摘要
Objective To observe the early rehabilitation effects of acupuncture on brain arousal in patients with severe craniocerebral injury. Methods One hundred and two patients with severe craniocerebral injury were randomly divided into an acupuncture group and an electrical stimulation （ES） group with 51 cases in each group. In addition to conventional treatment and nursing in neurosurgery, acupuncture at Shuigou （水沟 GV 26）, Neiguan （内关PC 6） and Sanyingjiao （三阴交 SP 6）, as the main aeupoints, were applied for the cases in acupuncture group, and functional electrical stimulation （FES） was applied at selected muscles in the affected upper limb for the cases in ES group. The awaken rate, time for arousal and clinical therapeutic effects were compared between the two groups after 30 days of treatments. Results The awaken rate was 82.4%（42/51） in acupuncture group, which was significantly higher than 56.9%（29/51） in ES group （P〈0.01）, and the arousal time was significantly shorter and therapeutic effects were better in acupuncture group than those in ES group （both P〈0.01）. Conclusion On the basis of conventional treatment, early application of acupuncture provides better effects on restoration of arousal function of the brain in patients with severe craniocerebral injury than functional electrical stimulation.
目的:探讨针刺对重型颅脑损伤患者脑觉醒的早期康复效果。方法:将102例重型颅脑损伤患者随机分为针刺组和电刺激组,每组51例。在神经外科常规治疗护理基础上,针刺组给予针刺治疗,穴取水沟、内关、三阴交为主;电刺激组给予功能性电刺激(FES),选择性地刺激患侧上肢肌肉。30天后比较两组的昏迷转清醒率、苏醒时间及临床疗效。结果:针刺组患者昏迷转清醒率为82.4%(42/51),高于电刺激组的56.9%(29/51,P<0.01),针刺组苏醒时间较电刺激组明显缩短(P<0.01),临床疗效亦明显优于电刺激组(P<0.01)。结论:在常规治疗基础上,早期针刺干预能够加快重型颅脑损伤患者脑觉醒功能的恢复,其疗效优于功能性电刺激。
