足阳明胃经补泻同用法在急性脑出血的临床观察

Clinical observation on treating acute cerebral hemorrhage in TCM

目的:观察足阳明胃经补泻同用法对急性脑出血的临床疗效。方法:使用随机平行对照方法将100例住院患者按就诊顺序号法简单随机分为两组。在我院脑病科、重症监护室、急诊科观察穴位放血法治疗急性脑出血的临床疗效,治疗组在常规西医治疗基础上,患者取卧位,常规皮肤消毒后,患侧解溪、内庭穴放血,医生用左手固定点刺部位,右手持三棱针用点刺法直刺3~5mm,快进快出,采用反复交替挤压的方法,每穴挤出血液7~10滴。同时加用足三里隔姜灸,病情较重者双侧均用,病情较轻者可酌情减少穴位。1次/d,隔日1次,3次为一个疗程。对照组采用常规西医治疗。观察患者治疗前后神经功能缺损积分、血肿吸收率、中医症状体征严重程度积分、合并电解质情况、合并肺部感染指标的改变,评价治疗(14±2)d、(21±3)d的情况。结果:治疗组在神经功能缺损积分、血肿吸收率、中医症状体征严重程度积分、合并电解质情况、合并肺部感染、合并便秘等指标的改善明显优于对照组(P<0.05)。结论:足阳明胃经补泻同用法能明显减轻急性脑出血症状,值得推广。

Objective： To observe the clinical efcacy of the Buxie therapy on the Zuyangming Weijing on acute cerebral hemorrhage. Methods： 100 cases were randomly divided into two groups according to the sequence number method by using the randomized parallel control method. The clinical efcacy of the Xuewei Fangxue therapy on acute cerebral hemorrhage were observed in neurology, ICU and emergency department. The control group was given conventional western. The treatment group was given acupuncture, bloodletting and moxibustion more. The NIHSS, hematoma absorption rate, TCM symptom severity scores, electrolyte circumstances and pulmonary infection were observed. The situation of after （14±2） days and （21±3） days were evaluated. Results： The improvement of NIHSS, hematoma absorption rate, TCM symptom severity scores, electrolyte circumstances, pulmonary infection and astriction in the treatment group was obviously better than the control group （P〈0.05）. Conclusion： The Buxie therapy on the Zuyangming Weijing can signifcantly reduce the symptoms of acute cerebral hemorrhage, and is worth popularizing.