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研究

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。

Clinical Study of Bowels-unblocking and Toxin-purging Therapy Combined with Acupuncture for Patients of Post-stroke Consciousness Disturbance with Phlegm-heat Stagnation in Fu-organs

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 c...