通窍活血汤加味联合耳穴放血疗法治疗脑外伤综合征临床研究
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R742

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嘉兴市科技计划项目(公益类)(2017BY18038)


Clinical Study on Modified Tongqiao Huoxue Tang Combined with Auricular Point Bloodletting Therapy for Post-Traumatic Brain Syndrome
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    摘要:

    目的:观察通窍活血汤加味联合耳穴放血疗法治疗脑外伤综合征(PTBS) 的临床疗效。方法:选取60 例血瘀证PTBS 患者,按随机数字表法分为治疗组和对照组各30 例。对照组给予常规西药治疗,治疗组给予通窍活血汤加味联合耳穴放血疗法治疗,2 组均治疗2 周。比较2 组临床疗效及头痛或头晕缓解、消失时间,观察2 组血流动力学指标的改善情况。结果:治疗组总有效率为83.33%,高于对照组的60.00%,差异有统计学意义(P<0.05)。治疗后,治疗组头痛或头晕缓解及消失时间均短于对照组,差异均有统计学意义(P<0.05)。治疗第7 天,2 组全血高切黏度、全血低切黏度、血浆黏度水平均较治疗前降低(P<0.05),治疗组上述血流动力学指标均比对照组降低更明显(P<0.05)。治疗第14 天,2 组全血高切黏度、全血低切黏度、血浆黏度水平均较治疗第7 天降低(P<0.05);组间比较,差异均有统计学意义(P<0.05)。结论:通窍活血汤加味联合耳穴放血疗法治疗PTBS,可明显减轻患者的头痛或头晕症状,改善血流动力学指标。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of modified Tongqiao Huoxue tang combined with auricular point bloodletting therapy on post-traumatic brain syndrome(PTBS). Methods:A total of 60 PTBS patients with blood stagnation syndrome were divided into the treatment group and the control group according to the random number table method, 30 cases in each group. The control group was given conventional western medicine treatment, and the treatment group was given Tongqiao Huoxue tang combined with auricular point bloodletting therapy. Both groups were treated for two weeks. The clinical effect, relief and disappearance time of headache or dizziness were compared between the two groups, and the improvement of hemodynamic indexes was observed. Results:The total effective rate was 83.33% in the treatment group, higher than that of 60.00% in the control group, the difference being significant(P<0.05). After treatment, the relief and disappearance time of headache or dizziness in the treatment group was shorter than that in the control group, differences being significant(P<0.05). On the seventh day of treatment, the levels of whole blood high shear viscosity, whole blood low shear viscosity and plasma viscosity in both groups were decreased when compared with those before treatment(P<0.05), and the levels of the above hemodynamic indexes in the treatment group were decreased more significantly than those in the control group(P<0.05). On the fourteenth day of treatment,the above hemodynamic levels in both groups were decreased when compared with those on the seven day of treatment(P<0.05),the differences between the two groups being significant(P<0.05). Conclusion: The therapy of modified Tongqiao Huoxue tang combined with auricular point bloodletting therapy for PTBS patients,can significantly reduce headache or dizziness of patients and improve hemodynamic indexes.

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魏绪旺,朱平,孙长忠,刘鹏鹏,陈碧益,杨秀芹.通窍活血汤加味联合耳穴放血疗法治疗脑外伤综合征临床研究[J].新中医,2021,53(3):21-24

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  • 在线发布日期: 2021-02-03
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