摘要
目的探讨醒脑开窍针刺法治疗心肺复苏后缺血性脑病的临床疗效。方法采用随机对照研究方法,选择心肺复苏后缺血性脑病患者共40例,按随机数字表法分为针刺组和对照组,每组20例。两组均予基础治疗,针刺组同时加用醒脑开窍针刺法。两组疗程均为7 d,观察患者苏醒情况以及GCS评分、炎症标志物(WBC、CRP、PCT)水平变化情况。结果①两组苏醒时间、苏醒率差异无统计学意义(P>0.05)。②治疗前后组内比较,两组GCS评分差异均有统计学意义(P<0.05);组间治疗后比较,针刺组GCS评分高于对照组,差异有统计学意义(P<0.05)。③治疗前后组内比较,两组WBC、CRP差异有统计学意义(P<0.05);组间治疗后比较,WBC、CRP、PCT差异均有统计学意义(P<0.05)。结论醒脑开窍针刺法能提高心肺复苏后缺血性脑病的临床疗效,改善患者的GCS评分和炎症标志物水平。
Objective To discuss the clinical efficacy of acupuncture with effects of restoring consciousness for resuscitation in the treatment of ischemic encephalopathy after cardiopulmonary resuscitation.Methods A randomized controlled study was performed.A total of 40 patients with ischemic encephalopathy after cardiopulmonary resuscitation were selected and divided into the acupuncture group and control group according to random number table,20 cases in each group.Both groups were treated with basic therapy,and the acupuncture group was additionally treated with acupuncture with effects of restoring consciousness for resuscitation,with a course of 7 days.The changes on the recovery of patients,GCS score and inflammatory markers(WBC,CRP,PCT)were observed.Results①There were no statistically significant differences in the recovery time and recovery rate between the two groups(P>0.05).②Compared between treatment before and after,there was statistically significant difference in GCS score in both groups(P<0.05).After treatment,the GCS score of the acupuncture group was higher than that of the control group,with statistically significant difference(P<0.05).③Compared between treatment before and after,there were statistically significant differences in WBC and CRP in both groups(P<0.05).After treatment,there were statistically significant differences in WBC,CRP and PCT between the two groups(P<0.05).Conclusion Acupuncture with effects of restoring consciousness for resuscitation can enhance the clinical efficacy on ischemic encephalopathy after cardiopulmonary resuscitation,improve the GCS score and decrease the levels of inflammatory markers.
作者
姜春雷
冯欣茵
陈乾
方荣
JIANG Chunlei;FENG Xinyin;CHEN Qian;FANG Rong(Department of Emergency Internal Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药杂志》
2020年第S01期67-68,109,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
上海中医药大学预算内(自然类)课题(18LK037)
上海中医药大学附属曙光医院四明基金项目(SGKJ-201831).
关键词
心脏骤停
心肺复苏后
缺血性脑病
针刺
cardiac arrest
cardiopulmonary resuscitation
ischemic encephalopathy
acupuncture
