子午流注纳甲法联合康复治疗促醒重型颅脑损伤植物状态:随机对照研究  

Midnight-noon ebb-flow acupuncture combined with rehabilitation therapy for severe craniocerebral trauma patients with vegetative state: a randomized controlled trial

作　　者：鲍英存[1] 张芳[1] 李群 刘美 程晓荣[1] 张义宝 邱宾 BAO Ying-cun;ZHANG Fang;LI Qun;LIU Mei;CHENG Xiao-rong;ZHANG Yi-bao;QIU Bin(Department of Rehabilitation,Second Hospital of Lanzhou University,Lanzhou 730030,Gansu Province,China)

机构地区：[1]兰州大学第二医院康复医学科,甘肃兰州730030

出　　处：《中国针灸》2020年第3期234-238,共5页Chinese Acupuncture & Moxibustion

基　　金：甘肃省中医药管理局科研课题:GZK-2018-49。

摘　　要：目的:比较子午流注纳甲法联合康复治疗与单纯康复治疗促醒重型颅脑损伤植物状态患者的临床疗效。方法:将100例患者随机分为观察组和对照组,每组50例。两组患者均予药物、高压氧、专科护理基础治疗。对照组予以康复治疗,每日1次,每次30 min;观察组在对照组基础上加用子午流注纳甲法针刺治疗,每日1次,留针30 min,每周治疗5 d,两组均治疗30 d。观察两组患者治疗前,治疗10、20、30 d后格拉斯哥昏迷量表(GCS)、改良国际昏迷恢复量表(CRS-R)评分及治疗30 d后的清醒率。结果:两组患者治疗10、20、30 d后GCS、CRS-R评分均高于治疗前(P<0.01),且观察组治疗后各时间点评分均高于对照组(P<0.01)。治疗30 d后观察组清醒率为20.0%(10/50),显著高于对照组的12.0%(6/50,P<0.01)。结论:子午流注纳甲法联合康复治疗可有效促醒颅脑损伤植物状态患者,改善患者意识水平,疗效优于单纯康复治疗。Objective To compare the clinical therapeutic effect of midnight-noon ebb-flow acupuncture combined with rehabilitation therapy and simple rehabilitation therapy in severe craniocerebral trauma patients with vegetative state. Methods A total of 100 patients were randomized into an observation group and a control group, 50 cases in each one. Basic treatment of medication, hyperbaric oxygen therapy and specialized nursing were given in both groups. In the control group, rehabilitation therapy was adopted for 30 min each time, once a day. On the basis of the control group, midnight-noon ebb-flow acupuncture was applied in the observation group, the needles were sustained for 30 min, once a day, 5 times a week. The treatment was for 30 days in both groups. Before treatment and after 10, 20, 30 days of treatment, scores of Glasgow coma scale(GCS) and coma recovery scale-revised(CRS-R) were observed, and the conscious rate after treatment was calculated in both groups. Results Compared before treatment, the GCS and CRS-R scores after 10, 20, 30 days of treatment were increased in both groups(P<0.01), and the scores in the observation group were superior to those in the control group(P<0.01). After treatment, the conscious rate was 20.0%(10/50) in the observation group, which was superior to 12.0%(6/50) in the control group(P<0.01). Conclusion Midnight-noon ebb-flow acupuncture combined with rehabilitation therapy can effectively treat the severe craniocerebral trauma patients with vegetative state, improve the consciousness level, and have superior therapeutic effect compared with simple rehabilitation therapy.

关 键 词：重型颅脑损伤 植物状态 针刺 子午流注纳甲法 康复治疗 随机对照试验 

分 类 号：R246[医药卫生—针灸推拿学]