Objective To explore the effects of pricking blood therapy of Jing acupoints along meridians on the four blood coagulation indexes of numbness induced by thalamic stroke with different syndromes in order to find out the exact clinical evidence for selecting the best syndrome of pricking blood therapy of Jing acupoints along meridians.Methods 120 patients with numbness induced by thalamic stroke were conducted syndrome differentiation,30 cases were wind-fire disturbance type,30 cases were phlegm-stasis obstructing the network vessels type,30 cases were qi deficiency and blood stasis type,30 cases were wind stirring due to yin deficiency type.All patients were given pricking blood therapy of Jing acupoints along meridians,and the treatment course was 15 d.The changes of four blood coagulation indexes before and after treatment were observed.There were statistical differences on the prothrombin time between the wind-fire disturbance type and phlegm-stasis obstructing the network vessels type (P ＜0.05),the wind-fire disturbance type and qi deficiency and blood stasis type (P ＜ 0.05).There was no statistical differencethe on the prothrombin time between between the wind-fire disturbance type and wind stirring due to yin deficiency type (P ＞ 0.05),phlegm-stasis obstructing the network vessels type and qi deficiency and blood stasis type (P ＞ 0.05).There were statistical differences on the prothrombin time between phlegm-stasis obstructing the network vessels type and wind stirring due to yin deficiency type (P ＜ 0.05),qi deficiency and blood stasis type and wind stirring due to yin deficiency type (P ＜ 0.05).There were statistical differences on international standard ratio between the wind-fire disturbance type and phlegm-stasis obstructing the network vessels type (P ＜ 0.05),the wind-fire disturbance type and qi deficiency and blood stasis type (P ＜ 0.05).There was no statistical differencethe on the international standard ratio between between the wind-fnre disturbance type and wind stirring due to yin deficiency type (P ＞ 0.05),phlegm-stasis obstructing the network vessels type and qi deficiency and blood stasis type (P ＞ 0.05).There were statistical differences on international standard ratio between phlegm-stasis obstructing the network vessels type and wind stirring due to yin deficiency type (P ＜ 0.05),qi deficiency and blood stasis type and wind stirring due to yin deficiency type (P ＜ 0.05).There was no statistical difference on activated partial thromboplastin time,thrombin time,fibrinogen between any two types (P ＞ 0.05).Conclusion The changes of four blood coagulation indexes induced pricking blood therapy of Jing acupoints along meridiansin in phlegm-stasis obstructing the network vessels type and qi deficiency and blood stasis type are significantly better than that in wind-fire disturbance type and qi deficiency and wind stirring due to yin deficiency type,while the changes of the prothrombin time and the international standard ratioare significantly better than activated partial thromboplastin time,thrombin time,fibrinogen in phlegm-stasis obstructing the network vessels type and qi deficiency and blood stasis type.%目的 探究循经井穴放血疗法对不同证型丘脑卒中所致麻木患者血凝四项的影响,以期为选择循经井穴放血疗法最佳证型寻找确切临床证据.方法 对丘脑卒中所致麻木120例患者分别进行辨证分型,风火上扰型30例,痰瘀阻络型30例,气虚血瘀型30例,阴虚风动型30例,均予循经井穴放血疗法治疗.4型均15 d为1个疗程,观察4型患者治疗后血凝四项的变化.结果 凝血酶原时间:风火上扰型与痰瘀阻络型比较差异有统计学意义(P＜0.05);风火上扰型与气虚血瘀型比较差异有统计学意义(P＜0.05);风火上扰型与阴虚风动型比较差异无统计学意义(P＞0.05);痰瘀阻络型与气虚血瘀型比较差异无统计学意义(P＞0.05);痰瘀阻络型与阴虚风动型比较差异有统计学意义(P＜0.05);气虚血瘀型与阴虚风动型比较差异有统计学意义(P＜0.05).国际化标准比值:风火上扰型与痰瘀阻络型比较差异有统计学意义(P＜0.05);风火上扰型与气虚血瘀型比较差异有统计学意义(P＜0.05);风火上扰型与阴虚风动型比较差异无统计学意义(P＞0.05);痰瘀阻络型与气虚血瘀型比较差异无统计学意义(P＞0.05);痰瘀阻络型与阴虚风动型比较差异有统计学意义(P＜0.05);气虚血瘀型与阴虚风动型比较差异有统计学意义(P＜0.05).活化部分凝血活酶时间、凝血酶时间、纤维蛋白原:每两型进行比较差异均无统计学意义(P＞0.05).结论 循经井穴放血疗法对痰瘀阻络型、气虚血瘀型凝血四项的改变明显优于风火上扰型和阴虚风动型,而对痰瘀阻络型、气虚血瘀型凝血酶原时间和国际化标准比值的改变明显优于对活化部分凝血活酶时间、凝血酶时间、纤维蛋白原的改变.
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