针刺“八卦眼针”治疗卒中后最小意识状态PO_(2)及PCO_(2)的临床观察  

Clinical observation of PO_(2) and PCO_(2) in Eight Diagrams Eye Acupuncture on the minimally consciousness state after stroke

作　　者：张玉洁 孙大中 伍华兵 祝晓倩 杨素婷 钟敏 钟浩澎 池响峰[2] ZHANG Yujie;SUN Dazhong;WU Huabing;ZHU Xiaoqian;YANG Suting;ZHONG Min;ZHONG Haopeng;CHI Xiangfeng(Graduate School of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong,China,510405;Acupuncture and Rehabilitation Department of the Second Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong,China,510095;Rehabilitation Department of Yangquan Traditional Chinese Medicine Hospital,Yangquan,Shanxi,China,045000)

机构地区：[1]广州中医药大学研究生院,广东广州510405 [2]广东省第二中医院针灸康复科,广东广州510095 [3]阳泉市中医医院康复科,山西阳泉045000

出　　处：《分子诊断与治疗杂志》2024年第12期2232-2235,共4页Journal of Molecular Diagnostics and Therapy

基　　金：广东省医学科研基金项目(B2021224);广东省医学科研基金项目(B2022289);2024年度广州中医药大学校院联合科技创新基金临床研究专项。

摘　　要：目的观察八卦眼针治疗卒中后最小意识状态(MCS)后氧分压(PO_(2))及二氧化碳分压(PCO_(2))的变化。方法选取2022年9月至2023年6月广东省第二中医院针灸康复科共收治的60例卒中后最小意识状态患者,按照随机数字表法将他们分为常规针刺组(n=30)和八卦眼针组(n=30)。常规针刺组采用基础治疗、康复训练、常规针刺治疗,八卦眼针组采用八卦眼针治疗,每周针刺5天,疗程均为2周。治疗前后分别记录两组患者的血气分析(动脉血)的PO_(2)及PCO_(2)、昏迷恢复量表(CRS⁃R)评分、超敏c⁃反应蛋白(hs⁃CRP),并使用统计学软件SPSS进行数据分析。结果治疗后,八卦眼针组患者的PO_(2)水平显著高于常规针刺组,差异有统计学意义(P<0.05);八卦眼针组患者的PCO_(2)水平明显低于常规针刺组,差异有统计学意义(P<0.05)。治疗后,八卦眼针组患者的CRS⁃R评分显著高于常规针刺组,差异有统计学意义(P<0.05)。两组间的hs⁃CRP水平差异无统计学意义(P>0.05)。结论八卦眼针治疗卒中后最小意识状态有良好的临床疗效,可提高最小意识状态患者的PO_(2)、降低PCO_(2)。Objective To observe the changes of oxygen part pressure(PO_(2))and carbon dioxide part pressure(PCO_(2))after the treatment of minimally consciousness state(MCS)after stroke.Methods From September 2022 to June 2023,60 patients with minimal consciousness after a stroke were admitted to the Acupuncture and Moxibustion Rehabilitation Department of the Second Hospital of Traditional Chinese Medi⁃cine in Guangdong Province.They were divided into two groups:the conventional acupuncture group(n=30)and the Eight Diagrams Eye Acupuncture group(n=30)using a random number table.The conventional acu⁃puncture group received basic treatment,rehabilitation training and acupuncture treatment.the Eight Diagrams Eye Acupuncture group received treatment using the Eight Diagrams Eye Acupuncture method for a duration of 2 weeks.Before and after treatment,blood gas analysis(arterial blood),Coma Recovery Scale⁃Revised(CRS⁃R)scores,and high⁃sensitivity C⁃reactive protein(hs⁃CRP)levels were recorded.Results After treatment,the PO_(2)level of patients in the Eight Diagrams Eye Acupuncture group was significantly higher than that in the conventional acupuncture group,and the difference was statistically significant(P<0.05).The PCO_(2)level of pa⁃tients in the Eight Diagrams Eye Acupuncture group was significantly lower than that in the conventional acupunc⁃ture group,and the difference was statistically significant(P<0.05).After treatment,the CRS⁃R score of patients in the Eight Diagrams Eye Acupuncture group was significantly higher than that in the conventional acupuncture group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in hs CRP levels between the two groups(P>0.05).Conclusion Eight Diagrams Eye Acupuncture demonstrates a significant clinical effect in treating MCS after a stroke by increasing PO_(2)levels and decreasing PCO_(2)levels.

关 键 词：卒中 意识障碍 最小意识状态 眼针 大接经 氧分压 二氧化碳分压 

分 类 号：R246.6[医药卫生—针灸推拿学]