持续电针为主促醒重型颅脑外伤昏迷患者疗效观察

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

目的:观察在西医常规治疗基础上,加用持续电针治疗对重型颅脑外伤昏迷患者的促醒效果。方法:将格拉斯哥评分(GCS)≤8分的重型颅脑损伤昏迷患者随机分成观察组(29例)和对照组(27例),两组均予常规西医治疗,观察组在此基础上加用以内关为主穴的持续电针治疗。观察两组患者1个月后、3个月后苏醒率、苏醒时间,比较两组不同类型损伤患者的苏醒率及3个月后的整体康复疗效。结果:1个月后,观察组苏醒时间为(18.57±7.14)天、苏醒率为72.4%(21/29),对照组分别为(24.60±5.00)天、37.0%(10/27),观察组均优于对照组(P<0.01,P<0.05);3个月后,观察组苏醒时间为(25.04±16.68)天,亦短于对照组的(37.90±16.94)天(P<0.05)。且观察组弥漫性轴索损伤患者1月后苏醒率显著高于同组非弥漫性轴索损伤患者及对照组同类型患者(均P<0.05)。治疗3个月后,观察组愈显率为72.4%(21/29)明显高于对照组37.0%(10/27)(P<0.05)。结论:在西医常规治疗基础上,加用以内关为主的持续电针治疗对重型颅脑损伤昏迷患者,尤其是弥漫性轴索损伤患者的神志恢复有较好疗效。

Objective To observe the promoting consciousness efficacy of continual-electroacupuncture on inner pass （Nei Guan） point therapy,which emphasized Nei Guan as the most important acupoint,for resuscitating coma patients with severe cerebral trauma. Methods Fifty-six coma patients with severe cerebral trauma were randomly allocated as two groups,an electroacupuncture treatment group involving 29 cases and a control group involving 27 cases. Both groups were treated with routine western medicine.The treatment group were additionally treated with a therapy of continual-electroacupuncture inner pass point. Results The recovery time needed and the promoted consciousness rate in the duration of one month,and the recovery time and general improvement on prognosis in the duration of three months have statistically significant difference between the two groups（P〈0.05）; The promoting consciousness rate of the patients with diffuse axonal injury in the treatment group was significantly higher than the patients with non-diffuse axonal injury after one month （P〈0.05）. Conclusion The therapy of continual-electroacupuncture on inner pass point has reliable efficacy on coma patients with severe cerebral trauma, especially for those with diffuse axonal injury.