益气醒神方结合针刺治疗脑梗死意识障碍的临床观察

Clinical observation of Yiqi Xingshen formular combined with acupuncture in treating conscious disturbance in patients with cerebral infarction

目的临床观察益气醒神方结合针刺治疗脑梗死意识障碍的疗效。方法将108例患者随机分为治疗组、方药组和针刺组,各组在进行基础治疗的同时,治疗组给予益气醒神方加针刺治疗,方药组给予益气醒神方,针刺组给予针刺治疗,根据不同分组,每日分别给予1剂中药或针刺1次,或两者共用,均14 d为1个疗程,疗程结束后统计疗效。治疗前后对患者进行意识障碍程度Glasgow评分。结果治疗后3组昏迷程度Glasgow评分较治疗前差异有统计学意义(P<0.05);治疗后治疗组Glasgow评分差值较方药组、针刺组明显改善,差异有统计学意义(P<0.01);治疗后治疗组总有效率88.9%,与方药组55.5%、针刺组58.3%比较,差异有统计学意义(P<0.01);方药组与针刺组总有效率比较,差异无统计学意义(P>0.05)。结论益气醒神方结合针刺对脑梗死意识障碍有显著疗效。

Objective To observe the clinical effects of Yiqi Xingshen decoction combined with acupuncture for treating conscious disturbance in patients with cerebral infarction. Methods 108 pa- tients were randomly divided into treatment group, medicine group and acupuncture group. With the basic treatment, the treatment group was given Yiqi Xingshen decoction combined with acupuncture treatment every day, medicine group was given Yiqi Xingshen decoction daily, acupuncture group was given acupuncture treatment daily, with 14 days as a treatment cycle. The curative effect was evaluated after treatment. Glasgow score of consciousness disorder was counted in patients before and after the treatment. Results There were statistical differences in Glasgow scores in 3 groups before and after treatment （P〈0.05）. After treatment, Glasgow score difference in treatment group was improved significantly compared with the drug group and acupuncture group （P 〈0.01）,and the difference was statistically significant; after treatment there were significant differences in the to-tally effective rate between treatment group （88.9%） and the medicine group （55.5%）, acupunc- ture group（58.3%）（P〈0.01）. However there was no significant difference between medicine group and acupuncture group in totally effective rate （P 〉0.05）. Conclusion Yiqi Xing- shen decoction combined with acupuncture has obvious therapeutic effects on conscious disturbance in patients with cerebral infarction.