“醒脑开窍”针法对脑外伤植物状态患者的促醒效应  

Xingnao Kaiqiao acupuncture on promoting wake-up of vegetative state after brain injury

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 Medicine,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》2021年第11期1225-1228,共4页Chinese Acupuncture & Moxibustion

基　　金：甘肃省中医药管理局科研课题项目:GZK-2018-49。

摘　　要：目的:在综合康复训练基础上,观察"醒脑开窍"针法对脑外伤植物状态患者的临床促醒疗效。方法:将100例脑外伤植物状态患者随机分为观察组(50例,脱落2例)和对照组(50例)。两组均给予常规临床治疗。对照组予康复和高压氧治疗,观察组在对照组基础上给予"醒脑开窍"针法,穴取内关、水沟、三阴交、尺泽、委中、合谷、太冲。均每天1次,每周治疗5 d、休息2 d,连续治疗30 d。观察两组患者治疗前和治疗10、20、30 d格拉斯哥昏迷量表(GCS)、改良国际昏迷恢复量表(CRS-R)评分,治疗结束后比较两组清醒率。结果:治疗10、20、30 d,两组患者GCS评分、CRS-R评分均较治疗前增加(P<0.01),且观察组高于对照组(P<0.01),治疗结束后,观察组清醒率为16.7%(8/48),高于对照组的12.0%(6/50,P<0.01)。结论:在综合全面的康复促醒治疗基础上联合"醒脑开窍"针法可促进脑外伤植物状态患者意识水平恢复。Objective To observe the clinical effect of Xingnao Kaiqiao acupuncture on promoting wake-up of vegetative state after brain injury on the basis of comprehensive rehabilitation training. Methods A total of 100 patients with vegetative state after brain injury were randomly divided into an observation group(50 cases, 2 cases dropped off)and a control group(50 cases). Both groups were treated with routine clinical treatment. The patients in the control group were treated with rehabilitation and hyperbaric oxygen;on the basis of the control group treatment, the patients in the observation group were treated with Xingnao Kaiqiao acupuncture at Neiguan(PC 6), Shuigou(GV 26), Sanyinjiao(SP 6),Chize(LU 5), Weizhong(BL 40), Hegu(LI 4) and Taichong(LR 3). The acupuncture was given once a day, 5 days per week, for continuous 30 days. The Glasgow coma scale(GCS) and coma recovery scale-revised(CRS-R) scores were observed before treatment and 10, 20 and 30 days into treatment. The wake-up rate of the two groups was compared after treatment. Results On 10, 20 and 30 days into treatment, the GCS and CRS-R scores in the two groups were higher than those before treatment(P<0.01), and the scores in the observation group were higher than those in the control group(P<0.01). After treatment, the wake-up rate was 16.7%(8/48) in the observation group, which was higher than 12.0%(6/50) in the control group(P<0.01). Conclusion On the basis of comprehensive rehabilitation and wake-up promotion therapy,the Xingnao Kaiqiao acupuncture could promote the recovery of consciousness level in patients with vegetative state after brain injury.

关 键 词：植物状态 脑外伤 针灸 醒脑开窍 康复治疗 

分 类 号：R246.1[医药卫生—针灸推拿学]