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[连续电针内关穴(PC 6)对重度颅脑创伤昏迷患者促醒作用的临床观察]

[Clinical observation on continuous electroacupuncture at Neiguan (PC 6) for arousing consciousness of comatose patients with severe craniocerebral trauma].

作者信息

Peng Fan, Chen Ze-Qi, Luo Jie-Kun

机构信息

Department of Integrated Chinese and Western Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhongguo Zhen Jiu. 2010 Jun;30(6):465-8.

Abstract

OBJECTIVE

To observe the therapeutic effect of continuous electroacupuncture at Neiguan (PC 6) on the basis of routine treatment of western medicine for arousing consciousness of comatose patinents with severe craniocerebral trauma.

METHODS

Fifty-six cases of severe cranio cerebral trauma patients whose scores of Glasgow Coma Scale (GCS) lower than 8 were randomly divided into an observation group (29 cases) and a control group (27 cases). Both groups were treated with routine western medicine. The observation group were additionally treated with continuous electroacupuncture at Neiguan (PC 6) as the main point. Arousal rate and time after one month and three months of two groups were observed, arousal rate and the total therapeutic effect of recovery of the patients with different types after three months were compared between two groups.

RESULTS

The arousal time of the observation group was (18.57 +/- 7.14) days and the arousal rate was 72.4% (21/29) after one month, while (24.60 +/- 5.00) days and 37.0% (10/27) in control group, respectively. They were suprior in observation group to those in control group (P < 0.01, P < 0.05); the arousal time was (25.04 +/- 16.68) days in the observation group after three months of treatment, also shorter than (37.90 +/- 16.94) days in control group (P < 0.05). The arousal rate of patients with diffuse axonal injury was significantly higher than that of patients with non-diffuse axonal injury in the observation group and patients with the same type in control group after one month (P < 0.05). The cured-markedly effective rate of 72.4% (21/29) in observation group was significantly higher than that of 37.0% (10/27) in control group (P < 0.05).

CONCLUSION

The therapy of continunous electroacupuncture at Neiguan (PC 6) on the basis of routine western medicine has a better therapeutic effect for comatose patients with severe cranio cerebral trauma, especially for those with diffuse axonal injury.

摘要

目的

观察在西医常规治疗基础上连续电针内关穴(PC 6)对重度颅脑创伤昏迷患者促醒的疗效。

方法

将56例格拉斯哥昏迷量表(GCS)评分低于8分的重度颅脑创伤患者随机分为观察组(29例)和对照组(27例)。两组均采用西医常规治疗。观察组在此基础上,以连续电针内关穴(PC 6)为主穴进行治疗。观察两组患者1个月、3个月后的促醒率及促醒时间,比较两组患者3个月后不同类型患者的促醒率及总疗效。

结果

观察组1个月后促醒时间为(18.57±7.14)天,促醒率为72.4%(21/29);对照组分别为(24.60±5.00)天和37.0%(10/27)。观察组上述指标均优于对照组(P<0.01,P<0.05);治疗3个月后,观察组促醒时间为(25.04±16.68)天,也短于对照组的(37.90±16.94)天(P<0.05)。观察组弥漫性轴索损伤患者1个月后的促醒率显著高于对照组同类型患者及观察组非弥漫性轴索损伤患者(P<0.05)。观察组治愈率+显效率为72.

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