通脑调神针刺法联合序贯情景促醒对持续性植物状态患者的影响  

Effect of Tong Nao Tiao Shen Acupuncture Combined with Sequential Scene Awakening on Patients in Persistent Vegetative State

作　　者：张新普 邸富荣[2] 赵奕 符娜 陈秀华 ZHANG Xin-pu;DI Fu-rong;ZHAO Yi;FU Na;CHEN Xiu-hua(Guangdong 999 Brain Hospital,Guangzhou 510510,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,China;The Affiliated TCM Hospital of Guangzhou Medical University,Guangzhou 510130,China;Guangzhou Huixin Hospital,Guangzhou 510660,China;Guangzhou Rehabilitation Center for the Disabled,Guangzhou 510635,China)

机构地区：[1]广东三九脑科医院,广州510510 [2]广东省第二中医院,广州510095 [3]广州医科大学附属中医医院,广州510130 [4]广州蕙心医院,广州510660 [5]广州市残疾人康复中心,广州510635

出　　处：《上海针灸杂志》2021年第10期1172-1176,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药管理局科研项目(20201421);广东三九脑科医院院级基金课题(A39202024)。

摘　　要：目的观察通脑调神针刺法联合序贯情景促醒对持续性植物状态(PVS)患者的影响。方法将纳入研究的90例持续性植物状态患者随机分为序贯情景促醒组、通脑调神针刺组和联合组,每组30例。序贯情景促醒组采用超大高清弧形LED显示屏及专业级音响设备进行声、光、电立体震撼视听刺激;通脑调神针刺组采用改良通元针法和靳三针治疗;联合组采用通脑调神针刺法联合序贯情景促醒治疗。比较治疗前后PVS疗效临床评分量表分值变化,并观察临床疗效。结果联合组治疗后总有效率优于序贯情景促醒组和通脑调神针刺组,差异有统计学意义(P<0.05)。治疗后,3组PVS疗效评分量表评分均较治疗前升高,差异具有统计学意义(P<0.05)。联合组治疗后PVS疗效评分量表评分优于序贯情景促醒组和通脑调神针刺组,差异均有统计学意义(P<0.05);通脑调神针刺组治疗后PVS疗效评分量表评分优于序贯情景促醒组,差异有统计学意义(P<0.05)。结论通脑调神针刺法联合序贯情景促醒治疗可提高持续性植物状态患者意识恢复的临床疗效,可能是促醒方案优化、协同模式共同作用的结果。Objective To observe the effect of Tong Nao Tiao Shen unblocking the brain and regulating the mind acupuncture method plus sequential scene awakening on patients in persistent vegetative state(PVS). Method Ninety PVS patients were recruited and randomized into a sequential scene awakening group, a Tong Nao Tiao Shen acupuncture group and a joint group, with 30 cases in each group. The sequential scene awakening group was intervened by super-large high-definition curved LED display and professional-grade audio equipment for sound and photoelectric stereoscopic audio-visual stimulation;the Tong Nao Tiao Shen acupuncture group was treated with modified Tong Yuan(connecting Yuan-primary spirit) acupuncture and Jin San Zhen(Jin’s tripe needle method);the joint group was treated with Tong Nao Tiao Shen acupuncture plus sequential scene awakening method. The PVS clinical efficacy scale score was compared before and after treatment, and clinical efficacy was also observed.Result After treatment, the total effective rate in the joint group was superior to that in the sequential scene awakening group and Tong Nao Tiao Shen acupuncture group, and the differences were statistically significant(P<0.05). The PVS clinical efficacy scale score increased after treatment in the three groups, all presenting statistical significance(P<0.05). The PVS efficacy scale score in the joint group was superior to that in the sequential scene awakening group and Tong Nao Tiao Shen acupuncture group, and the differences were statistically significant(P<0.05);the PVS efficacy scale score in the Tong Nao Tiao Shen acupuncture group was better than that in the sequential scene awakening group, and the difference was statistically significant(P<0.05). Conclusion Tong Nao Tiao Shen acupuncture plus sequential scene awakening can improve the clinical efficacy for PVS patients in recovering the consciousness, and it may be the joint effect of the optimization of resuscitation plan and collaborative model.

关 键 词：针刺疗法 序贯情景促醒 持续性植物状态 通元针法 靳三针 

分 类 号：R246.6[医药卫生—针灸推拿学]