脊髓电刺激联合针灸治疗对脑出血后意识障碍患者的促醒作用
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R743.34

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温州市基础性科研项目(Y20240678)


Wake-Promoting Effect of Spinal Cord Stimulation Combined with Acupuncture and Moxibustion on Patients with Disorder of Consciousness After Cerebral Hemorrhage
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    摘要:

    目的:观察脊髓电刺激(SCS) 联合针灸治疗对脑出血后意识障碍患者的促醒作用。方法:选取 2024年1月—12月温州市中西医结合医院收治的神经外科脑出血后意识障碍的住院患者56例为研究对象,按 随机数字表法分为观察组和对照组各28例。对照组采用针灸疗法,观察组在对照组基础上加用SCS治疗,2组 均治疗1个月。比较2组30 d苏醒率和平均苏醒时间,比较2组不同时间点格拉斯哥昏迷量表(GCS)、修订版 昏迷恢复量表(CRS-R) 评分及治疗期间不良反应发生情况。以治疗前CRS-R评分为基线(T0),比较2组治 疗1周(T1)、治疗2周(T2)、治疗结束后1周(T3) 及治疗后3个月(T4) 的CRS-R评分变化情况。结果:观 察组在30 d内苏醒11例,苏醒率为39.29%,平均苏醒时间为(19.75±2.54) d。对照组在30 d内苏醒4例,苏 醒率为14.29%,平均苏醒时间为(24.28±2.61) d。观察组30 d内苏醒率高于对照组(P<0.05),平均苏醒时 间短于对照组(P<0.05)。30 d 内苏醒患者苏醒后24 h,2 组GCS 及CRS-R 评分均较治疗前及苏醒时提高 (P<0.05),且观察组GCS及CRS-R评分均高于同时间点对照组(P<0.05)。2组不同时期CRS-R评分比较, T0<T1<T2<T3<T4(P<0.05),且观察组各时期CRS-R评分均高于对照组(P<0.05)。结论:SCS联合针灸 治疗对脑出血后意识障碍患者的促醒作用确切,可促进患者意识苏醒,改善患者预后。

    Abstract:

    Abstract: Objective: To observe the wake-promoting effect of spinal cord stimulation(SCS)combined with acupuncture and moxibustion on patients with disorder of consciousness after cerebral hemorrhage. Methods:A total of 56 inpatients with disorder of consciousness after cerebral hemorrhage in the Department of Neurosurgery of Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from January to December 2024 were selected as the study subjects. According to the random number table method, they were divided into the observation group and the control group,with 28 cases in each group. The control group was treated with acupuncture and moxibustion,and the observation group was additionally treated with SCS on the basis of the treatment in the control group. Both groups were treated for one month. The 30-day awakening rate and average awakening duration were compared between the two groups;the scores of Glasgow Coma Scale(GCS)and Coma Recovery Scale-Revised(CRS-R)at different time points and the occurrence of adverse reactions during treatment were compared between the two groups. With the CRS-R scores before treatment as the baseline(T0), the changes of CRS-R scores after one week(T1)and two weeks(T2)of treatment,and one week(T3)and three months(T4)after treatment were compared between the two groups. Results:In the observation group,11 cases woke up within 30 days,the awakening rate was 39.29%,and the average awakening duration was(19.75±2.54)days. In the control group, four cases woke up within 30 days, the awakening rate was 14.29%, and the average awakening duration was(24.28 ± 2.61) days. The awakening rate within 30 days in the observation group was higher than that in the control group(P<0.05),and the average awakening duration was shorter than that in the control group(P<0.05). Twenty four hours after patients woke up within 30 days,the scores of GCS and CRS-R in the two groups were increased when compared with those before treatment and at the time of awakening (P<0.05),and the scores of GCS and CRS-R in the observation group were higher than those in the control group at the same time point(P<0.05). The CRS-R scores in different periods were compared between the two groups,and the result was T0<T1<T2<T3<T4(P<0.05);the CRS-R score in the observation group in each period was higher than that in the control group(P<0.05). Conclusion: SCS combined with acupuncture and moxibustion has a definite wake-promoting effect on patients with disorder of consciousness after cerebral hemorrhage, which can promote the recovery of patients' consciousness and improve the prognosis.

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蒋博达,孙孟坊,王丰,金孟浩,李佩佩,李珊珊.脊髓电刺激联合针灸治疗对脑出血后意识障碍患者的促醒作用[J].新中医,2025,57(21):84-88

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  • 在线发布日期: 2025-11-11
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