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目的 :通过整理分析针灸治疗颅脑损伤后意识障碍的临床文献,探讨其治疗特点。方法 :检索中国知网数据库(CNKI)、维普中文科技期刊数据库(VIP)、万方中文期刊数据库以及Pub Med数据库自建库至2017年1月1日发表的针灸治疗颅脑损伤后意识障碍的临床文献,对纳入文献的随机情况与盲法、患者特点、针灸方法、选穴特点、针刺手法、电针参数、治疗频次、治疗时长、疗效、随访情况、针灸安全性进行归纳总结。结果:纳入文献对随机、盲法、随访情况和安全性的说明欠详细;针灸治疗对象多为昏迷患者;最常用的针灸方法为单纯针刺和电针;应用频率较高的穴位是水沟、百会、内关、三阴交、涌泉、合谷、印堂、足三里,常伴重刺激手法;电针波形最常采用疏密波,电流强度以局部肌肉抽动为度;治疗多每日1次,每次0.5 h;治疗周期多在1个月或1个月以上;格拉斯哥昏迷(GCS)评分为最常用的疗效指标。结论:针灸治疗颅脑损伤后意识障碍具有一定疗效,但其确切疗效还有待于高质量临床研究的验证。
Abstract：Objective:Clinical literature about treating disorders of consciousness following craniocerebral injury with acupuncture and moxibustion was collected and analyzed to explore the treatment characteristics.Methods:The randomization,blindness,characteristics of patients,methods of acupuncture and moxibustion,characteristics of acupoints selection,manipulation,electroacupuncture parameters,frequency of treatment,treatment period,curative efficacy,follow-up and safety were collected and summarized from related literature searched in CNKI,VIP,Wanfang and Pub Med database. The retrieval date range was from their establishment to January 1,2017. Results:The included randomized controlled trials failed to give a detailed description of the condition of randomization,blindness,follow-up and safety of the research. Most patients were unconscious.Pure acupuncture and electroacupuncture were most frequently used. The acupoints used with higher frequency were Shuigou(GV26),Baihui(GV20),Neiguan(PC6),Sanyinjiao(SP6),Yongquan(KI1),Hegu(LI4),Yintang(GV29),Zusanli(ST26) which were usually stimulated heavily. In the treatment with electroacupuncture,the most frequently used waveform was dilatational wave and the current should make the muscle twitch.Most treatment frequency was once a day for 30 minutes. Most treatments continued one month or more than one month. The GCS score was the most commonly used therapeutic index. Conclusion:Acupuncture and moxibustion are effective for disorders of consciousness following craniocerebral injury,but high-quality study is expected to verify the efficacy.
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基本信息:
DOI：10.16295/j.cnki.0257-358x.2018.04.007
中图分类号:R246.6
引用信息:
[1]杜若桑,郑淑美,苑鸿雯,等.颅脑损伤后意识障碍的针灸治疗特点分析[J].山东中医杂志,2018,37(04):289-292+337.DOI:10.16295/j.cnki.0257-358x.2018.04.007.
2017-02-13
2017
2017-03-26
2017-04-28
2017
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2018-04-02
2018-04-02
2018-04-02