针灸联合高压氧对颅脑外伤患者术后意识状态及神经功能的影响
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Effect of Acupuncture and Moxibustion Combined with Hyperbaric Oxygen on State of Consciousness and Neurological Function in Patients After Operation for Craniocere⁃ bral Trauma
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    摘要:

    目的:观察针灸联合高压氧对颅脑外伤患者术后意识状态及神经功能的影响。方法:选取158 例 颅脑外伤患者,随机分为观察组和对照组各79 例。2 组均给予常规手术治疗,对照组给予高压氧治疗,观察 组在对照组基础上给予针灸治疗。比较2 组临床疗效,以及治疗前后意识状态指标[格拉斯哥昏迷量 表(GCS) 及简易精神状态评价量表(MMSE)] 评分、神经功能指标[神经功能缺损程度评分(NIHSS)、 Barthel 指数(BI)] 和生活质量综合评定量表-74 (GQOL-74) 评分变化。结果:观察组总有效率为 92.41%,对照组为81.01%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组GCS、MMSE 评分均较治 疗前升高(P<0.05),且观察组GCS、MMSE 评分均高于对照组(P<0.05)。治疗后,2 组GQOL-74 量表中社 会功能、心理功能、躯体功能、物质生活评分均较治疗前升高(P<0.05),且观察组上述各项评分均高于对照 组(P<0.05)。治疗后,2 组NIHSS 评分均较治疗前下降(P<0.05),BI 评分较治疗前升高(P<0.05);且观 察组NIHSS 评分低于对照组(P<0.05),BI 评分高于对照组(P<0.05)。结论:在常规手术治疗的基础上采 用针灸联合高压氧治疗颅脑外伤患者,有利于提高临床疗效,改善患者意识状态及生活质量,促进神经功能恢复。

    Abstract:

    Abstract:Objective:To observe the effect of acupuncture and moxibustion combined with hyperbaric oxygen on state of consciousness and neurological function in patients after operation for craniocerebral trauma. Methods:A total of 158 cases of patients with craniocerebral trauma were selected and randomly divided into the observation group and the control group,with 79 cases in each group. Both groups were treated with routine operation;the control group was treated with hyperbaric oxygen,and the observation group was additionally treated with acupuncture and moxibustion based on the treatment of the control group. The clinical effects in the two groups were compared. Before and after treatment,the changes in indexes of state of consciousness including Glasgow Coma Scale (GCS) and Mini-Mental State Examination ( MMSE),indexes of neurological function including National Institutes of Health Stroke Scale (NIHSS) and Barthel Index (BI),and Generic Quality of Life Inventory-74 (GQOL-74) were compared between the two groups. Results:The total effective rate was 92.41% in the observation group and 81.01% in the control group,the difference being significant (P<0.05). After treatment,the scores of GCS and MMSE in the two groups were increased when compared with those before treatment (P<0.05),and the scores of GCS and MMSE in the observation group were higher than those in the control group (P<0.05). After treatment,the scores of social function, mental function, physical function, and material life in GQOL- 74 in the two groups were increased when compared with those before treatment (P<0.05),and the above scores in the observation group were higher than those in the control group (P<0.05). After treatment,NIHSS scores in the two groups were decreased when compared with those before treatment (P<0.05), and BI scores were increased when compared with those before treatment (P<0.05); NIHSS score in the observation group was lower than that in the control group (P<0.05),and BI score was higher than that in the control group (P<0.05). Conclusion: Based on routine operation, the additional treatment of acupuncture and moxibustion combined with hyperbaric oxygen for patients with craniocerebral trauma is helpful to improve clinical effects, improve the state of consciousness and quality of life, and promote the recovery of neurological function.

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赵和兰,蓝蓓蕾,泮艺.针灸联合高压氧对颅脑外伤患者术后意识状态及神经功能的影响[J].新中医,2023,55(10):176-179

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  • 在线发布日期: 2023-05-25
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