劉榮輝教授治療高血壓性腦出血經(jīng)驗(yàn)總結(jié)
本文選題:腦出血 + 高血壓性; 參考:《遼寧中醫(yī)藥大學(xué)》2017年碩士論文
【摘要】:目的:觀察早期針灸治療高血壓性腦出血患者的臨床療效,對(duì)劉榮輝老師對(duì)高血壓性腦出血的認(rèn)知和治療思路進(jìn)行總結(jié),突出早期針灸的優(yōu)勢(shì)之處。材料與方法:收集遼寧中醫(yī)2015年2月至2016年2月共46例基底節(jié)部位出血,并符合手術(shù)條件行顱內(nèi)血腫早期微創(chuàng)定向穿刺抽吸引流術(shù)的高血壓性腦出血患者。隨機(jī)分為兩組,治療組及對(duì)照組各23例。兩組患者均發(fā)病24小時(shí)內(nèi)行微創(chuàng)定向抽吸引流治療,術(shù)后復(fù)查頭部CT殘留血量≤5ml,腦室形態(tài)恢復(fù)。常規(guī)給予止血、控制血壓、營(yíng)養(yǎng)神經(jīng)、預(yù)防感染、使用中醫(yī)湯劑等治療基礎(chǔ)上,對(duì)照組術(shù)后2周進(jìn)行針灸,實(shí)驗(yàn)組術(shù)后3天內(nèi)進(jìn)行針灸,2周為一療程。觀察患者的肌力評(píng)級(jí)改變情況來(lái)評(píng)價(jià)早期針灸對(duì)于高血壓腦出患者的治療效果。利用SPSS17.0進(jìn)行數(shù)據(jù)統(tǒng)計(jì)。結(jié)果:兩組治療有效,且早期針灸實(shí)驗(yàn)組的肌力評(píng)級(jí)恢復(fù)的程度大于對(duì)照組。結(jié)論:早期針灸治療高血壓性腦出血有明顯療效。
[Abstract]:Objective: To observe the clinical effect of early acupuncture and moxibustion on hypertensive intracerebral hemorrhage, summarize the cognition and treatment of hypertensive cerebral hemorrhage by Liu Ronghui, and highlight the advantages of early acupuncture and moxibustion. Materials and methods: 46 cases of basal ganglia hemorrhage in Liaoning from February 2015 to February 2016 were collected and conformed to the operating conditions. The patients with hypertensive intracerebral hemorrhage were divided into two groups, the treatment group and the control group were 23 cases. The two groups were treated with minimally invasive aspiration and drainage in 24 hours. After the operation, the residual blood volume of the head CT was less than 5ml and the cerebral ventricle form was restored. The routine hemostatic, blood pressure control and nutrition God were given. On the basis of prevention of infection, on the basis of the treatment of decoction of traditional Chinese medicine, acupuncture and moxibustion were carried out in the control group 2 weeks after operation. The experimental group was treated with acupuncture and moxibustion within 3 days after operation, and 2 weeks was a course of treatment. The effect of early acupuncture and moxibustion on hypertensive cerebral hemorrhage was evaluated by observing the changes of the strength of the patients' muscle strength. The results of the data were statistically analyzed with SPSS17.0. Results: two groups were effective. Moreover, the degree of recovery of muscle strength in the early acupuncture experimental group was greater than that in the control group. Conclusion: early acupuncture has obvious curative effect on hypertensive cerebral hemorrhage.
【學(xué)位授予單位】:遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2017
【分類號(hào)】:R651.1
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