Clinical Observation Of Jing Point Bloodletting In The Treatment Of Acute Cerebral Infarction And Cerebral Edema

Objective Observe the clinical efficacy and mechanism of pricking bloodletting at Jing points combined with mannitol in the treatment of acute cerebral infarction with cerebral edema.Methods Selected to be hospitalized in the Department of Brain Diseases,Wuyi Hospital of Traditional Chinese Medicine,Jiangmen City from December 2019 to December 2020,and included 70 patients diagnosed with cerebral edema after acute cerebral infarction.They were divided into treatment group and control group according to a simple randomized control method.The control group was treated with mannitol on the basis of western medicine,and the treatment group was combined with pricking blood at Jing points on the basis of the control group.The course of treatment is 7 days.By observing the serum high-sensitive C protein(hs CRP),NIHSS(National Institutes of Health Stroke Scale)score,brain CT measurement of brain edema volume changes,and observation of safety indicators before and after treatment.To evaluate the effectiveness and safety of bloodletting at Jing points for cerebral edema complicated by acute cerebral infarction.Results(1)There was no statistical difference in baseline data between the two groups of patients,and they were comparable(P>0.05);(2)After treatment,the NIHSS scores of the two groups of patients improved compared with before treatment,and the difference was statistically significant(P<0.05);the treatment group had a higher decline than the control group,and the difference was statistically significant(P<0.01);After treatment,the effective rate of the treatment group was higher than that of the control group(82.86% vs 74.29%),and the difference was statistically significant(P<0.05);(3)After treatment,the hs-CRP values of the two groups of patients were improved compared with before treatment,and the difference was statistically significant(P<0.05);the treatment group had a higher decline than the control group,and the difference was statistically significant(P<0.01);(4)After treatment,the brain edema volume measured by CT of the two groups of patients was improved compared with before treatment,and the difference was statistically significant(P<0.05);the treatment group had a higher decline than the control group,and the difference was statistically significant Significance(P<0.01).Conclusion This study concludes that the pricking bloodletting therapy at Jing points can further improve the patient's neurological deficit,inhibit the expression of inflammatory factors and reduce the volume of brain edema on the basis of mannitol dehydration therapy,by improving ion channel imbalance,protecting the blood-brain barrier and reducing brain edema The symptoms and signs related to post-disorder of consciousness can be used to treat cerebral edema after acute cerebral infarction.