针刺治疗在颅脑损伤昏迷病人的应用

目的探讨脑损伤昏迷病人有效促醒途径和预测的指标。方法对73例昏迷病人进行针刺疗法,并应用GCS评分、脑干诱发电位和脑电功率谱进行检测评价。结果所有病例伤后1周内BAEP全部异常,1周时BAEP出现明显好转的34例病人1个月后意识均有效复苏,而2周时BAEP未见好转的21例病人1个月后有16例仍处于昏迷状态,GCS<4分的原发性脑干损伤和弥漫性轴索损伤的16例病人1个月后GCS评分、BAEP及脑电功率谱均无显著好转。结论针刺疗法在一定程度上可以有效促进病人意识的复苏,BAEP和脑电功率谱是严重脑损伤的良好预测指标。

Objective To explore the process of consciousness-regaining and outcome predictors in patients with head injury and coma. Methods Acupuncture were performed in 73 patients with head injury and coma. their results of GCS.BAEP and EEG power spectrum at the follow-up were analyzed. Results BAEP in all patients were abnormal in one week after injury, among them,34 cases in which BAEP were improved obviously in one week regained consciousness after one month therapy. 16 of 21 cases in which BAEP were not improved in two weeks were still in a coma after one month therapy, the results of GCS.BAEP.EEG power spectrum were not improved in 16 patients of primary brain-stem injury or of DXI which with a GCS of lower 4.Conciusion Acupuncture can effectively help patients regain consciousness to certain extent. BAEP EEG power spectrum are good outcome predictors in patients with severe head injury and coma.