活血化瘀法联合穴位按摩在重型颅脑外伤中的应用  

Application of Activating Blood and Transforming Stasis Method Combined with Acupoint Massage in Severe Craniocerebral Trauma

作　　者：廖新艺[1] 刘卉[1] 潘雅琼[1] LIAO Xinyi;LIU Hui;PAN Yaqiong(Department of Neurosurgery,Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院神经外科,江西赣州341000

出　　处：《中国中医药现代远程教育》2024年第24期144-146,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划项目[No.2022B238]。

摘　　要：目的探究活血化瘀法联合穴位按摩在重型颅脑外伤中的应用效果。方法选取2020年2月—2022年2月于赣州市人民医院就诊的重型颅脑外伤患者68例,采用随机数字表法分为观察组、参考组,各34例。两组均行改良标准大骨瓣开颅手术,术后参考组给予常规干预,观察组在其基础上给予活血化瘀法联合穴位按摩干预,对比两组治疗效果,治疗前后中医证候积分及内毒素(LPS)、肿瘤坏死因子-α(TNF-α)水平。结果观察组治疗总有效率为97.06%(33/34),高于参考组的82.35%(28/34)(P<0.05)。治疗后,观察组活动不利、意识恍惚、感觉异常、舌㖞语謇积分与LPS、TNF-α水平均低于参考组(P<0.05)。结论活血化瘀法联合穴位按摩治疗重型颅脑外伤临床效果确切,对改善患者临床症状并降低LPS、TNF-α水平具有重要意义。Objective To explore the effect of activating blood and transforming stasis method combined with acupoint massage in se⁃vere craniocerebral trauma.Methods A total of 68 patients with severe craniocerebral trauma admitted to Ganzhou People’s Hospital from February 2020 to February 2022 were selected as observation objects and included into observation group and control group by random number table method,with 34 cases in each group.Modified standard craniotomy with large bone flap was performed in both groups.The control group was given routine intervention after surgery,and the observation group was given activating blood and trans⁃forming stasis method combined with acupoint massage on the basis of the control group.The therapeutic effect and the contents of TCM syndrome scores,plasma endotoxin(LPS)and tumor necrosis factor-α(TNF-α)before and after treatment were compared be⁃tween the two groups.Results The total effective rate of observation group was 97.06%(33/34),which was higher than that of control group(82.35%,28/34)(P<0.05).After treatment,the score of unfavorable activity,unconscious consciousness,abnormal sensation and tongue paralysis,LPS and TNF-αcontent in observation group were relatively lower than that in reference group(P<0.05).Conclu⁃sion The method of activating blood and transforming stasis method combined with acupoint massage is effective in the treatment of se⁃vere craniocerebral trauma,which is of great significance for improving the clinical symptoms of patients and reducing the levels of LPS and TNF-α.

关 键 词：脑病 重型颅脑外伤 活血化瘀法 穴位按摩疗法 中医综合疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]