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[手部十二井穴放血穿刺联合中药洗剂熏蒸洗浴治疗脑卒中偏瘫患者患侧肢体水肿]

[Blood-letting puncture at 12 Jing-well points of the hand combined with fuming and washing with Chinese herb lotion for treatment of edema of the affected limb in patients of hemiplegia after stroke].

作者信息

Tan Chao-Jian, Li Jin-Xiang, Liu Zhi, Lou Bi-Dan

机构信息

Section of Acupuncture, The First Affiliated Hospital, Hunan University of TCM, Changsha 410007, China.

出版信息

Zhongguo Zhen Jiu. 2007 Dec;27(12):889-91.

Abstract

OBJECTIVE

To search for a therapy for edema of the affected limb in patients of hemiplegia after stroke.

METHODS

Eighty patients were randomly divided into a treatment group and a control group, 40 cases in each group. The treatment group were treated by blood-letting puncture at 12 Jing-well points of the hand combined with fuming and washing with herbal lotion, and the control group were treated by oral administration of diuretic. The therapeutic effect was observed after treatment for 10 days.

RESULTS

The total effective rate was 85.0% in the treatment group and 70.0% in the control group with a significant difference between the two groups (P < 0.05). The cumulative score of symptoms of edema, improvement of skin pitting, damp and cool sensation, the function of limbs and the total score in the treatment group were better than the control group (P < 0.05); the cumulative score of TCM syndrome after treatment, improvement of the symptoms of limb flaccid paralysis, shortness of breath, weakness, dark-pale tongue proper and the total cumulative score were better than the control group (P < 0.05).

CONCLUSION

Blood-letting puncture at 12 Jing-well points of the hand combined with fuming and washing with Chinese herbal lotion is effective for edema of the affected limb in patients of hemiplegia after stroke.

摘要

目的

探寻中风后偏瘫患者患侧肢体水肿的治疗方法。

方法

将80例患者随机分为治疗组和对照组,每组40例。治疗组采用手部十二井穴点刺放血结合中药洗剂熏洗治疗,对照组采用口服利尿剂治疗。治疗10天后观察疗效。

结果

治疗组总有效率为85.0%,对照组为70.0%,两组差异有统计学意义(P < 0.05)。治疗组水肿症状累计积分、皮肤凹陷改善情况、潮湿发凉感觉、肢体功能及总分均优于对照组(P < 0.05);治疗后中医证候累计积分、肢体瘫痿无力、气短乏力、舌淡暗等症状改善情况及总累计积分均优于对照组(P < 0.05)。

结论

手部十二井穴点刺放血结合中药洗剂熏洗治疗中风后偏瘫患者患侧肢体水肿疗效显著。

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