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短期脊髓刺激可提高意识障碍脑损伤患者的气管拔管率。

The short-term spinal cord stimulation improves the rates of tracheal decannulation in patients of brain injury with disorders of consciousness.

作者信息

Huang Guanlin, Wang Dong, Chen Qiang, Zhong Qi, Huang Weilong, Zhou Xiaoping, Jiang Qiuhua

机构信息

Department of Neurosurgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, People's Republic of China.

出版信息

BMC Neurosci. 2025 May 26;26(1):33. doi: 10.1186/s12868-025-00951-x.

Abstract

OBJECTIVE

To evaluate the efficacy of short-term spinal cord stimulation (stSCS) in promoting tracheal decannulation among patients with brain injury-induced disorders of consciousness(DoC).

METHODS

A retrospective cohort study was conducted on 81 tracheotomized brain injury patients with DoC treated at Ganzhou People's Hospital between June 2021 and June 2022.Patients were divided into two groups: the stSCS group (n = 46) receiving stSCS intervention and the control group (n = 35) receiving standard care. Decannulation success rates were compared using chi-square tests.

RESULTS

The stSCS group demonstrated a significantly higher decannulation rate compared to the control group (50.0%vs.25.7%, χ²=5.24, p = 0.022).

CONCLUSION

stSCS significantly enhances tracheal decannulation success in brain injury patients with DoC, suggesting its potential as a therapeutic neuromodulation strategy.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

目的

评估短期脊髓刺激(stSCS)对脑损伤所致意识障碍(DoC)患者气管拔管的疗效。

方法

对2021年6月至2022年6月在赣州市人民医院接受治疗的81例脑损伤气管切开DoC患者进行回顾性队列研究。患者分为两组:接受stSCS干预的stSCS组(n = 46)和接受标准护理的对照组(n = 35)。使用卡方检验比较拔管成功率。

结果

与对照组相比,stSCS组的拔管率显著更高(50.0%对25.7%,χ² = 5.24,p = = 0.022)。

结论

stSCS显著提高了脑损伤DoC患者气管拔管的成功率,表明其作为一种治疗性神经调节策略的潜力。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c3/12107863/1790c3e2ae0a/12868_2025_951_Fig1_HTML.jpg

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