针灸促醒重型颅脑损伤患者的循证治疗  

Acupuncture treatment for a comatose patient due to severe craniocerebral injury:an evidence-based therapy

作　　者：何竟[1] 吴滨[1] 刘屹[1] 

机构地区：[1]四川大学华西医院针灸科,四川省成都市610041

出　　处：《中国临床康复》2005年第13期110-112,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:从循证医学的角度,向临床医生介绍如何确立重型颅脑损伤后昏迷的针灸促醒循证治疗方案。方法:以一例具体的重型颅脑损伤后昏迷的患者为例,介绍如何提出临床问题,怎样检索相关文献,如何对所检索的文献进行评价,最后,如何结合本病例的具体情况和医生的个人经验,运用所检索的证据拟定治疗方案。结果:采用按照循证医学方法确立的重型颅脑损伤后昏迷的针灸促醒治疗方案对该患者治疗10次后,患者苏醒。结论:通过临床提出问题、寻找证据、分析证据、循证决策、循证实践过程,不但患者可达到满意疗效,主管医生也提高了理论水平和临床能力。AIM:To introduce the method for clinical doctors how to establish the schema that revives the comatose patients due to severe craniocerebral injury with acupuncture treatment according to evidence based medicine. METHODS:A true comatose patient was as an example to introduce how to put forward clinical questions;how to search the related papers;how to evaluate the materials;finally,how to make the schema according to the conditions of the patient,doctors'experience and the evidence which were obtained. RESULTS:After treatment for 10 times according to the schema, the patient revived the spirit mind. CONCLUSION:Not only the patient can get satisfied effect,but also the theoretical level and clinical ability of the doctors in charge are improved through putting forward clinical questions, finding and analyzing evidences, making and practising the schema.

关 键 词：颅脑损伤/针灸疗法 昏迷 证据医学 

分 类 号：R743[医药卫生—神经病学与精神病学]