刘荣辉教授治疗高血压性脑出血经验总结

发布时间：2018-07-01 19:54

本文选题：脑出血 + 高血压性　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:观察早期针灸治疗高血压性脑出血患者的临床疗效,对刘荣辉老师对高血压性脑出血的认知和治疗思路进行总结,突出早期针灸的优势之处。材料与方法:收集辽宁中医2015年2月至2016年2月共46例基底节部位出血,并符合手术条件行颅内血肿早期微创定向穿刺抽吸引流术的高血压性脑出血患者。随机分为两组,治疗组及对照组各23例。两组患者均发病24小时内行微创定向抽吸引流治疗,术后复查头部CT残留血量≤5ml,脑室形态恢复。常规给予止血、控制血压、营养神经、预防感染、使用中医汤剂等治疗基础上,对照组术后2周进行针灸,实验组术后3天内进行针灸,2周为一疗程。观察患者的肌力评级改变情况来评价早期针灸对于高血压脑出患者的治疗效果。利用SPSS17.0进行数据统计。结果:两组治疗有效,且早期针灸实验组的肌力评级恢复的程度大于对照组。结论:早期针灸治疗高血压性脑出血有明显疗效。
[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.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R651.1

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