摘要目的 观察针药结合排毒通腑法对缺血性中风急性期痰热腑实型便秘的综合疗效.方法 随机分为治疗组和对照组,两组均给予神经内科常规处理及醒脑开窍针刺法治疗,治疗组采用针药结合排毒通腑法,对照组采用开塞露.比较治疗后7 d、21 d对便秘、相关证候、中医病类积分的变化和临床疗效.结果 治疗组:治疗7 d、21 d 对便秘的有效率分别为93.7%和96.9%;对心烦易怒、舌质红或暗、苔黄腻改善明显(P＜0.01);21 d的中医病类积分明显低于对照组(P＜0.01),总进步率为97.0%.对照组:治疗7 d、21 d对便秘的有效率分别为61.8%和79.4%,总进步率为55.8%.两组总进步率比较有显著性差异(P＜0.01).结论 针药结合排毒通腑法用于缺血性中风急性期痰热腑实型便秘疗效确切,同时可改善相关证候.

abstractsObjective To probe into the clinical effect of acupuncture combined with herbal medicine with the functions of detoxication and purging fu-organ on patients with constipation of phlegm-heat and bowel-repletion type in acute cerebral infarction.Methods The enrolled cases were randomly assigned to an observation group of 35 cases and a control grouD of 35 cases.Besides both groups were treated with routine neurological treatment and acupuncture with the flinchon of brain activating,the observation group was treated by acupuncture combined with herbal medicine with the functions of detoxication and purging fu-organ and the control group was treated with Dilute Glycerol.Such indexes of patients in both groups were observed 7 days and 21 days before and after the treatment as clinical effect of constipation,scores of related symptoms,and scores of traditional Chinese medical category and clinical effect.Results The effective rates of eonstipation 7 davs and 21 days after treatment were 93.7% and96.9% in the observation group,and 61.8% and79.4% in the control group,with significant differences between the two groups(P＜0.01).After the treatment for 7 days and 21 days,the symptoms of constipation.dark tongue,yellow and greasy fur were improved significantly in the observation group than those in the control group(P＜0.05);The observation group also showed a definite therapeutic effect than the control group on treating the svmptoms of upset minded,constipation,red or dark tongue,yellow and greasy fur(P＜0.01).The scores of traditional Chinese medical category of the observation group were lower than that of the control group(P＜0.01)after treatment for21 days.The total improvement rate was 97.0% in the observation group comparing 55.8%in the control group,showing significant difference(P＜0.01).Conclusion The method of acupuncture combined with herbal medicine with the functions of detoxication and purging fu-organ has a definite therapeutic effect on treating constipation of phlegm-heat and bowel-repletion in acute cerebral infarction.It can also improve clinical effects of these patients,which is worth generalizing in the clinical practice.