井穴放血和薏苡仁对创伤性脑梗死脑保护作用的比较研究  

Comparative study on the brain protection in patients of traumatic cerebral infarction treated with bloodletting at Jing-well points and semen coicis

作　　者：张民[1,2] 胡群亮[1] 程世翔[1] 涂悦[1] 张赛[1] 

机构地区：[1]武警后勤学院附属医院脑系科,天津300162 [2]天津中医药大学

出　　处：《中国针灸》2013年第9期779-783,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:30872668;天津市应用基础及前沿技术研究计划项目:12JCYBJC 18500;武警部队后勤科研项目:WJHQ 2012-20

摘　　要：目的:验证井穴放血与薏苡仁治疗创伤性脑梗死患者的疗效。方法:将90例患者随机分为井穴放血组、薏苡仁组及井穴放血加薏苡仁组(综合组),每组30例。3组患者均给予常规基础药物治疗,井穴放血组予三棱针十二井穴点刺放血,出血量为每穴3滴,每日3次;薏苡仁组用薏苡仁制剂,每日90g,经鼻饲或口服给药,每日3次;综合组予十二井穴处点刺放血及薏苡仁制剂治疗,方法同井穴放血组和薏苡仁组。治疗4周后,根据神经功能缺损(NDS)标准判定疗效,根据治疗前后Fugl-Meyer上、下肢功能评分评估病人患肢的活动能力。结果:各组患者治疗后FuglMeyer上、下肢功能评分均明显升高(P<0.01,P<0.05),井穴放血组和综合组较薏苡仁组升高更明显(均P<0.01),且综合组优于井穴放血组(均P<0.05)。井穴放血组、薏苡仁组及综合组神经功能缺损程度疗效总有效率分别为83.3%(25/30)、76.7%(23/30)和96.7%(29/30),综合组优于井穴放血组和薏苡仁组(均P<0.05),井穴放血组优于薏苡仁组(P<0.05)。结论:井穴放血及薏苡仁治疗创伤性脑梗死,均可明显减轻患者神经功能缺损,改善患肢活动能力,二者结合运用疗效更佳。Objective To verify the effect of bloodletting therapy at Jing-well points and semen coicis on pa- tients with traumatic cerebral infarction. Methods Ninety patients were randomized into a bloodletting therapy at Jing-well points group （bloodletting group）, a semen coicis group and a comprehensive therapy group, 30 cases in each one. The conventional basic medication was applied in all of the three groups. In the bloodletting group, the bloodletting therapy was done at twelve Jing-well points with three-edged needle, 3 drops of blood required at each one, three times a day. In the semen coicis group, the semen coicis preparation was applied via nasal feeding or oral administration, 90 g each day, three times a day. In the comprehensive therapy group,the bloodletting therapy at twelve Jing-well points and semen coicis preparation were used in combination and the methods were same as the above two groups. After 4 weeks of treatment, the efficacy was assessed with nerve function defectscale （NDS）. Fugl-Meyer scale of the upper and lower limb function was used to evaluate the motor function of the af- fected limbs of the patients before and after treatment. Results The scores of Fugl-Meyer scale of the upper and lower limb function were increased apparently after treatment in the patients of every group （P〈0.01, P〈0.05）. The score increase was much more obvious in the bloodletting group and the comprehensive therapy group as com- pared with the semen coicis group （all P〈0.01）. The result in the comprehensive therapy group was superior to the bloodletting group （all P〈0.05）. The total effective rates of NDS in the comprehensive therapy group, blood- letting group and semen coicis group were 96.7% （29/30）, 83.3% （25/30） and 76.7% （23/30） separately. The result in the comprehensive therapy group was higher apparently than those in the bloodletting group and semencoicis group separately （both P〈0.05）. The result in the bloodletting group was better than that in the semen coi-

关 键 词：创伤性脑梗死 放血疗法 穴 井(五输) 薏苡仁 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]