回阳醒神针刺法对脑性昏迷患者的促醒作用

摘要

Objective To investigate the clinical effect of Huiyang Xingshen Acupuncture in the treatment of patients with brain coma.Methods A total of 80 patients who met the inclusion criteria were divided into treatment group and control group,with 40 patients in each group.The patients in the treatment group were given Huiyang Xingshen Acupuncture,and those in the control group were given conventional Xingnao Kaiqiao Acupuncture.Before treatment and after 28 days of treatment,the Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) were used to evaluate recovery of consciousness,and blood flow in the vertebrobasilar artery was also observed.Results There were significant differences in the GCS outcome and GOS grade between the treatment group and the control group (P＜0.05),and the treatment group had a significantly better clinical outcome than the control group.Compared with the control group,the treatment group had a significantly greater increase in the mean peak velocity (Vm) of the left vertebral artery (LVA) and a significantly greater reduction in the systolic peak flow velocity (Vs) of the basal artery (BA) in the patients with cerebral infarction,significantly greater reductions in Vs of the LVA and Vs and Vm of the BA in the patients with cerebral hemorrhage,and significantly greater reductions in Vs of the LVA,Vm of the right vertebral artery,and Vs and Vm of the BA in the patients with traumatic brain injury (P＜0.05).Conclusion Huiyang Xingshen Acupuncture has a significant wakepromoting effect on patients with brain coma and can effectively improve blood supply of the vertebrobasilar artery.%目的 观察回阳醒神针刺法治疗脑性昏迷患者的临床疗效.方法 将符合纳入标准的80例患者分为治疗组与对照组各40例,治疗组采用回阳醒神针刺方法,对照组采用临床常用醒脑开窍针刺法,在治疗前与治疗28 d后采用格拉斯哥昏迷量表(Glasgow coma scale,GCS)、格拉斯哥预后量表(Glasgow outcome scale,GOS)评价两组患者苏醒程度,并观察椎-基底动脉血流情况.结果 治疗组和对照组GCS疗效、GOS分级比较,差异具有统计学意义(P＜0.05),治疗组疗效优于对照组.在升高脑梗死患者左侧椎动脉(left vertebral artery,LVA)的平均峰流速(the mean peak velocity,Vm)和降低基底动脉(basical aretery,BA)的收缩期峰流速(systolic peak flow velocity,Vs)方面,在降低脑出血患者LVA的Vs,BA的Vs、Vm方面,以及在降低颅脑损伤患者LVA的Vs,右侧椎动脉的Vm和BA的Vs、Vm方面,治疗组均明显优于对照组(P＜0.05).结论 回阳醒神针刺法对脑性昏迷患者有明显的促醒作用,并能有效改善椎-基底动脉供血.