中药点舌疗法对缺血性脑卒中中脏腑患者意识障碍的影响  

Effect of Chinese medicine tongue-spotting therapy on consciousness disorder in ischemic stroke patients in Zangfu organs

作　　者：胡恕艳 甘业静[1] 黄华苓 黄紫倩 林霞 邓旭[1] HU Shuyan;GAN Yejing;HUANG Hualing;HUANG Ziqian;LIN Xia;DENG Xu

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《中医临床研究》2021年第33期63-65,共3页Clinical Journal Of Chinese Medicine

基　　金：广西中医药大学2017年校级课题(2017MS028)。

摘　　要：目的:探讨中药点舌疗法对缺血性脑卒中中脏腑患者意识障碍的影响。方法:选取广西中医药大学第一附属医院脑病科2018年1月1日-2019年12月30日收治的缺血性脑卒中中脏腑患者99例,采用随机数据表法分为观察组50例和对照组49例,观察组和对照组的病例又分为5~8分和9~16分两个层次。对照组给予常规治疗及常规护理,观察组在对照组的基础上给与中药点舌治疗,疗程为14 d,并在治疗第0周、第1周、第2周对两组患者进行全面无反应性量表(Full Outline of UnResponsiveness,FOUR)评分,以评估患者的意识恢复情况。结果:在FOUR评分5~8分层次内,两组患者治疗1周和2周后,观察组和对照组FOUR评分较治疗前均有提高(t=5.21、5.93,P <0.01);治疗1周后两组对比差异有统计学意义,治疗2周后两组对比差异无统计学意义;在FOUR评分9~16分层次内,从组内比较情况看治疗1周及2周后,观察组和对照组均较治疗前FOUR评分均有提高(t=5.76、3.51,P <0.01);治疗1周及2周后,观察组和对照组对比差异无统计学意义。结论:中药点舌治疗的促醒作用适用于FOUR评分较低、病情危重的患者。对于FOUR评分较高,总体情况尚可的患者来说,中药点舌治疗的促醒作用无明显优势。因此中药点舌治疗对于意识障碍较重的卒中患者有促醒作用,值得临床推广应用。Objective: To investigate the effect of tongue-spotting therapy with TCM on consciousness disorder in ischemic stroke patients in Zangfu organs. Methods: 99 patients with ischemic stroke in Zangfu organs who met the inclusion criteria were randomly divided into the observation group(50 cases) and the control group(49 cases) according to different treatment regimens. The cases in the observation group and the control group were divided into two levels: 5-8 points and 9-16 points. The control group was given conventional treatment and routine nursing, and the observation group was given tongue-spotting therapy with Chinese medicine on the basis of the treatment of the control group. The course of treatment was 14 days, and FOUR scores were given to the two groups of patients at week 0,week 1, and week 2 of treatment to assess the patient’s recovery. Results: Comparison within the group: within the FOUR 5-8 level, after 1 week and 2 weeks of treatment, the FOUR scores in the observation group and the control group were increased compared with those before treatment(t=5.21, 5.93;P<0.01);at the FOUR score of 9~16 level, the FOUR scores in the observation group and the control group were increased compared with those before treatment(t=5.76, 3.51;P<0.01). Comparison between groups: there was a difference in the FOUR score between the two groups after one week of 5-8 level treatment(P<0.05), and the observation group was better than the control group;there was no difference in the FOUR score after two weeks of treatment. There was no difference between the two groups after 9~16graded treatment for 1 week and 2 weeks. Conclusion: Tongue spotting therapy with TCM has a wake-up effect on stroke patients with severe conscious disturbance, which is worthy of clinical application.

关 键 词：中药点舌 脑卒中 中脏腑 全面无反应性量表评分 

分 类 号：R743.33[医药卫生—神经病学与精神病学]