正中神经电刺激联合针灸疗法治疗脑卒中后意识障碍患者的效果

Effect of Median Nerve Electrical Stimulation Combined with Acupuncture and Moxibustion Therapy in the Treatment of Patients with Post-stroke Consciousness Disorder

目的:分析正中神经电刺激联合针灸疗法治疗脑卒中后意识障碍患者的效果。方法:回顾性分析2021年3月—2023年3月毕节市第一人民医院收治的96例脑卒中后意识障碍患者的临床资料,按治疗方法不同将其分为对照组(n=47)、观察组(n=49)。对照组行正中神经电刺激,观察组行正中神经电刺激联合针灸疗法治疗,持续治疗4周。比较两组临床疗效、昏迷情况、神经功能、认知功能、脑血流动力学指标。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组格拉斯哥昏迷评分法(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)、简易智能量表(MMSE)评分比较,差异无统计学意义(P>0.05);治疗后,观察组GCS评分、MMSE评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组大脑中动脉平均血流速度(Vm)、收缩期最大血流速度(Vs)比较,差异无统计学意义(P>0.05);治疗后,观察组大脑中动脉Vm、Vs快于对照组,差异有统计学意义(P<0.05)。结论:正中神经电刺激联合针灸疗法治疗脑卒中后意识障碍患者的效果显著,可加快患者苏醒,减轻其神经功能损伤,加速认知功能恢复,改善脑血流动力学。

Objective:To analyze the effect of median nerve electrical stimulation combined with acupuncture and moxibustion therapy in the treatment of patients with post-stroke consciousness disorder.Method:Clinical data of 96 patients with post-stroke consciousness disorder admitted to the First People's Hospital of Bijie City from March 2021 to March 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=47)and observation group(n=49).The control group received median nerve electrical stimulation,and the observation group received median nerve electrical stimulation combined with acupuncture and moxibustion therapy.The treatment lasted for 4 weeks.The clinical efficacy,coma condition,neurological function,cognitive function and cerebral hemodynamics were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of Glasgow coma score(GCS),National Institutes of Health stroke scale(NIHSS)and mini-mental state examination(MMSE)between the two groups(P>0.05).After treatment,GCS score and MMSE score of observation group were higher than those in control group,NIHSS score was lower than that in control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in mean velocity(Vm)and peak systolic velocity(Vs)of middle cerebral artery between the two groups(P>0.05).After treatment,the Vm and Vs of middle cerebral artery in the observation group were faster than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Median nerve electrical stimulation combined with acupuncture and moxibustion therapy has a significant effect on the treatment of patients with post-stroke consciousness disorder,which can accelerate the recovery of patients,reduce their nerve function damage,accelerate the recovery of cognitive function,and improve cerebral hemodynamics.