醒脑开窍针法在重型颅脑损伤康复中的运用

The application of Xingnaokaiqiao acupuncture in the recovery of sever craniocerebral injury

目的比较加用醒脑开窍针法及采用常规康复治疗方法在重型颅脑损伤患者康复中的差别,评价两种方案对重型颅脑损伤患者康复的效果。方法将88例重型颅脑损伤患者(GCS评分≤8分)随机分为观察组46例和对照组42例,两组患者均给予神经外科常规治疗,包括止血、脱水、脑保护、营养支持、防治并发症等常规治疗方案,对照组采用常规康复治疗方案,观察组在常规康复治疗方案的基础上加用醒脑开窍针法。比较两组的GCS评分、Fugl-Meyer(FMA)评分和Barthel指数(ADL评分)。结果两组治疗后的GCS评分、FMA评分、ADL评分改善情况均优于治疗前评分,观察组治疗后的GCS评分、FMA评分、ADL评分改善情况优于对照组,差异均有统计学意义(P<0.05)。结论醒脑开窍针刺法联合常规康复治疗能有效促进患者神志恢复,提高运动功能,改善生活质量。

Objective To compare the difference in the recovery of severe craniocerebral injury between Xingnaokaiqiao acupuncture and conventional rehabilitation therapy, and to evaluate the effects of these two therapies on the recovery of sever eranioeerebral injury. Methods A total of 88 subjects with severe craniocerebral injuries （GCS score 8 points） were randomly divided into observation group （46 cases） and control group （42 cases）, and neurosurgical conventional observation were provided, such as hemostasis, dehydration, cerebral protection, nutritional support and complication prevention. The control group was treated with routine rehabilitation, Xingnaokaiqiao acupuncture was additionally applied to the patients in the observation group. Then the GCS score, Fugl-Meyer （FMA） score and Barthel index （ADL score） obtained from observation group and control group were compared. Results The GCS score, FMA score and ADL score of the two groups after treatment were better than those before treatment, the GCS score, FMA score and ADL score of observation group after treatment were better than those before treatment, the differences were statistically significant （P〈0.05）. Conclusion Xingnaokaiqiao acupuncture combined with conventional rehabilitation therapy can more effectively promote the recovery of conscious, enhance motor function, and significantly improve the quality of life.