针刺联合促醒刺激治疗脑出血术后昏迷的临床疗效及对脑电图的影响OA
Clinical efficacy of acupuncture plus arousal-promoting stimulation in treating postoperative coma after cerebral hemorrhage and its impact on electroencephalogram
目的 观察回阳醒神针刺联合促醒刺激治疗脑出血术后昏迷的临床疗效及对脑电图的影响.方法 将 100 例脑出血术后昏迷患者,随机分为对照组和观察组,每组 50 例.两组均予常规治疗和基础护理,对照组采用促醒刺激治疗,观察组采用回阳醒神针刺联合促醒刺激治疗.观察两组苏醒情况,比较两组治疗前后大脑中动脉和基底动脉平均血流速度、格拉斯哥昏迷量表(Glasgow coma scale,GCS)评分、修订版昏迷恢复量表(coma recovery scale-revised,CRS-R)评分和美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)评分及脑电图分级变化.结果 观察组苏醒时间短于对照组(P＜0.05),苏醒率高于对照组(P＜0.05).两组治疗后大脑中动脉和基底动脉的平均血流速度均升高(P＜0.05),且观察组高于对照组(P＜0.05).两组治疗后 GCS 和 CRS-R 评分升高,NIHSS 评分降低,差异有统计学意义(P＜0.05);且观察组优于对照组(P＜0.05).治疗后,观察组脑电图分级优于对照组(P＜0.05).结论 在常规治疗和基础护理的基础上,回阳醒神针刺联合促醒刺激在脑出血术后昏迷患者的促醒和缩短昏迷时间方面具有优势,可改善脑部血液循环和脑电活动,促进神经功能恢复.
Objective To observe the clinical efficacy of Hui Yang Xing Shen(Yang-resuscitating and mind-awakening)acupuncture combined with arousal-promoting stimulation in treating postoperative coma after cerebral hemorrhage and its impact on electroencephalogram(EEG).Method One hundred patients with postoperative coma after cerebral hemorrhage were randomized into a control group and an observation group,with 50 cases in each group.Both groups received conventional intervention and basic nursing care.In addition,the control group received arousal-promoting stimulation,and the observation group received Hui Yang Xing Shen acupuncture plus arousal-promoting stimulation.The resuscitation state was observed in both groups.Before and after the intervention,changes in the mean blood flow velocity of the middle cerebral artery and basilar artery,Glasgow coma scale(GCS)score,coma recovery scale-revised(CRS-R)score,National Institutes of Health stroke scale(NIHSS)score,and EEG grading were compared.Result Compared to the control group,the observation group took a shorter time to achieve resuscitation(P＜0.05)and produced a higher resuscitation rate(P＜0.05).After the treatment,the mean blood flow velocity of the middle cerebral artery and basilar artery increased in both groups(P＜0.05)and was higher in the observation group than in the control group(P＜0.05).After the treatment,the GCS and CRS-R scores increased,and the NIHSS score dropped in both groups,showing statistical significance(P＜0.05);the observation group was superior to the control group(P＜0.05).After the intervention,the observation group surpassed the control group in terms of the EEG grading(P＜0.05).Conclusion Based on the conventional intervention and basic nursing care,Hui Yang Xing Shen acupuncture plus arousal-promoting stimulation shows advantages in promoting resuscitation and shortening the duration of coma in patients with postoperative coma after cerebral hemorrhage;this method can improve cerebral blood circulation and brain electrical activity,and promote the recovery of neurological function.
何俊达;于丽丽;李世杰;韩斌;黄建龙
澳门科技大学,澳门 999078澳门科技大学,澳门 999078中山市中医院,中山 528400中山市中医院,中山 528400中山市中医院,中山 528400
医药卫生
针刺疗法促醒刺激脑出血昏迷术后并发症
Acupuncture therapyArousal-promoting stimulationCerebral hemorrhageComaPostoperative complications
《上海针灸杂志》 2026 (1)
6-10,5
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