曾瑞峰,丁邦晗,赖芳,段云彪,李尊江,李俊

• 1:广州中医药大学第二附属医院广东省中医院
• 2:广东省中医急症研究重点实验室
• 3:广州中医药大学第二临床医学院

摘要(Abstract)：

目的评价电针针刺足三里穴对复苏后综合征患者神经功能以及预后的影响。方法回顾2013年6月到2017年12月在广东省中医院院内、院外发生心脏骤停,恢复自主循环后转至ICU诊治的病例,根据实施电针针刺足三里与否将患者分为电针组和对照组。通过观察两组复苏成功后第1、3、5、7、14日相关指标变化,对比电针针刺足三里对复苏后综合征患者的神经功能及预后的影响。结果在重度脑功能损伤患者中,心源性心脏骤停患者针刺组与对照组的ROSC后第3日的GCS评分的比较差异存在统计学意义(P<0.05);非心源性心脏骤停患者针刺组与对照组的GCS评分在第5、7、14日差异存在统计学意义(P<0.05);心源性心脏骤停患者中两组第14日的APACHEⅡ评分以及非心源性心脏骤停患者中两组第5、7、14日的APACHEⅡ评分存在统计学差异(P<0.05);非心源性心脏骤停患者中,针刺组与对照组的14 d生存率存在明显差异(P<0.05),其余比较差异无统计学意义(P>0.05)。在中度脑功能损伤患者中,所有对比均无明显差异(P>0.05)。结论早期应用电针针刺足三里穴能改善复苏后患者神经功能和预后,尤其对非心源性心脏骤停的PRS患者,疗效更佳。

关键词(KeyWords)： 复苏后综合征;心肺复苏;神经功能恢复;电针;足三里穴

Abstract:

Keywords:

基金项目(Foundation): 国家卫生计生委公益性行业科研专项项目(201502019);; 广东省科技厅项目(2017ZC0164,2017ZC0160)

作者(Author): 曾瑞峰,丁邦晗,赖芳,段云彪,李尊江,李俊

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