醒脑开窍针刺法促醒急性脑卒中意识障碍的疗效  

Acupuncture for restoring consciousness and inducing resuscitation in treating disturbance of consciousness due to acute stroke

作　　者：马倩[1] 赵建国[2] 郑伟[3] 田桂杰[1] 魏国威[1] 

机构地区：[1]天津中医学院第一附属医院脑外科,天津市300193 [2]天津中医学院第一附属医院针灸科,天津市300193 [3]天津市脑系科中心医院神经内科,天津市300060

出　　处：《中国临床康复》2006年第11期142-143,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:以格拉斯哥评分为评定标准,观察醒脑开窍针刺治疗对急性脑卒中意识障碍患者的促醒作用。方法:选择2004-01/2005-10天津中医学院第一附属医院针灸科并脑外科与天津市脑系科中心医院收治的急性脑卒中意识障碍患者91例,针刺组46例,对照组45例。针刺组:按脑梗死、脑出血急性期治疗原则给予常规药物治疗+醒脑开窍针刺治疗;对照组:常规药物治疗同针刺组。以格拉斯哥评分评定疗效,评分≥14分为意识障碍好转标准。两组患者于入院治疗后10,20d分别再次进行格拉斯哥评分,并对两组患者清醒(格拉斯哥评分≥14分)率进行比较。结果:①治疗10d后,针刺组格拉斯哥评分与对照组差异有显著性意义(χ2=4.07,P<0.05)。②治疗20d时,针刺组格拉斯哥评分与对照组差异有显著性意义(清醒率为73.91%,53.33%;χ2=4.17,P<0.05)。结论:醒脑开窍针刺治疗对急性脑卒中患者意识的恢复有促进和协调作用。AIM： To observe effect of acupuncture method of ＂restoring consciousness and inducing resuscitation＂ on treating disturbance of consciousness in patients with acute stroke on the basis of Glasgow Scale. METHODS; Totally 91 cases with acute stroke ＆ disturbance of consciousness were selected from Department of Acupuncture and Moxibustion ＆ Cerebral Surgery of the First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine and Tianjin Brain Central Hospital from January 2004 to October 2005. All cases were randomly divided into acupuncture group （n=46） and control group （n=45）. All patients received treatment within 48-hour onset. Acupuncture group： Cases were treated with general drugs ＋ acupuncture method of ＂restoring consciousness and inducing resuscitation＂ on the basis of treating criteria of acute cerebral infarction and cerebral hemorrhage; control group： Routine treatment was as the same as that in acupuncture group. According to Glasgow Scale, disturbance of consciousness was better if the scores were ≥ 14. Patients in both groups were scored again 10 and 20 days after administration respectively, and levels of consciousness were compared （Glasgow scores ≥ 14）. RESULTS： ①After 10-day treatment, Glasgow scores were significant difference between acupuncture group and control group （X^2 =4.07, P 〈 0,05）, ② After 20-day treatment, Glasgow scores were significant difference between acupuncture group and control group （conscious rate： 73,91% and 53,33%; X^2=-4,17, P 〈 0,05）, CONCLUSION： Acupuncture method of ＂restoring consciousness and inducing resuscitation＂ can promote and coordinate the recovery of disturbance of in patients with acute stroke,

关 键 词：脑卒中/康复 脑卒中/治疗 意识障碍/针灸疗法 醒脑开窍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]