摘要
目的:探寻对神经外科昏迷患者早期催醒的方法。方法:选取格拉斯哥昏迷评分(GCS)<8分的脑挫裂伤、脑出血、脑肿瘤患者随机分为观察组(218例)和对照组(237例)。两组均予常规药物或/及手术治疗,观察组生命体征稳定后即予醒脑开窍针刺法联合运动疗法的康复治疗,穴取水沟、百会、内关等;对照组不予康复治疗,比较两组催醒情况。结果:观察组治疗30天后清醒率为80.7%(176/218),高于对照组的46.8%(111/237),差异有统计学意义(P<0.001)。结论:早期针刺结合运动疗法能提高神经外科昏迷患者清醒率,从而降低患者的死亡率和致残率。
Objective To seek consciousness-regaining methods at early stage for coma patients in neurosurgery. Methods Patients whose Galsgows Coma Scale （GCS）〈8 including cerebral contusion, cerebral hemorrhage and brain tumor were randomly divided into an observation group （218 cases） and a control group （237 cases）. Conventional medicine and/or surgery were used in two groups. After vital signs became stable, Xingnao Kaiqiao needling method Was applied at Shuigou （GV 26）, Baihui （GV 20）, Neiguan （PC 6）, etc. and combined with exercise thera py in observation group, while no rehabilitation therapy was used in control group. The therapeutic effect between two groups was compared. Results After 30 days＇ treatment, the conscious rate of observation group （80.7%, 176/218） was higher than that of control group （46.8%, 111/237）, and there was statistics significance between them （P〈0. 001）. Conclusion Early acupuncture combined with exercise therapy can improve the conscious rate of coma patients in neurosurgery, thereby＇decrease their mortality and disability rate.
出处
《中国针灸》
CAS
CSCD
北大核心
2011年第2期121-123,共3页
Chinese Acupuncture & Moxibustion
关键词
昏迷
醒脑开窍
针刺疗法
运动疗法
催醒
Coma
Consciousness Restor Resuscitat
Acupuncture Therapy, Exercise Therapy
Consciousness-Regaining
