摘要
[目的]观察醒脑开窍针刺联合安宫牛黄丸治疗中风昏迷疗效。[方法]使用随机平行对照方法,将100例住院患者按病志号抽签方法简单随机分两组。对照组50例心电监护、吸氧吸痰、控制血压血糖,维持水电解质平衡以及酸碱平衡,调脂、营养脑神经、清除氧自由基等对症治疗。治疗组50例醒脑开窍针刺(内关、人中、三阴交、极泉、尺泽、委中),常规消毒,无菌针灸针,直刺,2次/d;安宫牛黄丸,1丸/次,1次/d。连续治疗7d为1疗程。观测临床症状、GCS评分、NIHSS评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组临床治愈24例,显著进步12例,进步8例,无效6例,总有效率88.00%;对照组临床治愈11例,显著进步14例,进步9例,无效16例,总有效率68.00%;治疗组疗效优于对照组(P<0.05)。GCS评分、NIHSS评分治疗组降低/升高优于对照组(P<0.01)。[结论]醒脑开窍针刺联合安宫牛黄丸,疗效满意,无严重不良反应,值得推广。
[Objective] Observation of XNKQ acupuncture combined with Angong Niuhuang Pill in the treatment of stroke effect. [Method] Using random parallel control method, 100 cases of hospitalized patients according to the serial number of draw simple disease were randomly divided into two groups. The control group of 50 cases of ECG monitoring, oxygen inhalation sputum, blood pressure and blood sugar control, maintenance of water and electrolyte balance and acid-base balance, regulating lipid, nutrition brain, scavenging oxygen free radicals and other symptomatic treatment. The treatment group of 50 cases（XNKQ acupuncture Neiguan, one, three yin, spring, chize, Venezuela）, routine disinfection, asepsis acupuncture needle, piercing, 2 times/d; angongniuhuangwan pill, 1 pills/time, 1 times/d. continuous treatment with 7d for 1 courses. Observation of clinical symptoms, GCS score, NIHSS score, adverse reaction. Continuous 2 courses of treatment, the curative effect. [Results] 24 cases of clinical cure, 12 cases of significant progress, progress in 8 cases, 6 cases were invalid, the total efficiency of 88%; control group 11 cases were cured, 14 cases of significant progress, progress in 9 cases, 16 cases were invalid, the total efficiency of 68%; the treatment group than the control group（P〈0.05）. GCS score. Reduce/increase the NIHSS scores of the treatment group than the control group（P〈0.01）. [Conclusion] XNKQ acupuncture combined with Angong Niuhuang Pill, satisfactory curative effect, no serious adverse reactions, worthy of promotion.
出处
《实用中医内科杂志》
2017年第8期61-62,74,共3页
Journal of Practical Traditional Chinese Internal Medicine
