早期电针干预对颅脑外伤术后患者意识状态的影响

Effect of early electroacupuncture intervention on conscious state of patients after traumatic brain injury surgery

目的:评价电针对颅脑外伤术后患者的促醒作用。方法:将100例颅脑外伤昏迷患者随机分为观察组和对照组,各50例。对照组以促醒药物和神经营养药物治疗为主;观察组在对照组治疗基础上加用电针刺激内关及水沟穴,疏密波,频率10 Hz/50 Hz,电流强度0.1~5 mA,电针30 min后再留针60 min,每日治疗1次,连续治疗14 d。观察两组患者治疗前,治疗7、14 d后格拉斯哥昏迷评分(GCS)变化;治疗后随访3个月评估两组患者格拉斯哥预后分级(GOS)、Barthel指数(BI)评分。结果:两组患者治疗7、14 d后GCS评分较治疗前升高(P<0.05),且观察组升高幅度明显大于对照组(P<0.05)。治疗后3个月随访,观察组患者GOS分级及BI评分均优于对照组(P<0.05)。结论:早期电针治疗可以有效促进颅脑外伤术后患者意识恢复,远期疗效较好。

Objective To evaluate recovering consciousness effect of electroacupuncture(EA) on patients after traumatic brain injury(TBI) surgery. Methods A total of 100 patients with traumatic coma were randomly divided into an observation group and a control group, 50 cases in each group. The control group was mainly treated with awakening drugs and neurotrophic drugs;on the basis of treatment in the control group, the observation group was treated with EA at Neiguan(PC 6) and Shuigou(GV 26) with disperse-dense wave, 2 Hz/100 Hz in frequency, 0.1-5 mA in intensity. After 30 min of EA, the needles were stayed 60 min. The treatment was performed once a day for 14 consecutive days. The changes in Glasgow coma score(GCS) was observed in the two groups before treatment and after 7, 14 days of treatment;and the two groups were followed up for 3 months after treatment to evaluate the Glasgow outcome scale(GOS) and Barthel index(BI) scores. Results After 7, 14 days of treatment, the GCS scores of the two groups were higher than those before treatment(P<0.05), and the increase degree in the observation group was significantly larger than that in the control group(P<0.05). At 3 months of follow-up, the GOS and BI scores of the observation group were better than those of the control group(P<0.05). Conclusion Early electroacupuncture intervention can effectively promote the recovery of consciousness after traumatic brain injury surgery, and has a curative long-term effect.