首页|针刺"八卦眼针"治疗卒中后最小意识状态PO2及PCO2的临床观察

针刺"八卦眼针"治疗卒中后最小意识状态PO2及PCO2的临床观察

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目的 观察八卦眼针治疗卒中后最小意识状态(MCS)后氧分压(PO2)及二氧化碳分压(PCO2)的变化.方法 选取2022年9月至2023年6月广东省第二中医院针灸康复科共收治的60例卒中后最小意识状态患者,按照随机数字表法将他们分为常规针刺组(n=30)和八卦眼针组(n=30).常规针刺组采用基础治疗、康复训练、常规针刺治疗,八卦眼针组采用八卦眼针治疗,每周针刺5天,疗程均为2周.治疗前后分别记录两组患者的血气分析(动脉血)的PO2及PCO2、昏迷恢复量表(CRS-R)评分、超敏c-反应蛋白(hs-CRP),并使用统计学软件SPSS进行数据分析.结果 治疗后,八卦眼针组患者的PO2水平显著高于常规针刺组,差异有统计学意义(P<0.05);八卦眼针组患者的PCO2水平明显低于常规针刺组,差异有统计学意义(P<0.05).治疗后,八卦眼针组患者的CRS-R评分显著高于常规针刺组,差异有统计学意义(P<0.05).两组间的hs-CRP水平差异无统计学意义(P>0.05).结论 八卦眼针治疗卒中后最小意识状态有良好的临床疗效,可提高最小意识状态患者的PO2、降低PCO2.
Clinical observation of PO2 and PCO2 in Eight Diagrams Eye Acupuncture on the mini-mally consciousness state after stroke
Objective To observe the changes of oxygen part pressure(PO2)and carbon dioxide part pressure(PCO2)after the treatment of minimally consciousness state(MCS)after stroke.Methods From September 2022 to June 2023,60 patients with minimal consciousness after a stroke were admitted to the Acupuncture and Moxibustion Rehabilitation Department of the Second Hospital of Traditional Chinese Medi-cine in Guangdong Province.They were divided into two groups:the conventional acupuncture group(n=30)and the Eight Diagrams Eye Acupuncture group(n=30)using a random number table.The conventional acu-puncture group received basic treatment,rehabilitation training and acupuncture treatment.the Eight Diagrams Eye Acupuncture group received treatment using the Eight Diagrams Eye Acupuncture method for a duration of 2 weeks.Before and after treatment,blood gas analysis(arterial blood),Coma Recovery Scale-Revised(CRS-R)scores,and high-sensitivity C-reactive protein(hs-CRP)levels were recorded.Results After treatment,the PO2 level of patients in the Eight Diagrams Eye Acupuncture group was significantly higher than that in the conventional acupuncture group,and the difference was statistically significant(P<0.05).The PCO2 level of pa-tients in the Eight Diagrams Eye Acupuncture group was significantly lower than that in the conventional acupunc-ture group,and the difference was statistically significant(P<0.05).After treatment,the CRS-R score of patients in the Eight Diagrams Eye Acupuncture group was significantly higher than that in the conventional acupuncture group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in hs CRP levels between the two groups(P>0.05).Conclusion Eight Diagrams Eye Acupuncture demonstrates a significant clinical effect in treating MCS after a stroke by increasing PO2 levels and decreasing PCO2 levels.

StrokeDisorder of consciousnessMinimally consciousness stateeye acupunctureConnecting MeridiansOxygen part pressureCarbon dioxide part pressure

张玉洁、孙大中、伍华兵、祝晓倩、杨素婷、钟敏、钟浩澎、池响峰

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广州中医药大学研究生院,广东,广州 510405

广东省第二中医院针灸康复科,广东,广州 510095

阳泉市中医医院康复科,山西,阳泉 045000

卒中 意识障碍 最小意识状态 眼针 大接经 氧分压 二氧化碳分压

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(12)