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昏迷重型颅脑损伤患者正中神经电刺激的初步研究:3个月的结果

Pilot study of electrical stimulation on median nerve in comatose severe brain injured patients: 3-month outcome.

作者信息

Peri C V, Shaffrey M E, Farace E, Cooper E, Alves W M, Cooper J B, Young J S, Jane J A

机构信息

University of Virginia, Charlottesville, VA 22908, USA.

出版信息

Brain Inj. 2001 Oct;15(10):903-10. doi: 10.1080/02699050110065709.

DOI:10.1080/02699050110065709
PMID:11595086
Abstract

PRIMARY OBJECTIVE

To determine if electrical stimulation (ES) benefits (waking time, 3-month outcomes) treated coma patients.

RESEARCH DESIGN

Double blind randomized-controlled study.

METHODS AND PROCEDURES

Ten coma patients; six treatment and four controls, using the 'Respond Select' by EMPI.

EXPERIMENTAL INTERVENTIONS

Treatment group received radial nerve ES applied in 300 ms intermittent pulses at 40 Hz, 15-20m A 8 hours a day up to 14 days of coma; control group received sham stimulation.

MAIN OUTCOMES AND RESULTS

ES group emerged from coma mean 2 days earlier than controls, although this result was not statistically significant. At 3 months post-injury, there was no group difference in Glasgow Outcome Scale, although the ES group had improved function over controls as measured by the FIM/FAM (mean of 114 and 64.5, respectively, n.s.).

CONCLUSIONS

These data show an interesting trend, although statistical power was limited in this small pilot study, suggesting the need for a larger trial.

摘要

主要目的

确定电刺激(ES)对接受治疗的昏迷患者是否有益(清醒时间、3个月的预后)。

研究设计

双盲随机对照研究。

方法与步骤

10名昏迷患者;6名治疗组和4名对照组,使用EMPI公司的“Respond Select”。

实验干预措施

治疗组接受桡神经电刺激,以40Hz的频率施加300ms的间歇脉冲,电流为15 - 20mA,每天8小时,持续至昏迷14天;对照组接受假刺激。

主要结局与结果

电刺激组比对照组平均提前2天苏醒,尽管该结果无统计学意义。受伤后3个月,格拉斯哥预后评分无组间差异,尽管通过FIM/FAM测量,电刺激组的功能比对照组有所改善(分别为114和64.5,无统计学意义)。

结论

这些数据显示出一个有趣的趋势,尽管在这项小型初步研究中统计效能有限,这表明需要进行更大规模的试验。

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