【摘要】 目的:观察电针对院内心脏骤停患者心肺复苏后格拉斯哥昏迷评分(GCS)的影响。方法:回顾性分析2013年6月至2016年6月在广东省中医院ICU经过积极有效的心肺复苏后恢复自主循环的46例心脏骤停患者的临床资料,根据患者在复苏后治疗期间采用的不同治疗方案,将46例患者分为两组。对照组24例,在心肺复苏成功后采用常规治疗;电针组22例,在对照组的基础上加用电针治疗,比较两组患者GCS评分变化,并观察电针对GCS评分变化的影响。结果:与对照组比较,电针组在心肺复苏后第1天、第2天、第3天GCS评分有所升高,但差异无统计学意义(P>0.05);复苏后第5天、第7天,电针组GCS评分明显高于对照组,且差异均有统计学意义(P<0.05)。结论:心肺复苏后应用电针治疗可提升心肺复苏后患者的GCS评分,减轻患者复苏后脑损伤,有一定的脑保护作用。更多还原

【Abstract】 Objective: To observe the effect of electro-acupuncture on the Glasgow coma scale(GCS) after cardiopulmonary resuscitation(CPR). Methods: The clinical information of 46 patients, accepting cardiopulmonary resuscitation and restoring the spontaneous circulation(ROSC), were chosen to make a retrospective analysis from June 2013 to June 2016 in ICU of our hospital. According to the different treatment used in the patients after recovery, the 46 patients’ information were divided into two groups. The control group received conventional therapy has 24 cases, and 22 cases of acupuncture group have received acupuncture treatment on the basis of conventional treatment. The changes of two groups are compared and the effect of electro-acupuncture on GCS score was observed. Results: Compared with the control group, the GCS scores at the first day, second day and the third day after ROSC were higher than that of acupuncture group at the corresponding time point, but the difference was not statistically significant(P>0.05). The GCS scores of acupuncture group were higher than the control group at the fifth day and the seventh day(P<0.05). Conclusion: Electro-acupuncture treatment can improve the GCS score of patients after cardiopulmonary resuscitation, reduce the brain damage, and improve neurological function.更多还原