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[以针刺十二井穴强刺激为主对神经外科意识障碍患者的影响]

[Effect of strong stimulation of acupuncture at twelve Jing-well points as main for neurosurgery patients with disorder of consciousness].

作者信息

Chen Xiao-yun, Zhu Ying, Huang Xiao-shan

机构信息

Department of Acupuncture and Moxibustion, Hainan People's Hospital, Haikou, China.

出版信息

Zhongguo Zhen Jiu. 2009 Aug;29(8):619-22.

Abstract

OBJECTIVE

To observe the promoting consciousness effect of acupuncture for neurosurgery patients with disorder of consciousness.

METHODS

Ninety-two neurosurgery patients with medium or severe disorder of consciousness were randomly divided into an acupuncture plus medicine group and a western medicine group, 46 cases in each group. The acupuncture plus medicine group was treated with the routine western medicine and acupuncture with strong stimulation at twelve Jing points and Shuigou (GV 26) combined with electroacupuncture at Baihui (GV 20), Sishencong (EX-HN 1), Shenting (GV 24) and Benshen (GB 13). The western medicine group was treated by routine western medicine. Two courses later, the therapeutic effects were compared between the two groups.

RESULTS

After treatment, the total effective rate was 100.0% in the acupuncture plus medicine group and 91.3% in the western medicine group, with a significant difference between the two groups (P<0.01).

CONCLUSION

Strong stimulation of acupuncture at twelve Jing points and Shuigou (GV 26) combined with electroacupuncture at the head acupoints have an obvious promotion of consciousness recovery for neurosurgery patients with disturbance of consciousness, and acupuncture involved in the treatment can significantly shorten the healing time.

摘要

目的

观察针刺对神经外科意识障碍患者促醒的作用。

方法

将92例中重度意识障碍的神经外科患者随机分为针药结合组和西药组,每组46例。针药结合组采用常规西药治疗,并针刺十二井穴、水沟(GV26)强刺激,配合百会(GV20)、四神聪(EX-HN1)、神庭(GV24)、本神(GB13)电针治疗。西药组采用常规西药治疗。两个疗程后,比较两组的治疗效果。

结果

治疗后,针药结合组总有效率为100.0%,西药组为91.3%,两组比较差异有统计学意义(P<0.01)。

结论

针刺十二井穴、水沟(GV26)强刺激配合头部穴位电针治疗对神经外科意识障碍患者意识恢复有明显促进作用,且针刺参与治疗可显著缩短疗程。

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