目的 观察醒脑开窍针刺联合重复经颅磁刺激对持续性植物状态（persistent vegetative state，PVS）患者的促醒疗效。 方法 将符合纳入标准的70例PVS患者，采用随机分组方法分为观察组与对照组，每组35例。两组患者均接受常规基础治疗与康复训练。对照组予以重复经颅磁刺激治疗，观察组采用重复经颅磁刺激加醒脑开窍针刺治疗，两组治疗均每天1次、每周5次、每周间隔2 d，连续治疗6周。分别于治疗前后观察两组患者格拉斯哥昏迷量表（GCS）、改良版昏迷恢复量表（CRS-R）、中国植物状态量表（CVSS）评分变化，以及治疗后的促醒率。 结果 治疗后，两组GCS、CRS-R、CVSS评分均增高（P < 0.05），观察组GCS、CRS-R、CVSS评分高于对照组（P < 0.05）；观察组促醒率38.70%（12/31），高于对照组15.62%（5/32，P < 0.05）。 结论 醒脑开窍针刺联合重复经颅磁刺激可有效改善PVS患者的意识水平。

Objective To investigate the efficacy of Xingnao Kaiqiao acupuncture combined with repetitive transcranial magnetic stimulation （rTMS） in promoting arousal in patients with persistent vegetative state （PVS）. Methods A total of 70 eligible PVS patients were randomly assigned to an observation group or a control group， with 35 patients in each group. Both groups received conventional basic treatment and rehabilitation training. The control group was treated with rTMS alone， while the observation group received rTMS plus Xingnao Kaiqiao acupuncture. Treatments were administered once daily， five times per week， with a two-day interval each week， for a total of 6 weeks. The Glasgow Coma Scale （GCS）， Coma Recovery Scale?Revised （CRS-R），and Chinese Vegetative State Scale （CVSS） scores were observed before and after treatment， and the arousal rate after treatment was evaluated. Results After treatment， both groups showed significant increases in GCS， CRS-R， and CVSS scores （P < 0.05）. The observation group demonstrated higher scores on the GCS， CRS-R， and CVSS compared to the control group （P < 0.05）. The arousal rate was 38.70% （12/31） in the observation group， which was significantly higher than that in the control group （15.62%，5/32；P < 0.05）. Conclusion Xingnao Kaiqiao acupuncture combined with rTMS can effectively improve the level of consciousness in patients with PVS.