肖氏“醒脑复苏”针刺法对持续性植物状态患者的促醒疗效及第三脑室宽度的影响  

Xiao’s “xingnaofusu” needling for regaining consciousness and the influence on width of the third ventricle in patients with persistent vegetative state

作　　者：高友玲 许国杰[2] 朱建国[3] 彭钢[4] 席瑾 薛明新 GAO You-ling;XU Guo-jie;ZHU Jian-guo;PENG Gang;XI Jin;XUE Ming-xin(Department of Acupuncture and Moxibustion,Yangzhou Hospital of Traditional Chinese Medicine,Yangzhou 225000,Jiangsu Province,China;Department of Acupuncture and Moxibustion,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011;Department of Radiology,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011;Department of Neurosurgery,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011;Second Clinical College of Nanjing University of Chinese Medicine,Nanjing 210046;Department of Acupuncture and Moxibustion,First Affiliated Hospital of Nanjing Medical University,Nanjing 210029)

机构地区：[1]南京中医药大学附属扬州市中医院针灸科,江苏扬州225000 [2]南京医科大学第二附属医院针灸科,南京210011 [3]南京医科大学第二附属医院放射科,南京210011 [4]南京医科大学第二附属医院神经外科,南京210011 [5]南京中医药大学第二临床医学院,南京210046 [6]南京医科大学第一附属医院针灸科,南京210029

出　　处：《针刺研究》2020年第3期233-236,242,共5页Acupuncture Research

基　　金：江苏省中医药管理局科技项目(No.YB2017094)。

摘　　要：目的:观察肖氏"醒脑复苏"针刺法对持续性植物状态(PVS)患者促醒疗效的影响。方法:将50例PVS患者随机分为观察组和对照组,每组25例。对照组给予常规西医治疗,观察组在对照组治疗的基础上结合肖氏"醒脑复苏"针刺法,取百会、定神透山根、风池透风池、内关透外关、合谷透劳宫、太冲透涌泉进行治疗,每天1次,10 d为1个疗程,共治疗3个疗程。分别比较治疗前后两组患者改良的昏迷恢复量表(CRS-R)评分、改良Ashworth量表(MAS)评分和格拉斯哥昏迷(GCS)评分,并采用CT测量治疗前后第三脑室宽度以评估临床疗效。结果:两组治疗后CRS-R和GCS评分较治疗前明显升高(P<0.05),且观察组明显高于对照组(P<0.05)。两组治疗后MAS评分较治疗前明显下降(P<0.05),且观察组明显低于对照组(P<0.05)。两组治疗后第三脑室宽度明显降低(P<0.05),且观察组明显低于对照组(P<0.05)。观察组总有效率为79.2%(19/24),对照组总有效率为47.8%(11/23),观察组临床疗效明显优于对照组(P<0.05)。结论:肖氏"醒脑复苏"针刺法可以明显改善PVS患者中枢神经功能,促进脑功能和肢体运动功能的恢复,降低第三脑室宽度,提高临床促醒疗效。Objective To observe the influence of Xiao’s "xingnaofusu" needling(the technique for resuscitation) on regaining consciousness in the patients with persistent vegetative state(PVS). Methods A total of 50 patients of PVS were randomized into an observation group and a control group, 25 cases in each. The patients in the control group were treated by the routine western medicine, and those in the observation group treated by Xiao’s "xingnaofusu" needling and routine western medicine. Baihui(GV20), Dingshen(Extra) to Shangen(Extra)(penetrating technique), Fengchi(GB20) to GB20(penetrating technique), Neiguan(PC6) to Waiguan(TE5)(penetrating technique), Hegu(LI4) to Laogong(HT8)(penetrating technique) and Taichong(LR3) to Yongquan(KI1)(penetrating technique) were selected. The treatment was given once a day, 10 days as one treatment course, 3 courses in total. The coma recovery scale-revised(CRS-R) score, the modified Ashworth scale(MAS) score and the Glasgow coma scale(GCS) were separately compared before and after the treatment. Additionally, CT scanning was adopted to measure the width of the third ventricle before and after treatment so as to evaluate the clinical therapeutic effect. Results After the treatment, the CRS-R and GCS scores in the two groups increased remarkably, and MAS score reduced obviously as compared with that before the treatment(P<0.05);and the CRS-R and GCS scores were higher, and MAS score lower in the observation group than those in the control group(P<0.05). Compared with the control group, the width of the third ventricle reduced obviously in the observation group after the treatment(P<0.05). At the end of the treatment courses, the effective rate was 79.2%(19/24)in the observation group and was 47.8%(11/23) in the control group. The effective rate of the observation group was obviously higher than that of the control group(P<0.05). Conclusion Xiao’s "xingnaofusu" needling can remarkably improve the central nerve function, promote the recovery of brain function and the motor funct

关 键 词：肖氏“醒脑复苏”针刺法 持续性植物状态 促醒疗效 第三脑室 

分 类 号：R245.31[医药卫生—针灸推拿学]