首页|针刺联合经颅直流电刺激治疗脑外伤后意识障碍的疗效观察

针刺联合经颅直流电刺激治疗脑外伤后意识障碍的疗效观察

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目的 探讨针刺联合经颅直流电刺激(tDCS)治疗脑外伤(TBI)后意识障碍的疗效。方法 符合纳入标准及排除标准的TBI后意识障碍患者40例,随机分为针刺组、电刺激组(经颅直流电刺激)、联合组(针刺联合经颅直流电)与对照组,每组各10例。针刺组采用针刺和药物治疗,电刺激组行经颅直流电刺激和药物治疗,联合组行针刺结合经颅直流电刺激及药物治疗,对照组仅行常规药物治疗。比较治疗前后四组患者意识障碍恢复量表修订版(CRS-R)评分、格拉斯哥意识障碍量表(GCS)评分、上肢体感诱发电位(USEP)。结果 治疗后针刺组、电刺激组及联合组GCS、CRS-R、USEP均优于对照组,差异有统计学意义(P<0。05)。联合组治疗后GCS、CRS-R、USEP均高于针刺组及电刺激组,差异有统计学意义(P<0。05)。结论 针刺联合经颅直流电刺激治疗能明显缩短昏迷时间,改善患者认知功能,对TBI后意识障碍有促进苏醒作用,有助于患者疾病康复。
Objective To explore the effect of acupuncture combined with transcranial direct current stimulation on consciousness disorder patients.Methods Forty patients with consciousness disorder after brain trauma who met the inclusion and exclusion criteria were randomly divided into four groups,including the acupuncture group,the electrical stimulation group(transcranial direct current stimulation),the combined group(acupuncture combined transcranial direct current),and the control group,with 10 persons in each group.The acupuncture group was treated with"Xingnao Kaiqiao"acupuncture method and drugs,while the electrical stimulation group was treated with transcranial direct current stimulation and drugs.The combined group received acupuncture combined with transcranial direct current stimulation and drug therapy,while the control group received only routine drug therapy.Before and after the treatment,the consciousness level of the four groups including coma recovery scale revised(CRS-R),Glasgow coma scale(GCS),and the upper limb somatosensory evoked potential(USEP)were evaluated.Results After the treatment,the GCS scores,CRS-R scores,and USEP scores of the acupuncture group,the electric stimulation group,and the combination group in the four groups were better than those of the control group,with statistical differences(P<0.05).After the treatment,GCS scores,CRS-R scores and USEP in the combined group were higher than those in the acupuncture group and the electric stimulation group,with statistical difference(P<0.05).Conclusion Acupuncture combined with transcranial direct current stimulation can significantly shorten the coma time,improve the cognitive function of patients,promote the recovery of consciousness disorders after brain trauma,and help patients recover from diseases.

Brain traumaConsciousness disorderAcupunctureTranscranial direct current stimulation

朱志文、毛雅君

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310006 浙江中医药大学附属第一医院

脑外伤 意识障碍 针刺 经颅直流电刺激

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(4)
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