早期头针巨刺治疗重型颅脑损伤临床观察  

Clinical Observation on Early Scalp Contralateral Meridian Needling in the Treatment of Severe Craniocerebral Injury

作　　者：侯可强 何广云 房铭 窦美芳 李春序 樊官伟[4] 王德兴 韩恒阳 HOU Keqiang;HE Guangyun;FANG Ming;DOU Meifang;LI Chunxu;FAN Guanwei;WANG Dexing;HAN Hengyang(Department of Rehabilitation,Huangdao District Hospital of Traditional Chinese Medicine,Shandong Province,Qingdao 266500,China;Department of Pharmacy,Huangdao District Hospital of Traditional Chinese Medicine,Shandong Province,Qingdao 266500,China;Department of Emergency,Huangdao District Hospital of Traditional Chinese Medicine,Shandong Province,Qingdao 266500,China;Institute of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]青岛市黄岛区中医医院康复科,山东青岛266500 [2]青岛市黄岛区中医医院药剂科,山东青岛266500 [3]青岛市黄岛区中医医院急诊科,山东青岛266500 [4]天津中医药大学中医药研究院,天津300193

出　　处：《光明中医》2022年第9期1613-1615,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：山东省中医药科技发展计划项目(No.2017-349)。

摘　　要：目的研究早期头针巨刺治疗重型颅脑损伤的可行性及有效性。方法将符合入选标准的200例患者随机分为4组,即对照组、治疗1组、治疗2组、治疗3组,每组50例。对照组予以神经外科常规治疗,治疗1组、治疗2组、治疗3组在对照组的基础上,分别从伤后7 d、72 h、24 h开始加用头针巨刺治疗。采用脑卒中临床神经功能缺损程度评分法,简式Fugl-Meyer(FMA)运动功能评分法,改良Barthel指数(MBI)评分标准于治疗前、治疗30 d后评定患者的临床神经功能缺损程度、肢体运动功能和日常生活活动能力(ADL)。结果与本组治疗前比较:治疗1组、治疗2组、治疗3组神经功能缺损评分、FMA、MBI评分差异有统计学意义(P<0.01);对照组FMA评分差异具有统计学意义(P<0.05)。治疗后,与对照组比较:3组神经功能缺损评分、FMA、MBI评分差异均具有统计学意义(P<0.01)。治疗后,与治疗1组比较:治疗2组、治疗3组神经功能缺损评分有下降趋势但差异无统计学意义,FMA评分差异具有统计学意义(P<0.01);治疗2组MBI评分有上升趋势但差异无统计学意义,治疗3组MBI评分差异具有统计学意义(P<0.01)。治疗后,与治疗2组比较:治疗3组神经功能缺损评分有降低趋势但差异无统计学意义,FMA、MBI评分差异具有统计学意义(P<0.01)。结论早期头针巨刺法对重型颅脑损伤确有疗效,其临床应用越早效果越显著。Objective To study the feasibility and effectiveness of early scalp contralateral meridian needling in the treatment of severe craniocerebral injury.Methods 200 patients met the inclusion criteria were randomly divided into 4 groups,i.e.,control group,treatment group 1,treatment group 2 and treatment group 3,with 50 patients in each group.The control group was treated with conventional neurosurgical treatment.On the basis of the control group,treatment group 1,treatment group 2 and treatment group 3 were treated with head acupuncture at 7 d,72 h and 24 h after injury.The clinical neuro-functional impairment,Fugl-meyer(FMA)motor function score and the modified Barthel index(MBI)score were used to assess the clinical neurological deficit,limb motor function and daily living activity ability(ADL)of patients before and after 30 days of treatment.Results Compared with this group before treatment:there were statistically significant differences in the scores of neurological functional defects,FMA and MBI in the treatment group 1,treatment group 2 and treatment group 3(P<0.01).The difference in FMA scores in the control group was statistically significant(P<0.05).After treatment,compared with the control group,there were statistically significant differences in neurological functional defect scores,FMA and MBI scores in treatment group 1,treatment group 2 and treatment group 3(P<0.01).After treatment,compared with the treatment group 1,the scores of neurological functional defects in the treatment group 2 and the treatment group 3 showed a downward trend,but the differences were not statistically significant,and the differences of FMA scores were statistically significant(P<0.01).The MBI score of the two groups showed an upward trend,but the difference was not statistically significant,while the MBI score of the three groups showed a statistically significant difference(P<0.01).After treatment,compared with the treatment group 2,there was a trend of decrease in neurological functional defect score in the treatment group

关 键 词：针刺疗法 重型颅脑损伤 头针疗法 巨刺针法 

分 类 号：R246.2[医药卫生—针灸推拿学]