Liu Jie, Wang Xue-Ling, Zi Liu, Yang Chao-Hua, Li Hui-Ping, Li Ning
Department of Integrated Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu 610064, China.
Neurosurgery, West China Hospital of Sichuan University, Chengdu 610064, China.
Zhongguo Zhen Jiu. 2020 May 12;40(5):479-82. doi: 10.13703/j.0255-2930.20190506-0005.
To evaluate recovering consciousness effect of electroacupuncture (EA) on patients after traumatic brain injury (TBI) surgery.
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.
After 7, 14 days of treatment, the GCS scores of the two groups were higher than those before treatment (<0.05), and the increase degree in the observation group was significantly larger than that in the control group (<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 (<0.05).
Early electroacupuncture intervention can effectively promote the recovery of consciousness after traumatic brain injury surgery, and has a curative long-term effect.
评估电针（EA）对创伤性脑损伤（TBI）术后患者的促醒效果。
将100例创伤性昏迷患者随机分为观察组和对照组，每组50例。对照组主要采用促醒药物及神经营养药物治疗；观察组在对照组治疗的基础上，采用疏密波电针刺激内关（PC 6）和水沟（GV 26），频率为2 Hz/100 Hz，强度为0.1 - 5 mA。电针30分钟后，留针60分钟。每天治疗1次，连续治疗14天。观察两组治疗前及治疗7、14天后格拉斯哥昏迷评分（GCS）的变化；治疗后随访3个月，评估格拉斯哥预后量表（GOS）和巴氏指数（BI）评分。
治疗7、14天后，两组GCS评分均高于治疗前（<0.05），且观察组升高幅度明显大于对照组（<0.05）。随访3个月时，观察组GOS和BI评分均优于对照组（<0.05）。
早期电针干预可有效促进创伤性脑损伤术后意识恢复，且具有长期疗效。
