强刺激十二井穴为主对脑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

目的:观察针刺对脑外科意识障碍患者的促醒作用。方法:选取脑外科中、重度意识障碍患者92例,随机分为针药组及药物组,每组46例。针药组在常规西医治疗的基础上针刺强刺激十二井穴、水沟,电针百会、四神聪、智三针(神庭、本神);药物组给予常规西医治疗。治疗2个疗程后比较两组临床疗效。结果:针药组总有效率为100.0%,药物组为91.3%,两组比较差异有统计学意义(P<0.01)。结论:针刺强刺激十二井穴、水沟以及电针头穴对脑外科意识障碍患者意识的恢复有明显促进作用,针刺介入治疗可明显缩短治疗时间。

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.