电针结合常规西医治疗对颅脑外伤患者促醒作用的观察

Observation on electroacupuncture combined with routine western medicine therapy for promoting consciousness of the patient with coma caused by craniocerebral trauma

目的:观察电针结合常规西医治疗对颅脑外伤所致昏迷患者的促醒效果。方法:将32例颅脑外伤昏迷患者随机分为针药组(16例)与西药组(16例),针药组进行常规西医治疗的基础上施以电针刺激内关和曲泽,西药组给予常规西医治疗,分别于治疗第7次及第30次后进行格拉斯哥昏迷评分(GCS)及促醒率的观察。结果:电针治疗第7次后针药组GCS评分(6.88±1.63)与西药组评分(5.25±1.65)比较,差异有统计学意义(P<0.05);第7次治疗后针药组促醒率为25.0%,西药组为0,第30次治疗后针药组促醒率为81.3%,西药组为43.8%,针药组优于西药组,差异均有统计学意义(P<0.05)。结论:电针刺激内关及曲泽结合常规西医治疗对颅脑外伤昏迷患者有良好的促醒效果,优于单纯西医治疗。

Objective To observe the promoting consciousness effect of electroacupuncture combined with routine western medicine therapy on the patient with coma caused by eraniocerebral trauma. Methods Thirty-two cases were randomly divided into an acupuncture-medication group treated with electroacupuncture at Neiguan （PC 6） and Quze （PC 3） and routine western medicine, and a control group treated with routine western medicine, 16 cases in each group. Glasgow （GCS） scores were assessed after treatment for 7 sessions and 30 sessions respectively and the promoting consciousness rate was observed. Results After treatment of 7 sessions, GCS score was 6.88±1.63 in the acupuncture-medication group and 5.25±1.65 in the control group with a significant difference between the two groups （P〈0.05） ; after treatment of 7 sessions, the promoting consciousness rate was 25.0% in the acupuncture-medication group and 0 in the western medicine group, and after treatment for 30 sessions, the promoting consciousness rate was 81.3% in the acupuncture-medication group and 43.8% in the western medicine group with a significant difference between the two groups （P〈0.05）. Conclusion Electroacupuncture at Neiguan （PC 6）and Quze （PC 3） combined with western medicine has a good promoting consciousness effect in the patient with coma caused by craniocerebral trauma, which is better than that of simple western medicine.