针灸治疗小儿急性期脑损伤的临床研究  

A clinical research on acupuncture for treatment of infantile acute brain injury

作　　者：陈坤支[1] 徐艳霞[1] 陈建丽[1] 荣嵘[1] 

机构地区：[1]贵阳市妇幼保健院中医科,贵州贵阳550001

出　　处：《中国中西医结合急救杂志》2016年第5期526-528,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：贵州省科技计划项目（黔科合LH字[2014]7305）

摘　　要：目的：观察针灸治疗小儿急性期脑损伤的临床疗效。方法采用前瞻性研究方法，选择贵阳市妇幼保健院2014年1月至2016年4月收治的61例脑损伤患儿。按随机数字表法分为针灸组31例，常规治疗对照组30例。所有病例入院后有手术指征者即行开颅术和气管插管术，术后给予对症治疗、机械通气等；针灸组在患儿生命体征恢复平稳后再进行针刺治疗，主穴取内关、人中、三阴交、四关、涌泉、百会、十宣等，每次30 min，每周治疗5次，10次为1个疗程，共治疗2个疗程。根据改良格拉斯哥昏迷评分（GCS）和CT图像计分方法评估治疗效果。结果治疗后针灸组患儿昏迷情况（GCS评分）和大脑损伤形态情况（CT图像计分）均较对照组明显改善（P＜0.05）。治疗后针灸组清醒例数（22例比15例）、昏迷变浅和GCS评分增加患者数（27例比19例）、大脑形态改善和CT图像记分减少患者数（22例比13例）均较对照组增加，无效死亡例数较对照组减少（2例比4例），但两组比较差异无统计学意义（P＞0.05）。针灸组治疗时间较对照组明显缩短（周：2.7±0.7比3.7±0.4，P＜0.01）。针灸组总有效率明显高于对照组〔90.3%（28/31）比70.0%（21/30），P＜0.05〕。结论针灸对小儿急性脑损伤有显著疗效。ObjectiveTo observe the clinical efficacy of acupuncture for treatment of children with acute brain injury.Methods A prospective study was conducted. Sixty-one children with brain injury admitted to Guiyang Maternal and Child Health Hospital from January 2014 to April 2016were enrolled, and they were randomly divided into acupuncture group （31 cases）, and conventional treatment control group （30 cases）. All cases with operation indications received craniotomy and tracheal intubation, and after operation symptomatic treatment, ventilator assistance, etc. were given to the patients; in acupuncture group,acupuncture was applied after vital signs were stable, the main acupoints being neiguan, renzhong, sanyinjiao, siguan, yongquan, baihui, shixuan, etc. once needle retention time at points 30 minutes, 5 times a week, 10 times for a therapeutic course, the therapeutic course being 2 weeks. The therapeutic effects were evaluated according to the modified Glasgow coma scale （GCS） and the CT image scoring method. Results After treatment, the coma （GCS） and brain injury （CT score） situations in the acupuncture group were more significantly improved than those in control group （P 0.05）. The time of treatment in acupuncture group were significantly shorten compared with that of the control group （weeks： 2.7±0.7 vs. 3.7±0.4,P 〈 0.01）. The total effective rate of acupuncture group was significantly higher than that of control group [90.3% （28/31） vs. 70.0% （21/30）,P 〈 0.05].Conclusion Acupuncture has a significant effect for treatment of children with acute brain injury.

关 键 词：急性期脑损伤 小儿 针灸 格拉斯哥昏迷评分 CT图像计分 

分 类 号：R246.6[医药卫生—针灸推拿学]