摘要
目的:观察在西医治疗基础上联用醒脑开窍针刺法对早期重度颅脑损伤(STBI)患儿意识障碍的促醒作用及安全性。方法:将62例STBI患儿随机法分为观察组(31例,脱落1例)和对照组(31例,脱落1例)。对照组予常规康复治疗(每周治疗6次,治疗30 d)及脑苷肌肽注射液静脉滴注(每天1次,治疗28 d);观察组在对照组治疗基础上加用醒脑开窍针刺法,穴取内关、水沟、印堂、百会、三阴交、足三里,并随症配穴,每天1次,每周治疗6次,治疗30 d。观察两组治疗前及治疗10、20、30 d后格拉斯哥昏迷量表(GCS)、改良国际昏迷恢复量表(CRS-R)、改良Barthel指数(MBI)评分;观察两组治疗前后脑电图(EEG)分级,并评价安全性。结果:治疗10、20、30 d后,两组患儿GCS、CRS-R、MBI评分均较治疗前升高(P<0.05),观察组高于对照组(P<0.05);治疗后,两组EEG分级较治疗前改善(P<0.05),观察组优于对照组(P<0.05)。治疗期间两组患儿均无不良安全事件及不良反应发生。结论:在西医治疗基础上,联用醒脑开窍针刺法对早期STBI患儿有促醒作用,可改善患儿意识障碍水平和日常生活能力,且安全有效。
Objective To observe the awakening effect and safety of Xingnao Kaiqiao(regaining consciousness and opening orifices)acupuncture on consciousness disorder in children with early severe traumatic brain injury(STBI)based on western medicine treatment.Methods A total of 62 children with STBI were randomly divided into an observation group(31 cases,1 case dropped off)and a control group(31 cases,1 case dropped off).The control group was treated with routine rehabilitation therapy(6 times a week for 30 days),and intravenous drip of cattle encephalon glycoside and ignotin injection(once a day for 28 days).On the basis of the treatment in the control group,the observation group was treated with Xingnao Kaiqiao acupuncture at Neiguan(PC 6),Shuigou(GV 26),Yintang(GV 24+),Baihui(GV 20),Sanyinjiao(SP 6),Zusanli(ST 36),etc.,and supplementary acupoints according to clinical symptoms,once a day,6 times a week for 30 days.The scores of Glasgow coma scale(GCS),coma recovery scale-revised(CRS-R)and modified Barthel index(MBI)were observed before treatment and 10,20 and 30 d into treatment.Electroencephalogram(EEG)grading before and after treatment was observed in the two groups,and safety was evaluated.Results After 10,20 and 30 days of treatment,the scores of GCS,CRS-R and MBI in the two groups were increased compared before treatment(P<0.05),and those in the observation group were higher than the control group(P<0.05).After treatment,EEG grading of both groups was improved compared with that before treatment(P<0.05),and the observation group was better than the control group(P<0.05).There were no adverse events or adverse reactions in the two groups during treatment.Conclusion On the basis of western medicine treatment,Xingnao Kaiqiao acupuncture plays a remarkable role in wakening the early STBI children,can improve the level of consciousness disorder and daily living ability,and it is safe and effective.
作者
吴婧
吴浪龙
王彦军
汪杨
李清
WU Jing;WU Lang-long;WANG Yan-jun;WANG Yang;LI Qing(Pediatric Rehabilitation Center,Jiangxi Provicial Children's Hospital,Nanchang 330006,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2023年第3期277-281,共5页
Chinese Acupuncture & Moxibustion
基金
江西省重点研发计划项目:KT2020119。
关键词
早期重度颅脑损伤
醒脑开窍针刺法
针刺
促醒
意识障碍
随机对照试验
early severe traumatic brain injury
Xingnao Kaiqiao acupuncture
acupuncture
wake-promoting
consciousness disorder
randomized controlled trial(RCT)
