摘要
目的观察针刺通督醒神穴联合重复经颅磁刺激(rTMS)治疗中风后意识障碍患者的临床疗效,以探寻更有效的治疗方法。方法将2019年3月—2020年3月于山西中医学院第三中医院治疗的90例中风后意识障碍患者随机分成针刺结合rTMS组、针刺组、rTMS组,每组30例。3组患者在常规内科治疗基础上,针刺结合rTMS组给予针刺通督醒神穴联合rTMS治疗,针刺组给予针刺通督醒神穴治疗,rTMS组给予rTMS治疗。均1次/d,6次/周,共治疗4周。观察3组患者治疗前后格拉斯哥昏迷指数评分(GCS评分)、神经功能缺损评分(NIHSS评分),比较3组临床治疗效果。结果与治疗前比较,3组患者治疗后GCS评分均明显升高(P均<0.05),NIHSS评分均明显降低(P均<0.05);治疗后针刺结合rTMS组GCS评分明显高于针刺组及rTMS组(P均<0.05),NIHSS评分明显低于针刺组及rTMS组(P均<0.05),针刺组与rTMS组GCS评分和NIHSS评分比较差异均无统计学意义(P均>0.05)。针刺结合rTMS组总有效率为83.3%(25/30),针刺组和rTMS组总有效率均为60.0%(18/30),针刺结合rTMS组总有效率明显高于针刺组及rTMS组(P均<0.05),针刺组与rTMS组比较差异无统计学意义(P>0.05)。结论针刺联合rTMS疗法比单纯针刺、单纯rTMS疗法治疗中风后意识障碍更有优势。
Objective It is to observe the clinical efficacy of acupuncture at the points for Tongdu Xingshen combined with repetitive transcranial magnetic stimulation(rTMS)in the treatment of post-stroke disturbance of consciousness,so as to explore a more effective treatment method.Methods Ninety patients with post-stroke disturbance of consciousness treated in the Third Hospital of Traditional Chinese Medicine of Shanxi College of Traditional Chinese Medicine from March 2019 to March 2020 were randomly divided into combination group,acupuncture group and rTMS group,30 cases in each group.Based on the routine medical treatment,the combination group was treated with acupuncture at the points for Tongdu Xingshen combined with rTMS,the acupuncture group was treated with acupuncture at the points for Tongdu Xingshen,and the rTMS group was treated with rTMS.All once a day,6 times a week,totally treated for 4 weeks.The changes of Glasgow Coma index(GCS)score and NIHSS score(NIHSS score)before and after treatment were observed and evaluated,and the clinical curative effects were compared in the three groups.Results Compared with before treatment,the GCS scores of the three groups were significantly increased(all P<0.05),and the NIHSS scores were significantly reduced after treatment(all P<0.05);the GCS scores in the combination group were significantly higher while the NIHSS scores were significantly lower than those in the acupuncture group and rTMS group after treatment(P<0.05),there was no significant difference in GCS score and NIHSS score between the acupuncture group and rTMS group(all P>0.05).The total effective rate of the combination group was 83.3%(25/30),and the total effective rates of the acupuncture group and rTMS group both were 60.0%(18/30),the total effective rate of the combination group was significantly higher than that of the acupuncture group and rTMS group(P<0.05),there was no significant difference in the rate between the acupuncture group and rTMS group(P>0.05).Conclusion Acupuncture combined with rTMS h
作者
李雨源
程剑利
徐慧敏
韩润霞
吴菁菁
韦玲
LI Yuyuan;CHENG Jianli;XU Huimin;HAN Runxia;WU Jingjing;Wei Ling(Shanxi University of Traditional Chinese Medicine, Taiyuan 030024, Shanxi, China;The Third Hospital of Traditional Chinese Medicine of Shanxi College of Traditional Chinese Medicine, Taiyuan 030024, Shanxi, China)
出处
《现代中西医结合杂志》
CAS
2021年第15期1601-1605,共5页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
山西省中医药管理局科研课题(2018ZYY011)。
关键词
通督醒神穴
重复经颅磁刺激
中风
意识障碍
Tongdu Xingshen acupoint
repetitive transcranial magnetic stimulation
stroke
disturbance of consciousness
