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1. 南京中医药大学附属扬州市中医院针灸科
2. 南京医科大学第二附属医院针灸科
3. 南京医科大学第二附属医院放射科
4. 南京医科大学第二附属医院神经外科
Published:2020
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GAO You-ling, XU Guo-jie, ZHU Jian-guo, et al. Xiao’s “xingnaofusu” needling for regaining consciousness and the influence on width of the third ventricle in patients with persistent vegetative state[J]. Acupuncture research, 2020, 45(3): 233-236.
GAO You-ling, XU Guo-jie, ZHU Jian-guo, et al. Xiao’s “xingnaofusu” needling for regaining consciousness and the influence on width of the third ventricle in patients with persistent vegetative state[J]. Acupuncture research, 2020, 45(3): 233-236. DOI: 10.13702/j.1000-0607.190543.
目的:观察肖氏"醒脑复苏"针刺法对持续性植物状态(PVS)患者促醒疗效的影响。方法:将50例PVS患者随机分为观察组和对照组
每组25例。对照组给予常规西医治疗
观察组在对照组治疗的基础上结合肖氏"醒脑复苏"针刺法
取百会、定神透山根、风池透风池、内关透外关、合谷透劳宫、太冲透涌泉进行治疗
每天1次
10 d为1个疗程
共治疗3个疗程。分别比较治疗前后两组患者改良的昏迷恢复量表(CRS-R)评分、改良Ashworth量表(MAS)评分和格拉斯哥昏迷(GCS)评分
并采用CT测量治疗前后第三脑室宽度以评估临床疗效。结果:两组治疗后CRS-R和GCS评分较治疗前明显升高(P<0.05)
且观察组明显高于对照组(P<0.05)。两组治疗后MAS评分较治疗前明显下降(P<0.05)
且观察组明显低于对照组(P<0.05)。两组治疗后第三脑室宽度明显降低(P<0.05)
且观察组明显低于对照组(P<0.05)。观察组总有效率为79.2%(19/24)
对照组总有效率为47.8%(11/23)
观察组临床疗效明显优于对照组(P<0.05)。结论:肖氏"醒脑复苏"针刺法可以明显改善PVS患者中枢神经功能
促进脑功能和肢体运动功能的恢复
降低第三脑室宽度
提高临床促醒疗效。
Objective To observe the influence of Xiao's "xingnaofusu" needling(the technique for resuscitation) on regaining consciousness in the patients with persistent vegetative state(PVS). Methods A total of 50 patients of PVS were randomized into an observation group and a control group
25 cases in each. The patients in the control group were treated by the routine western medicine
and those in the observation group treated by Xiao's "xingnaofusu" needling and routine western medicine. Baihui(GV20)
Dingshen(Extra) to Shangen(Extra)(penetrating technique)
Fengchi(GB20) to GB20(penetrating technique)
Neiguan(PC6) to Waiguan(TE5)(penetrating technique)
Hegu(LI4) to Laogong(HT8)(penetrating technique) and Taichong(LR3) to Yongquan(KI1)(penetrating technique) were selected. The treatment was given once a day
10 days as one treatment course
3 courses in total. The coma recovery scale-revised(CRS-R) score
the modified Ashworth scale(MAS) score and the Glasgow coma scale(GCS) were separately compared before and after the treatment. Additionally
CT scanning was adopted to measure the width of the third ventricle before and after treatment so as to evaluate the clinical therapeutic effect. Results After the treatment
the CRS-R and GCS scores in the two groups increased remarkably
and MAS score reduced obviously as compared with that before the treatment(P<0.05); and the CRS-R and GCS scores were higher
and MAS score lower in the observation group than those in the control group(P<0.05). Compared with the control group
the width of the third ventricle reduced obviously in the observation group after the treatment(P<0.05). At the end of the treatment courses
the effective rate was 79.2%(19/24)in the observation group and was 47.8%(11/23) in the control group. The effective rate of the observation group was obviously higher than that of the control group(P<0.05). Conclusion Xiao's "xingnaofusu" needling can remarkably improve the central nerve function
promote the recovery of brain function and the motor function of limbs
reduce the width of the third ventricle and improve the clinical therapeutic effect of regaining consciousness in the patients with PVS.
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