头针对昏迷患者促醒效果的疗效观察

Therapeutic Observation of Scalp Acupuncture in Waking Comatose Patients

目的观察头针对重型颅脑外伤致长期昏迷患者的促醒效果。方法将昏迷时间超过3星期、格拉斯哥昏迷评分(GCS)<8分的患者分成观察组(20例)和对照组(20例),两组均予相同的西医治疗。观察组另加用头针治疗,穴取百会、四神聪、神庭、顶颞前斜线、水沟,每次电针刺激30 min,再留针6 h,每日1次。结果观察组平均苏醒时间和苏醒比率为42.2d,75.0%(15/20);而对照组分别为61.1 d,20.0%(4/20),观察组患者的苏醒时间及苏醒比率均优于对照组。结论头针配合西药促醒治疗对重型颅脑外伤所致昏迷患者的神志恢复有明显疗效。

Objective To observe the effect of scalp acupuncture in waking long-term comatose patients due to severe traumatic brain injury. Method Patients in comatose state over 3 weeks or with Glasgow Coma Scale（GCS） 8 score were divided into an observation group（n=20） and a control group（n=20）. The two groups were given same Western medicine treatment. In addition, the observation group was given scalp acupuncture at Baihui（GV20）, Sishencong（EX-HN1）, Shenting（GV24）, the Anterior Oblique Line of Vertex-temporal（MS6）, and Shuigou（GV26）, with 30-minute electrical stimulation each time followed by 6-hour retaining of the needles, once per day. Result The mean waking time and rate were 42.2 d and 75.0%（15/20） in the observation group versus 61.1 d and 20.0%（4/20）, indicating that the waking time and rate of the observation group were better than those of the control group. Conclusion Scalp acupuncture plus Western medication can produce significant therapeutic efficacy in recovering the consciousness of the comatose patients due to severe traumatic brain injury.