摘要
目的:观察通腑泄毒法加针刺治疗痰热腑实型脑卒中意识障碍的临床疗效。方法:将90例脑卒中意识障碍患者随机分为3组各30例。对照组给予基础治疗及相应对症处理(包括控制脑水肿、稳定血压、维持水电解质平衡、控制感染、控制血糖)等西医常规治疗,中西药组加用通腑泄毒剂加减治疗,针灸中西药组在中西药组基础上加用人中、丰隆针刺治疗。疗程均为2周。治疗前后行格拉斯哥-庇斯布赫昏迷分度表(G-Pcs)评分及临床神经功能缺损评分,并检测血清β-内啡肽(β-EP)。结果:治疗后3组G-Pcs评分和临床神经功能缺损评分均有改善且血清β-EP明显降低(P<0.05,P<0.01);与对照组治疗后比较,中西药组、针灸中西药组改善更明显(P<0.05,P<0.01);而针灸中西药组G-Pcs评分改善及降低血清β-EP均优于中西药组(P<0.05)。结论:通腑泄毒法加针刺治疗痰热腑实型脑卒中意识障碍在改善G-Pcs和临床神经功能缺损评分及降低血清β-EP方面疗效优于中西药或西药基础治疗。
Objective. To observe the effect of the therapy of unblocking bowels and purging toxin combined with acupuncture for treatment of post-stroke consciousness disturbance with the syndrome of phlegm-heat stagnation in fu-organs. Methods： Ninety qualified cases were equally randomized into three groups. The control group received routine western medical treatment including controlling cerebral edema, stabilizing blood pressure, maintaining water-electrolyte balance, and controlling inflammation and blood glucose. The combined medicine group received the therapy of unblocking bowels and purging toxin on the basis of treatment for the control group, and the acupuncture combined medicine group received acupuncture of Renzhong and Fenglong acupoints on the basis of treatment for the combined medicine group. The treatment course lasted two weeks. Before and after treatment, the Glasgow-Pittsburgh coma scale （G-Pcs）score and clinical neurological deficit score were observed, and serum β-endorphin （16-EP） level was examined. Results： The differences of the G-Pcs score, the clinical neurological deficit score and serum β -endorphin were significant in the three groups before and after treatment （P 〈 0.05 or P 〈 0.01）. The improvement of the G-Pcs score and the clinical neurological deficit score, and the decrease of serum β -endorphin in combined medicine group and acupuncture combined medicine group were remarkable than those in the control group （P 〈 0.05 or P 〈 0.01）. The improvement of the G-Pcs score and the decrease of serum β-endorphin in acupuncture combined medicine group were superior to those in combined medicine group （P 〈 0.05）. Conclusion： The therapy of unblocking bowels and purging toxin combined with acupuncture has better effect on improving G-Pcs score and clinical neurological deficit score and on decreasing serum β-endorphin in post-stroke consciousness disturbance patients with the syndrome of phlegm-heat stagnation in fu-organs.
出处
《新中医》
CAS
北大核心
2011年第5期14-16,共3页
New Chinese Medicine
关键词
脑卒中
意识障碍
痰热腑实
中医疗法
针灸疗法
通腑泄毒法
针刺
Post-stroke Consciousness Disturbance
Bowels-unblocking and Toxin-purging Therapy
Acupuncture- Moxibustion Therapy
Phlegm-heat Stagnation in Fu-organs Syndrome
