Department of Mental Health, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Department of Nursing of Cardiovascular, Zhejiang Hospital, Hangzhou, Zhejiang, China.
World Neurosurg. 2023 Jul;175:e1124-e1132. doi: 10.1016/j.wneu.2023.04.078. Epub 2023 Apr 23.
Pneumonia is a serious postoperative complication of hypertensive intracerebral hemorrhage (HICH), and there is no specific treatment for pneumonia. In this study, we conducted randomized controlled trials to evaluate the effects of electroacupuncture (EA) on the treatment of pneumonia in patients with HICH.
An equal number of patients with HICH complicated with pneumonia (n = 80 in total) were randomly placed in either the EA group (EA treatment and routine basic treatment) or the control group (routine basic treatment). After 14 days of treatment, clinical symptoms and signs, blood oxygen saturation, the level of inflammatory factors, the effective rate, the scores of the Barthel Index, National Institutes of Health Stroke Scale and Glasgow Coma Scale, the hospitalization time, and expenses were compared between the groups.
The general information of the patients in the control and EA groups were similar. After 14 days of intervention, the patients in the EA group showed better symptom and sign scores, blood oxygen saturation levels, Barthel Index scores, Glasgow Coma Scale scores, and National Institutes of Health Stroke Scale scores than the patients in the control group. Furthermore, the EA treatment also lowered the levels of inflammatory factors and white blood cell count. Additionally, the patients in the EA group showed higher effective rates than those in the control group.
EA benefits the treatment of pneumonia in patients with HICH.
肺炎是高血压性脑出血（HICH）术后的严重并发症，目前针对肺炎尚无特异性治疗方法。本研究通过随机对照试验，评估电针对 HICH 合并肺炎患者的治疗作用。
将 80 例 HICH 合并肺炎患者按数字表法随机分为电针组（电针治疗+常规基础治疗）和对照组（常规基础治疗），每组 40 例。治疗 14 d 后，比较两组患者的临床症状体征、血氧饱和度、炎性因子水平、有效率、Barthel 指数、美国国立卫生研究院卒中量表（NIHSS）和格拉斯哥昏迷量表（GCS）评分、住院时间及费用。
两组患者一般资料比较，差异无统计学意义（P＞0.05）。干预 14 d 后，电针组患者的症状体征评分、血氧饱和度、Barthel 指数、GCS 评分和 NIHSS 评分均优于对照组，差异有统计学意义（P＜0.05）；电针组患者的炎性因子及白细胞计数水平低于对照组，差异有统计学意义（P＜0.05）；电针组的有效率高于对照组，差异有统计学意义（P＜0.05）。
电针治疗有利于 HICH 合并肺炎患者的恢复。
