基于子午流注理论运用揿针早期介入促醒重型颅脑损伤昏迷患者的临床观察
Clinical observation of using thumbtack needling early intervention to wake up coma patients with severe traumatic brain injury based on midnight-noon ebb-flow theory
李悦 1杨玉霞 1闫馨月 1胡欣欣 1倪晓光 1沈志全1
作者信息
摘要
目的:探讨基于子午流注理论运用揿针埋针法联合康复治疗早期介入促醒重型颅脑损伤昏迷患者的临床疗效.方法:将100例重型颅脑损伤患者随机分为对照组50例和观察组49例(脱落1例).对照组给予常规重型颅脑损伤后的治疗、用药、康复护理和康复治疗;观察组在对照组的基础上加用子午流注法揿针治疗,治疗30d后观察两组的治疗效果,分别在治疗前和治疗后第10、20、30天采用格拉斯哥昏迷量表(GCS)、全面无反应量表(FOUR)和改良国际昏迷恢复量表(CRS-R)进行评估.结果:观察组治疗后各时间点GCS、FOUR及CRS-R的评分高于对照组(P＜0.05).结论:揿针埋针法在子午流注理论基础上联合康复治疗早期介入对于促醒重型颅脑损伤昏迷患者具有积极改善的作用.
Abstract
Objective:To explore the effects of subcutaneous embedding of thumbtack needle combined with rehabilitation therapy early intervention to wake up coma patients with severe traumatic brain injury based on midnight-noon ebb-flow theory.Methods:A total of 100 patients with severe traumatic brain injury were randomly divided into 50 patients in control group and 49 patients in observation group(1 patient in shedding case).The control group was given routine treatment,medication,rehabilitation care and rehabilitation therapy after severe traumatic brain injury.The observation group added subcutaneous embedding of thumbtack needle on the basis of the control group.The treatment effects of both groups were observed after 30 days of treatment,and assessed by using GCS,FOUR and CRS-R,both before and at days 10,20,and 30 post-treatment.Results:The scores of GCS,FOUR and CRS-R in the observation group were higher than those of the control group(P＜0.05).Conclusion:On the basis of the theory of midnight-noon ebb-flow combined with early rehabilitation treatment,the subcutaneous embedding of thumbtack needle method has a positive effect on awakening coma patients with severe craniocerebral injury.
关键词
子午流注/揿针/重型颅脑损伤/昏迷/早期康复Key words
Midnight-noon ebb-flow/Thumbtack needling/Severe traumatic brain injury(sTBI)/Coma/Early rehabilitation引用本文复制引用
基金项目
河北省中医药局中医药类科研计划(2022)(2022267)
出版年
2024
NETL
NSTL
万方数据