中药保留灌肠和刺络放血联合常规疗法干预高血压脑出血急性期术后高热效果分析  

Effect Analysis of Chinese Herbal Retention Enema and Collateral Bloodletting Combined with Routine Therapy Intervening Hyperpyrexia in Postoperative Patients with Hypertensive Intracerebral Hemorrhage in Acute Stage

作　　者：何梦玲 宁海莉 叶夏燕 HE Mengling;NING Haili;YE Xiayan

机构地区：[1]丽水市人民医院,浙江丽水323000

出　　处：《新中医》2020年第10期135-138,共4页New Chinese Medicine

摘　　要：目的:观察在综合医护措施的基础上给予中药保留灌肠和刺络放血疗法干预高血压脑出血(HICH)急性期术后高热的效果。方法:将90例HICH急性期术后高热患者随机分成观察组和对照组各45例。2组均给予常规内科治疗、高热对症措施和常规护理措施,观察组加用中药保留灌肠和刺络放血疗法。疗程持续到患者体温降到38.5℃以下,且维持24 h。护理人员每4 h测量一次体温,记录退热起效时间、完全退热时间和体温反弹情况;治疗前后评定格拉斯哥昏迷评分量表(GCS)评分和美国国立卫生研究院卒中量表(NIHSS)评分。结果:观察组退热起效时间和完全退热时间均较对照组缩短(P<0.01)。观察组体温反弹率为15.56%,低于对照组的35.56%,组间比较,差异有统计学意义(P<0.05)。2组GCS评分均较治疗前升高(P<0.01),NIHSS评分较治疗前下降(P<0.01);观察组GCS评分高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。结论:在综合内科治疗、高热对症措施和常规护理措施的基础上给予中药保留灌肠和刺络放血疗法干预HICH急性期术后高热患者,可缩短退热时间,促进体温下降,减少体温反弹,并具有促醒和减轻神经功能缺损的效果。Objective:To observe the effect of Chinese herbal retention enema and collateral bloodletting therapy based on comprehensive medical nursing measures in intervening hyperpyrexia in postoperative patients with hypertensive intracerebral hemorrhage(HICH) in acute stage. Methods:Divided 90 cases of patients with hyperpyrexia after operation for HICH in acute stage into the observation group and the control group randomly,45 cases in each group. Both groups received routine internal medicine treatment, symptomatic treatment of hyperpyrexia and routine nursing measures, while the observation group additionally received Chinese herbal retention enema and collateral bloodletting therapy. The course lasted till the body temperatures of patients were decreased below 38.5 ℃ and maintained for 24 hours. The nursing staffs measured body temperature every 4 hour and recorded the onset time of defervescence,the time of complete defervescence and the condition of temperature rebounding;evaluated the scores of Glasgow Coma Scale(GCS) and National Institutes of Health Stroke Scale(NIHSS) before and after treatment. Results: The onset time of defervescence and the time of complete defervescence in the observation group were quicker than those in the control group(P<0.01). The rate of temperature rebounding was 15.56% in the observation group,being lower than 35.56% in the control group,difference being significant(P<0.05). The scores of GCS in both groups were higher than those before treatment(P<0.01),and the scores of NIHSS were lower than those before treatment(P<0.01);the scores of GCS in the observation group were higher than those in the control group(P<0.05),and the scores of NIHSS were lower than those in the control group(P<0.05). Conclusion:Based on comprehensive internal medicine treatment,symptomatic treatment of hyperpyrexia and routine nursing measures,Chinese herbal retention enema and collateral bloodletting therapy is applied for intervening patients with hyperpyrexia after operation for HICH in acute stage. It

关 键 词：高血压 脑出血 高热 中西医结合疗法 中药保留灌肠 刺络放血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]