刺络放血拔罐疗法治疗中暑临床研究

Clinical Study on Cupping Following Collateral Bloodletting for Heat Stroke

目的:观察刺络放血拔罐疗法治疗中暑的临床疗效。方法:选取603例中暑患者,根据入院时间分为对照组286例和观察组317例。对照组给予常规降温处理,观察组给予刺络放血拔罐疗法治疗。比较2组治愈率、不良反应发生率、心肌标志物水平、住院时间及住院费用。结果:观察组治愈率为87.07%,高于对照组的79.02%(P<0.05)。观察组未出现明显不良反应,对照组不良反应发生率为2.10%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组血清肌钙蛋白(cTnI)、肌酸激酶同工酶(CK-MB)水平均较治疗前降低(P<0.05),观察组血清cTnI、CK-MB水平均低于对照组(P<0.05)。结论:刺络放血拔罐疗法治疗中暑,可明显提升患者的治愈率,降低心肌标志物水平,安全有效。

Objective:To observe the clinical effect of cupping following collateral bloodletting for heat stroke.Methods:A total of 603 cases of patients with heat stroke were divided into the control group and the observation group,286 and317 cases in each group respectively.The control group was given routine treatment for decreasing body temperature,and the observation group was treated with cupping following collateral bloodletting.The cure rate,the incidence of adverse reactions,the myocardial markers levels,the hospitalization time and the hospitalization expenses in the two groups were compared.Results:The cure rate was 87.07% in the observation group,higher than that of 79.02% in the control group(P<0.05).There was no significant adverse reactions in the observation group,and the incidence of adverse reactions was 2.10% in the control group,the difference being significant(P<0.05).After treatment,the levels of cardiac troponin I(cTnI)and creatine kinase muscle-brain(CK-MB)in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of cTnI and CK-MB in serum in the observation group were lower than those in the control group(P<0.05).Conclusion:Cupping following collateral bloodletting for heat stroke can significantly improve the cure rate,decrease myocardial markers levels,which is safe and effective.