辨证施穴康复对持续性植物状态患者脑电生理及意识恢复研究.docVIP

辨证施穴康复对持续性植物状态患者脑电生理及意识恢复研究 　　[摘要] 目的 探讨辨证施穴康复对持续性植物状态（PVS）患者脑电生理及意识恢复的影响。 方法 选取2014年1月～2015年6月西安市中医医院收治的60例PVS患者，按照随机数字表法将其分成观察组和对照组，各30例。两组均采用常规治疗和护理，观察组在此基础上采用辨证施穴按摩康复护理，针对患者不同中医证型采用不同穴位按摩手法，并采用视、听、嗅、味、触觉和运动刺激性康复护理方法，共行3个月。观察比较两组意识恢复率、格拉斯哥昏迷指数（GCS）评分及脑电生理。 结果 观察组意识恢复率明显高于对照组（P 0.05），而体感诱发电位、脑干听觉诱发电位比较差异有统计学意义（P 0.05），且观察组改善更明显（P 0.05）；观察组意识未恢复患者治疗前后体感诱发电位、脑干听觉诱发电位评分差异也有统计学意义（P 0.05）。观察组治疗后GCS评分显著高于对照组（P 0.05）。 结论 辨证施穴按摩康复护理能促进PVS患者意识恢复，改善脑电生理，且结合脑干听觉、体感诱发电位检查可提高预后判断准确性。 　　[关键词] 持续性植物状态；辨证施穴；脑电生理；意识恢复 　　[中图分类号] R742 [文献标识码] A [文章编号] 1673-7210（2016）07（a）-0084-04 　　[Abstract] Objective To explore the effect of acupoint rehabilitation based on syndrome differentiation for brain electric physiology and recovery of consciousness in patients with persistent vegetative state （PVS）. Methods Sixty patients with PVS admitted to Xian Hospital of Traditional Chinese Medicine from January 2014 to June 2015 were selected and randomly divided into observation group and control group according to the random number table method， with 30 cases in each group. The patients of two groups were treated with conventional treatment and care， on basis of which， the observation group was given acupoint massage rehabilitation nursing based on syndrome differentiation， and they were taken different acupoint massage for patients with different traditional Chinese medicine syndrome differentiation， and they also used visual， auditory， olfactory， taste， touch and exercise stimulation rehabilitation nursing methods， total for 3 months. The recovery rate of consciousness， Glasgow coma scale （GCS） scores and brain electric physiology of the two groups were observed and compared. Results The recovery rate of consciousness in the observation group was significantly higher than that of control group （P 0.05）， and there were significant differences in brainstem auditory evoked potential and somatosensory evoked potential （P 　　[Key words] Persistent vegetative state； Acupoint rehabilitation