开窍醒神针刺法联合电刺激在早期重型颅脑损伤昏迷中的促醒效果  被引量:4

To Evaluate the Clinical Effect of Acupuncture for Awakening and Awakening Spirits Combined with Electrical Stimulation in Awakening Patients with Early Severe Craniocerebral Injury and Coma

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作  者:陈光辉 CHEN Guanghui(Zhengzhou Seventh People's Hospital,Zhengzhou 450000,Henan,China)

机构地区:[1]郑州市第七人民医院,河南郑州450000

出  处:《实用中医内科杂志》2022年第3期79-81,共3页Journal of Practical Traditional Chinese Internal Medicine

基  金:河南省卫生政策研究项目(20170367)。

摘  要:目的探究开窍醒神针刺法联合电刺激在早期重型颅脑损伤昏迷中的促醒效果。方法将2019年1月—2020年1月郑州市第七人民医院收治的65例早期重型颅脑损伤昏迷患者以抽签法分为对照组32例与观察组33例,对照组采用正中神经电刺激疗法,观察组在对照组基础上加入开窍醒神针法。比较两组治疗后塑性情况,治疗介入后状态及家属满意度。结果治疗后2周,观察组苏醒率48.48%(16/33),高于对照组的25.00%(8/32);治疗后4周,观察组苏醒率78.78%(26/33),高于对照组的38.50%(18/32),差异均有统计学意义(P<0.05)。治疗后,观察组苏醒时间短于对照组(P<0.05)。介入治疗后,观察组介入后死亡、植物生存、中残、良好状态优于对照组(P<0.05)。观察组患者家属满意度93.94%(31/33),高于对照组的68.75%(22/32),差异有统计学意义(P<0.05)。结论开窍醒神针刺法与电刺激配合应用在早期重型颅脑损伤昏迷患者,效果显著,能够缩短苏醒时间,改善预后,能提升家属满意度。Objective To explore the effect of Kaiqiao Xingshen acupuncture combined with electrical stimulation in the coma of early severe craniocerebral injury.Methods 65 comatose patients with early severe craniocerebral injury treated in Zhengzhou Seventh People's Hospital from January 2019 to January 2020 were divided into 32 cases in the control group and 33 cases in the observation group by lot.The control group was treated with median nerve electrical stimulation,and the observation group was treated with Kaiqiao Xingshen acupuncture on the basis of the control group.The plasticity,the state after treatment and the satisfaction of family members were compared between the two groups.Results two weeks after treatment,the recovery rate in the observation group was 48.48%(16/33),which was higher than 25.00%(8/32)in the control group;Four weeks after treatment,the recovery rate in the observation group was 78.78%(26/33),which was higher than 38.50%(18/32)in the control group(P<0.05).After treatment,the recovery time of the observation group was shorter than that of the control group(P<0.05).After interventional treatment,the state of the observation group after intervention was due to that of the control group(P<0.05).The satisfaction of family members in the observation group was 93.94%(31/33),which was higher than 68.75%(22/32)in the control group(P<0.05).Conclusion acupuncture can significantly shorten the recovery time and improve the prognosis of patients with severe craniocerebral injury.

关 键 词:开窍醒神针刺法 电刺激 早期重型颅脑损伤昏迷 苏醒率 

分 类 号:R254.9[医药卫生—中医内科学]

 

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