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[目的]观察辨证分型选穴刺络拔罐放血联合西药治疗中风后吸入性肺炎疗效。[方法]使用随机平行对照方法,将70例住院患者按就诊顺序编号法随机分为两组。对照组35例头孢哌酮钠舒巴坦钠,2.0g/次,2次/d,静滴;氨溴索,4mL/次,2次/d,静注。治疗组35例辨证分型选穴刺络拔罐放血,风寒袭肺:肺俞、大肠俞、大椎、脾俞;风热犯肺:肺俞、大肠俞、大椎、脾俞、肝俞;痰热郁肺:肺俞、大肠俞、大椎、脾俞、肝俞;痰湿蕴肺:肺俞、脾俞、胃俞、肾俞;肺阴亏耗:肺俞、脾俞、肝俞、肾俞;隔日选穴拔罐,在穴位上用梅花针刺数针,直至皮肤出血,再拔罐放血,5~10min,出血量3~10mL;西药治疗同对照组。连续治疗15d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈10例,显效13例,有效11例,无效1例,总有效率97.14%。对照组痊愈6例,显效10例,有效14例,无效5例,总有效率85.71%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型选穴刺络拔罐放血联合西药治疗中风后吸入性肺炎疗效显著,值得推广。
[Objective] To observe the curative effect of syndrome differentiation, acupoint-cupping and cupping bloodletting combined with Western medicine on aspiration pneumonia after stroke. [Methods] Using randomized parallel control method, 70 inpatients were randomly divided into two groups according to the sequence number of visiting doctor. Control group, 35 cases of cefoperazone sodium and sulbactam sodium, 2.0g / times, 2 times / d, intravenous; ambroxol, 4mL / times, 2 times / d, intravenous injection. The treatment group of 35 cases of syndrome differentiation points acupuncture cupping bloodletting, cold attack lung: Feishu, large intestine Yu, Ojo, spleen; wind and heat of the lung: Feishu, colon Yu, Ojo, spleen, liver Yu; phlegm Yu lung: Feishu, large intestine Yu, Ojo, spleen, liver Yu; phlegm damp lung: Feishu, spleen, stomach Yu, Shenshu; lung yin loss: Feishu, spleen, liver Yu, ; Acupoints cupping the next day, acupuncture in the acupuncture points with a few needles until the skin hemorrhage, and then cupping blood, 5 ~ 10min, bleeding 3 ~ 10mL; western medicine treatment with the control group. Continuous treatment of 15d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Results] The treatment group cured 10 cases, 13 cases markedly effective in 11 cases, 1 case of ineffective, the total effective rate was 97.14%. The control group cured 6 cases, markedly effective in 10 cases, effective in 14 cases, ineffective in 5 cases, the total effective rate was 85.71%. The treatment group was better than the control group (P <0.05). [Conclusion] The syndrome differentiation of acupoints, cupping and bloodletting combined with Western medicine in the treatment of stroke with pneumonia after pneumonia is significant and worth promoting.