按压耳穴治疗胆石症引起休克1例

患者滑××,男性,42岁,因患胆石症于1985年12月24日开始用王不留行按压肝、胆等8个耳穴治疗,隔日1次,两耳交替,嘱每日按压诸穴数次,并每日食猪蹄1只。12月26日作第二次治疗,午饭后患者按压穴位时感觉乏力、心慌、气短、头晕、上腹部疼痛、恶心等;检在血压90/50mmHg,心率50次/分,心音弱,颜面及口唇苍白,烦躁不安,全身冷汗,四肢发凉;乃立即予以吸氧,口服茛菪浸膏片24mg,肌肉注射生脉注射液4ml;

英文摘要:

46 cases of in patients with cerebral infarction were treated with acupuncture.The basic cure rate 43.4% and total effective rate 89.13%.Moreover,8 indices of serum lipoprotein cholesterol were measured: (1)Total cholesterol(TC),(2)Triglycerides(TG),(3)β-liprotein,(4)High density lipoprotein cholesterol (HDL-C),(5)Low density lipoprotein cholesterol(LDL-C),(6) HDL-C/TC ratio,(7)HDL-C/LDL-C ratio,(8)Atherosclerosis index(AI).Results:The mean value of serum HDL-C was 41.71±4.33 mg/dl which was much lower than that of 28 normal subjects(52.8±8.68),P<0.01.But TC(205.58±29.29, n=46)and β-lipoprotein(447.83±147.68,n=46)were much higher than that of normal subjects (169.30±27.64,n=36 and 370.31±51.21,n=20),both P<0.01.It showed that the decrease of serum HDL-C lowered the ability of transportation of cholesterol to liver from the wall of artery or tissue cells,and in turn,lowered the ability of degradation of cholesterol,all these were closely related to the formation of cerebral infarction and were considered as one of the risk factors of cerebral infarction.After 45 days of acupuncture therapy the serum HDL-C increased from 41.71±4.33 to 43.59±4.14,P<0.01.The ratio of HDL-C/TC and HDL-C/LDL-C elevated correspondingly.P<0.01.But β-lipoprotein decreased from 447.83±147.68 to 433.38±112.79,P<0.01.Thereby AI reduced from 3.98±0.99 to 3.74±0.92,P<0.01.There was significant difference between the pre-and post-treatment,P<0.01. After acupuncture the transportation ability of cholesterol was enhanced.It denoted that acupuncture not only influenced the metabolism of serum lipoprotein but regulated its ratio also.It played an important role in prevention against cerebral infarction and in rehabilitation.The level of serum HDL-C of the patients with lesion in basic ganglions was obviously lower than that of the lesion in the cortex,P<0.01.There was no significant difference of serum HDL-C between the patients of cerebral haemorrhagc and infarction.

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