针刺联合高压氧治疗急性一氧化碳中毒迟发性脑病38例疗效观察

Treatment of Delayed Encephalopathy Due to Acute Carbon Monoxide Poisoning by Acupuncture Combined with Hyperbaric Oxygen Therapy: A Clinical Observation of 38 Cases

目的:观察针刺联合高压氧治疗急性一氧化碳中毒迟发性脑病(DEACMP)的临床疗效。方法:将38例DEACMP患者予针刺(主穴:内关、人中、百会、四神聪、风府、合谷、太冲;配穴:肾俞、足三里、三阴交)结合高压氧并配合对症治疗。结果: 3-6疗程后,治愈10例,显效18例,有效8例,无效2例,总有效率94．74％。结论:针刺联合高压氧治疗DEACMP疗效显著。

Objective： To observe the curative effect of acupuncture combined with hyperbaric oxygen（HOT） for delayed encephalopathy （DE） due to acute carbon monoxide poisoning. Methods： 38 cases of acute carbon monoxide poisoning were treated by acupuncture （chief acupoints： Neiguan （PC 6）, Renzhong （DU 26）, Baihui （DU 20）, Sishencong （EX-HN 1）, Fengfu （DU 16）, Hegu （LI 4） and Taichong （LR 3）; subsidiary acupoints; Shenshu （BL 23）, Zusanli （ST 36） and Sanyinjiao （SP 6） and combined with HOT. Results： After 3 ~ 6 courses of treatment, 10 cases were cured, 18 cases markedly effective, 8 cases effective and 2 cases ineffective, the total effective being 94. 74%. Conclusion： Acupuncture combined with HOT is markedly effective for DE due to acute carbon monoxide poisoning.