醒脑开窍针刺法结合高压氧治疗颅脑损伤意识障碍患者的临床观察  

Clinical Efficacy of Xingnao Kaiqiao Acupuncture Combined with Hyperbaric Oxygen on Patients with Consciousness Disorder after Craniocerebral Injury

作　　者：应明军[1] 陈晟[1] 吕志灵 赖志良[1] 赖一鸣 徐晶 Ying Mingjun;Chen Sheng;LüZhiling;Lai Zhiliang;Lai Yiming;Xu Jing(Jiande First People′s Hospital,Zhejiang,Jiande 311600,China)

机构地区：[1]浙江省建德市第一人民医院,浙江建德311600

出　　处：《中国中医急症》2023年第2期307-310,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：浙江省杭州市医药卫生科技计划项目(B20200039);浙江省中医药科技计划项目(2022ZA157)。

摘　　要：目的观察醒脑开窍针刺法结合高压氧治疗对颅脑损伤意识障碍患者的促醒作用。方法选取颅脑损伤意识障碍患者120例,按照随机数字表法将患者分为对照组、针刺组、高压氧组及观察组各30例。对照组给予常规治疗及常规护理,针刺组在对照组的基础上给予醒脑开窍针刺,高压氧组在对照组的基础上给予高压氧治疗,观察组在对照组的基础上给予醒脑开窍针刺联合高压氧治疗。10 d为1个疗程。观察各组患者治疗前及治疗1、2、3个疗程后格拉斯哥昏迷量表(GCS)评分及疗效情况。结果治疗3个疗程后,各组患者的GCS评分均较治疗前提高(P<0.05),且观察组的改善程度最优(P<0.05);观察组总有效率高于对照组、针刺组及高压氧组(P<0.05)。结论醒脑开窍针刺法及高压氧联合运用可有效改善颅脑损伤意识障碍患者的临床症状,促进患者意识复苏,改善预后,且优于单纯采用一种治疗方法。Objective:To explore the effect of Xingnao Kaiqiao Acupuncture combined with hyperbaric oxygen therapy on awakening of patients with consciousness disorder after craniocerebral injury.Methods:A total of 120patients with brain injury and disturbance of consciousness were randomly divided into the control group,acupuncture group,hyperbaric oxygen group and observation group,30 patients in each group.The control group was given routine treatment and routine nursing,the acupuncture group was given Xingnao Kaiqiao Acupuncture on the basis of the control group,the hyperbaric oxygen group was given hyperbaric oxygen treatment on the basis of the control group,and the observation group was given Xingnao Kaiqiao Acupuncture combined with hyperbaric oxygen treatment on the basis of the control group.Ten days was 1 course of treatment.The changes of Glasgow Coma Scale(GCS)and curative effect were observed and compared before treatment and after 1,2,3 courses of treatment.Results:After 3 courses of treatment,the GCS scores of the four groups were higher than those before treatment(P<0.05),and the improvement degree of the observation group was the best(P<0.05);the total effective rate of the observation group was higher than that of the control group,acupuncture group and hyperbaric oxygen group(P<0.05).Conclusion:The combination of Xingnao Kaiqiao Acupuncture and hyperbaric oxygen therapy can effectively improve the clinical symptoms of patients with consciousness disorder after craniocerebral injury,promote the recovery of consciousness and improve the prognosis,which is better than one treatment alone.

关 键 词：颅脑损伤 意识障碍 醒脑开窍 高压氧 

分 类 号：R749.12[医药卫生—神经病学与精神病学]