醒脑开窍针刺法治疗脓毒症相关性脑病临床研究
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R742.7

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[基金项目] 佛山市科技创新项目(2020001004883)


Clinical Study of Acupuncture Method of Opening the Orifices and Resuscitating for Sepsis-Associated Encephalopathy
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    摘要:

    目的:观察醒脑开窍针刺法治疗脓毒症相关性脑病(SAE) 的临床疗效。方法:将80例SAE患者 随机分为对照组和治疗组各40例。对照组按照脓毒性休克国际处理指南给予集束化治疗;治疗组在对照组基 础上, 以主穴+辅穴相结合的辨证选穴进行醒脑开窍针刺法治疗。比较2 组治疗前后中医证候评分、 Glas-gow意识障碍昏迷量表(GCS) 评分和急性生理与慢性健康Ⅱ (APACHEⅡ) 评分,统计ICU住院时间、 总住院时间和28 d死亡率,评定临床疗效。结果:治疗组总有效率为90.00%,对照组为75.00%,2组比较,差 异有统计学意义(P<0.05)。治疗后,2组中医证候评分均较治疗前降低(P<0.05),GCS评分均较治疗前升 高(P<0.05);且治疗组评分低于对照组(P<0.05)。治疗后,2组APACHEⅡ评分均较治疗前降低(P<0.05), 且治疗组APACHEⅡ评分低于对照组(P<0.05),GCS评分高于对照组(P<0.05)。治疗后,治疗组住ICU时 间较短于对照组(P<0.05);而2组总住院时间、28 d死亡率比较,差异无统计学意义(P>0.05)。结论:醒 脑开窍针刺法治疗可有效提高SAE的临床疗效,改善患者中医证候、昏迷情况及健康状况,缩短ICU住院 时间。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the acupuncture method of opening the orifices and resuscitating on sepsis-associated encephalopathy (SAE). Methods:A total of 80 cases of SAE patients were randomly divided into the control group and the treatment group, with 40 cases in each group. The control group received bundle therapy according to the international guidelines for the management of septic shock;based on the treatment of the control group,the treatment group was additionally treated with the acupuncture method of opening the orifices and resuscitating using a combination of main acupoints and auxiliary acupoints selection according to syndrome differentiation. The scores of traditional Chinese medicine(TCM) syndrome, Glas-gow Coma Scale (GCS) score and Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ) were observed and compared between the two groups before and after treatment. The hospitalization time at the ICU,the total hospitalization time,and mortality rates within 28 days were calculated. Clinical effects were evaluated. Results: The total effective rate was 90.00% in the treatment group and 75.00% in the control group, the difference being significant (P<0.05). After treatment, the scores of TCM syndrome in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the treatment group were lower than those in the control group (P<0.05).After treatment,the scores of APACHEⅡin the two groups were decreased when compared with those before treatment (P<0.05), the scores of GCS in the two groups were increased when compared with those before treatment (P<0.05);and the scores of APACHEⅡin the treatment group were lower than those in the control group (P<0.05),the scores of GCS in the treatment group were higher than those in the control group (P<0.05). After treatment,the hospitalization time at the ICU in the treatment group was significantly shortened when compared with that in the control group (P<0.05);there was no significant difference in the comparison of total hospitalization time and mortality rates within 28 days between the two groups (P>0.05). Conclusion: The acupuncture method of opening the orifices and resuscitating can effectively improve clinical effects on SAE,improve patients' TCM syndrome,coma,and health status,and shorten ICU hospitalization time.

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张云海,谢维,柳松涛,邓梦华.醒脑开窍针刺法治疗脓毒症相关性脑病临床研究[J].新中医,2024,56(20):116-120

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  • 在线发布日期: 2024-10-29
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