中药点舌疗法对脑卒中后早期意识障碍的促醒作用研究

Study on Wake-Promoting Effect of Tongue-Dotting Therapy with Chinese Herbal Medicine on Early Disturbance of Consciousness After Stroke

目的:观察中药点舌疗法对脑卒中后早期意识障碍的促醒作用。方法:选取89例脑卒中后早期意识障碍患者,以格拉斯哥昏迷评分(GCS) 4~8分和9~13分为标准进行分层,其中,GCS评分4~8分患者共44例,随机分为试验组和对照组各22例;GCS评分9~13分患者共45例,随机分为试验组22例和对照组23例。对照组给予常规药物及护理干预,试验组在对照组基础上给予中药点舌疗法治疗,各组均治疗2周。记录并比较不同层次患者治疗前、治疗1周、治疗2周的GCS评分。结果:GCS评分4~8分患者治疗1周,2组GCS评分均较治疗前升高(P<0.01);组间比较,差异无统计学意义(P>0.05)。GCS评分4~8分患者治疗2周,试验组GCS评分较治疗1周时升高(P<0.05),且高于同期对照组(P<0.01);对照组GCS评分与治疗1周时比较,差异无统计学意义(P>0.05)。GCS评分9~13分患者治疗1周,2组GCS评分均较治疗前升高(P<0.01);组间比较,差异无统计学意义(P>0.05)。GCS评分9~13分患者治疗2周,试验组GCS评分较治疗1周时升高(P<0.05);对照组GCS评分与治疗1周时比较,差异无统计学意义(P>0.05);2组GCS评分比较,差异无统计学意义(P>0.05)。结论:中药点舌疗法对脑卒中后早期意识障碍患者可发挥持续的促醒作用,且对于GCS评分为4~8分患者的促醒作用优于单纯使用常规药物及护理干预。

Objective:To observe the wake-promoting effect of tongue-dotting therapy with Chinese herbal medicine on early disturbance of consciousness after stroke. Methods: A total of 89 cases of patients with early disturbance of consciousness after stroke were layered according to Glasgow Coma Scale(GCS)scores at four to eight and nine to thirteen;a total of 44 cases of patients at four to eight GCS scores were randomly divided into the experiment group and the control group,22 cases in each group;a total of 45 cases of patients at nine to thirteen GCS scores were randomly divided into the experiment group and the control group,22 and 23 cases in each group respectively. The control group was intervened with routine medicine and nursing,and the experiment group was additionally treated with tongue-dotting therapy with Chinese herbal medicine based on the treatment of the control group. All of the groups were treated for two weeks. Before treatment and after treatment for one week and two weeks, the GCS scores of patients at different levels were recorded and compared. Results: After one week of treatment for patients with four to eight GCS scores, the GCS scores in the two groups were increased when compared with those before treatment(P<0.01);there was no significant difference being found in the comparison of GCS scores between the two groups(P>0.05). After two weeks of treatment for patients with four to eight GCS scores,the GCS score in the experiment group was increased when compared with that after treatment for one week(P<0.05),and was higher than that in the control group at the same period(P>0.01);compared with GCS scores in the control group after treatment for one week and two weeks,there was no significant difference being found(P>0.05). After one week of treatment for patients with nine to thirteen GCS scores,the GCS scores in the two groups were increased when compared with those before treatment(P<0.01);there was no significant difference being found in the comparison of GCS scores between the two groups(P>0.05). After two weeks of treatment for patients with nine to thirteen GCS scores,the GCS score in the experiment group was increased when compared with that after treatment for one week(P<0.05);compared with GCS scores in the control group after treatment for one week and two weeks, there was no significant difference being found(P>0.05);there was no significant difference being found in the comparison of GCS scores between the two groups(P>0.05). Conclusion: The application of tongue-dotting therapy with Chinese herbal medicine has continuous wake-promoting effect in patients with early disturbance of consciousness after stroke and has better wakepromoting effect on patients with four to eight GCS scores than that of simple routine medicine and nursing.