Modified 'Xingnao Kaiqiao' acupuncture technique shortens the recovery time of comatose patients.

Annals of medicine Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI:10.1080/07853890.2025.2453095
Dan Meng, Liangfeng Wang, Shengqiang Cheng, Pan Cai
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Abstract

Background: This study was conducted to analyse the therapeutic effect of the modified 'Xingnao Kaiqiao' acupuncture technique in the recovery of comatose patients, as well as the clinical factors that may influence recovery from coma.

Methods: Diagnostic and therapeutic data from 166 patients in a coma due to neurological diseases were retrospectively collected. Eighty-seven comatose patients received conventional treatment, and 79 patients received conventional treatment + the modified 'Xingnao Kaiqiao' acupuncture technique. The recovery outcomes and times of the two groups were then compared. A Cox regression analysis was then performed to assess the impact of acupuncture treatment on recovery time in recovered and non-recovered groups.

Results: The acupuncture group exhibited a shorter total duration of coma and treatment duration (p < 0.05). When considering recovery as an outcome variable, acupuncture treatment (hazard ratio (HR) = 1.658), pre-treatment Glasgow Coma Scale (GCS) score (HR = 1.188), and post-treatment GCS score (HR = 1.519) were associated with favorable patient recovery time (HR > 1).

Conclusion: Acupuncture can effectively shorten the duration of coma and promote recovery time in patients. Therefore, it is recommended to initiate acupuncture treatment early when applicable.

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改良“醒脑开窍”针刺手法可缩短昏迷患者的苏醒时间。
背景:本研究旨在分析改良“醒脑开窍”针刺手法对昏迷患者恢复的治疗效果,以及可能影响昏迷恢复的临床因素。方法:回顾性分析166例神经系统疾病致昏迷患者的诊断和治疗资料。87例昏迷患者采用常规治疗,79例患者采用常规治疗+改良“醒脑开窍”针刺手法。比较两组患者的恢复情况和恢复时间。然后进行Cox回归分析,评估针灸治疗对恢复组和未恢复组恢复时间的影响。结果:针刺组总昏迷时间和治疗时间较短(p HR = 1.658),治疗前格拉斯哥昏迷评分(GCS) (HR = 1.188)和治疗后GCS评分(HR = 1.519)与患者良好的恢复时间相关(HR >.1)。结论:针刺能有效缩短患者昏迷时间,促进患者恢复。因此,建议在适用的情况下尽早开始针灸治疗。
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