针刺配合通心络胶囊治疗高血压脑出血的临床研究

目的 探讨针刺配合通心络胶囊治疗高血压脑出血的临床疗效. 方法 120例患者随机分为3组,即常规西医治疗组40例,针刺治疗组40例及针刺配合通心络胶囊治疗组40例.针刺治疗组在常规西医治疗的基础上加用针刺治疗,针刺配合通心络胶囊组在上述治疗的基础上加用通心络胶囊,1个月后评价临床疗效. 结果 治疗后3组神经功能缺损程度评分均较治疗前显著降低（P＜0.01）,3组间比较存在显著性差异（P＜0.01）,针刺配合通心络组降低最显著；治疗后3组愈显率分别为：22.5％,52.5％及70％,3组间存在显著性差异（P＜0.01）,针刺配合通心络组愈显率最高,治疗后3组总有效率分别为60％,95％及97.5％,针刺组和针刺配合通心络组均较常规组显著增高（P＜0.01）,但两者间无差异（P＞0.05）；治疗后3组日常生活活动Barthel （BI）计分均较治疗前显著增加（P.＜0.01）,3组间比较存在显著性差异（P＜0.01）,针刺配合通心络组增加最显著. 结论 针刺能改善神经功能缺损程度评分,提高日常生活活动质量,能减轻脑出血患者的生活依赖性,针刺配合通心络胶囊治疗后作用更显著.

Clinical research of acupuncture combined with Tongxinluo capsule in the treatment of hypertensive intracerebral hemorrhage

Objective To explore the clinical efficacy of acupuncture combined with Tongxinluo capsule in the treatment of hypertensive in- traeerebral hemorrhage on clinical nerve function deficit score and Barthel index of activities of daily living. Methods 120 patients using digital random table method were randomly divided into three groups, conventional medicine group （40 cases）,acupuncture group （40eases） and acupuncture combined with Tongxinluo capsule group （40 cases）. The acupuncture group treated with acupuncture beside conventional medicine group and Tongxinluo capsule was added in acupuncture combined with Tongxinluo capsule group. Clinical efficacy was evaluated after one month. Results The nerve function deficit score of three groups were significantly reduced after treatment （P〈0.01） and there were significantly differences in the three groups （P〈0.01）. acupuncture combined with Tongxinluo capsule group reduced most.; The markedly effective rate was as follows： 22.5%, 52.5% and 70%, respectively among the three groups. There were significantly differences in the three groups （P〈0.01）. acupuncture combined with Tongxinluo capsule group was highest. The total effective rate was 60%,95% and 97.5%, The acupuncture group and acupuncture combined with Tongxinluo cap- sule group were significantly higher than the conventional medicine group （P〈0.01）, but no difference between the two groups. The Barthel index of activities of daily living were significantly increased after treatment （P〈0.01）, and there were significantly differences in the three groups （P〈0.01）. acupuncture combined with Tongxinluo capsule group increased most. Conclusion Acupuncture can improve the neurological deficit score, improve the quality of activities of daily living, reduce the life dependence of patients with cerebral hemorrhage and the action is more significant with Tongxinluo capsule.