intra-group comparison,the systolic blood pressure,diastolic blood pressure,FMA score,NIHSS score,and MRS score levels of both groups after treatment were all improved compared to those before treatment(P＜0.05).The TCM syndrome scores of both groups were lower than before treatment(P＜0.05),and the reduction range of the treatment group was significantly better than that of the control group(P＜0.05).The clinical effective rate of the treatment group(93.30%)was significantly higher than that of the control group(76.70%),with a statistically significant difference(P＜0.05).Conclusion The treatment of phlegm-heat syndrome in patients with ischemic stroke with bloodletting acupuncture at Jing-well points has certain clinical efficacy and value,which can promote the recovery of motor ability,improve the TCM syndrome score and the quality of life patients.关键词
缺血性脑卒中/井穴刺络放血/痰热证/中医证候积分/运动能力Key words
Ischemic stroke/Bloodletting acupuncture at Jing-well points/Phlegm-heat syndrome/TCM syndrome score/Motor ability分类
医药卫生引用本文复制引用
雷俊娜,袁康,陈广美,邝敏华,彭嘉健,林宁欣,陈景利..井穴刺络放血治疗急性脑卒中的临床研究[J].四川中医,2026,44(1):70-75,6.基金项目
广东省中医药局(20251364) （20251364）
佛山市科技局项目(2220001005080). （2220001005080）
