The Regulation And Clinical Observation Of Tongfu-therapy On Gastrointestinal Dysfunction In Acute Stage Of Cerebral Hemorrhage

Objective:To study and discuss the clinical effect of Tongfu-therapy on gastrointestinal dysfunction in the acute stage of cerebral hemorrhage.Through the comparative observation of gastrointestinal symptom score and neurological deficit score.to make an objective and systematic evaluation,so as to provide new evidence for clinical treatment of gastrointestinal dysfunction in the acute stage of cerebral hemorrhage.Methods:60 patients were randomly divided into conventional treatment group(30 cases)and traditional Chinese medicine intervention group(30 cases).Both groups were treated with the same Western medicine comprehensive therapy.The traditional Chinese medicine intervention group was treated with Tiaoweichengqi Decoction granules under the guidance of syndrome differentiation and treatment.Both groups were treated for two weeks.Before the day of treatment and 14 days after treatment,TCM syndrome score,neurological deficit score,gastrointestinal symptom score and brain CT scan were performed for apoplexy.SPSS 19.0 software was used to analyze the data and compare the clinical effects of the two groups.The therapeutic effect was further evaluated by animal experiments.Results:1.The clinical study showed that:(1)There were statistically significant differences in TCM syndrome score,neurological deficit score,gastrointestinal symptom score and brain CT scan of apoplexy before and after treatment in the intervention treatment group and the conventional treatment group(P<0.05),indicating that both groups could effectively alleviate the symptoms of neurological deficit and gastrointestinal dysfunction in the acute stage of cerebral hemorrhage,The difference of TCM syndrome score and gastrointestinal symptom score between the treatment group and the conventional treatment group was statistically significant(P<0.05),which indicated that the treatment of Tongfu-therapy was superior to the conventional treatment in improving the TCM symptoms and gastrointestinal symptoms of stroke in the acute stage of cerebral hemorrhage;(3)Tongfu-therapy was superior to the conventional treatment in the treatment group and the conventional treatment group The difference of abdominal pain symptom scores between the two groups after treatment was statistically significant(P<0.05),which showed that Tongfu-therapy had an advantage in improving abdominal pain symptoms;after treatment,there was a very significant difference in the scores of noisy,vomiting and pantothenic acid symptoms between the two groups(P<0.01),which showed that Tongfu-therapy had a significant advantage in improving noisy,vomiting and pantothenic acid symptoms2.Animal experiments show that cerebral hemorrhage can damage the gastric mucosa of rats.Both the method of dredging the Fu organs and Mosapride can protect the gastric mucosa and relieve the gastrointestinal damage,and the effect of the method of dredging the Fu organs is slightly better than mosaprideConclusion:In the acute stage of cerebral hemorrhage,Tongfu-therapy can reduce the damage of gastric mucosa,improve gastric motility and relieve gastrointestinal symptoms.Tongfu-therapy has advantages in improving TCM symptoms,gastrointestinal symptoms and abdominal pain symptoms of stroke,noise,vomiting and pantothenic acid symptoms of patients with gastrointestinal dysfunction in the acute stage of cerebral hemorrhage.