【摘要】 目的:观察双侧足三里穴位埋线配合黄芪阿胶汤加减内服治疗骨科手术后失血性贫血的疗效。方法:将骨科手术后失血性贫血的病人随机分为对照组和观察组,对照组30例采用输血治疗,观察组32例采用局麻下双侧足三里穴位埋线并配合自拟方黄芪阿胶汤(黄芪30 g、阿胶10 g、当归10 g、白术10 g、党参20 g、丹参10 g、红花10 g、熟地20 g、白芍10 g、川芎10 g、柴胡3 g、薏苡仁15 g、茯苓10 g、炙甘草6 g)加减内服的方法,术后第1、3、7、15、21天观察RBC、Hb、IgM、IgG的变化情况。结果:对照组病人Hb和RBC开始上升很快,在第7天升幅最高,以后升幅较小。观察组病人Hb和RBC开始升幅很小,15 ～21 d上升很快,至第21天达到高峰,观察组与对照组相比差异明显(P 0.05)。同时,观察组IgM、IgG水平明显增高,与对照组相比有显著性差异(P 0.01)。结论:采用双侧足三里穴位埋线配合黄芪阿胶汤加减内服的方法能有效改善骨科手术后失血性贫血病人的情况,并提高IgM和IgG。更多还原

【Abstract】 Objective To observe the therapeutic effect of catgut embedding treatment on bilateral Zúsānlǐ(足三里 ST 36) combined with Huangqi Ejiao decoction(黄芪阿胶汤) orally taken.Methods Patients with anemia due to blood loss after major operation were randomly divided into a control group and an observation group.There were 30 cases in the control group which were treated by blood transfusion and 32 cases in the observation group which were treated by catgut embedding on bilateral Zúsānlǐ(足三里 ST 36) after local anesthesia combined with oral administration of self-made Huangqi Ejiao decoction(黄芪阿胶汤).The herbs included Huangqi(黄芪Radix Scutellariae Milk Veteh)10 g,Ejiao(阿胶Colla Corii Asini Donkey-hide Gelatin)10 g,Danggui(当归Radix Angelicae Sinensin Chinese Angelica)10 g,Baizhu(白术Radix Atractyloes Macrocephalae Large-headed Atractylodes)10 g,Dangshen(党参Radix Codonopsis Dangshen)20 g,Danshen(丹参Salvia Miltiorrhiza Root of Red Rooted Salvia)10 g,Honghua(红花Carthamus Tinctorious Safflower)10 g,Shudi(熟地Rehmannia Glutinosa Prepared Rhizome of Rehmannia) 20 g,etc.After 1 d,3 d,7 d,15 d,21 d,RBC,Hb,IgM,IgG were tested.Results In the control group,Hb and RBC count immediately went up in the beginning,that peaked on the 7th day and kept gently after.While in the observation group,there was a minimal increase in Hb and RBC in the beginning,followed by a sharp increase during 15-21 d,and peaked on the 21th day.There was a significant difference between the observation group and the control group(P<0.05).While,the level of IgM,IgG rose markedly in the observation group,with a significant difference between the two groups(P<0.01).Conclusion Catgut embedding treatment on bilateral Zúsānlǐ(足三里 ST 36) combined with oral administration of Huangqi Ejiao decoction(黄芪阿胶汤) can improve anemia due to blood loss after operation,and likewise increase the level of IgM and IgG.更多还原