十二井穴点刺放血配合中药熏药治疗中风偏瘫患肢水肿临床研究——定稿.docVIP

十二井穴点刺放血配合中药熏药治疗中风偏瘫患肢水肿临床研究 雷潇潇 王建春 董明凯 张学如 陈宏伟 （成都市新津县中医医院，四川 成都，610000） [摘 要] 目的：通过随机对照试验，探索十二井穴点刺放血配合中药熏药治疗中风偏瘫后患肢水肿的临床疗效。方法：将60例中风偏瘫后患肢水肿的病人随机分为治疗组和对照组，治疗组采用患肢十二井穴点刺放血，配合患肢中药熏药治疗（科室自拟经验方)，对照组采用口服西药氢氯噻嗪结合患肢气压治疗。结果：治疗组疗效显著优于对照组疗效（P＜0.05）。结论：十二井穴点刺放血配合患肢中药熏药治疗中风后偏瘫患肢水肿的疗效优于口服西药氢氯噻嗪结合患肢气压治疗，且副作用较对照组小，值得临床推广。 [关键词] 中风偏瘫后患者水肿；点刺放血；十二井穴；中药熏药；临床疗效 Clinical Research on Twelve Jing Acupoints Bloodletting Combined with Herbal Fumigation in Treatment of Affected Limb Edema in Apoplectic Hemiplegia LEI Xiao-xiao, WANG Jian-chun, DONG Ming-kai , ZHANG Xue-ru , CHEN Hong-wei (Chengdu Xinjin Country TCM Hospital , Chengdu , Sichuan 610000 ) Abstract Objective : Through randomized controlled trial , to explore the efficacy of twelve Jing acupoints bloodletting combined with herbal fumigation for affected limb edema in apoplectic hemiplegia. Methods: 60 cases of patients with affected limb edema in apoplectic hemiplegia were randomly divided into treatment group an control group ,the treatment group treated by twelve Jing acupoints bloodletting combined with herbal fumigation (self-made empirical formula by our department), while control group by orally taking hydrochlorothiazide combined with air pressure treatment on affected limb. Results: The curative effect of treatment group was significantly better than that of control group (P＜0.05) .Conclusion: The curative effect of twelve Jing acupoints bloodletting combined with herbal fumigation in treatment of affected limb edema in apoplectic hemiplegia is better than that of orally taking hydrochlorothiazide combined with air pressure treatment on affected limb, and has fewer side effects, deserves clinical promotion . Keywords edema after apoplectic hemiplegia , bloodletting; twelve Jing acupoints; herbal fumigation; efficacy 脑卒中（中风）引起的神经功能缺损常导致患者肢体运动功能障碍，患肢静脉回流受阻，继发营养代谢障碍，血管收缩功能失调，静脉回流速度减慢，管腔压力增大，液体滞留于组织间隙，其特征为偏瘫肢体末梢水肿明显［1］。偏瘫肢体水肿不仅影响康复训练，而且给患者造成很大心理负担。笔者自2013年7月——2014年6月，以患肢十二井穴点刺放血，配合患肢中药熏药治疗（科室自拟经验方）治疗病例30例，并与口服西药氢氯