Investigating the efficacy of electroacupuncture and hyperbaric oxygen therapies on the awakening of coma patients with severe brain trauma

Xuejian Wang, Yang Chen, Zhifeng Wang
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Abstract

Aim: To investigate the effect of electroacupuncture and hyperbaric oxygen therapies on the awakening of coma patients with severe brain trauma. Methods: One hundred and twenty severe brain injury patients were enrolled and randomly divided into four groups: conventional treatment group, electroacupuncture treatment group, adjuvant hyperbaric oxygen treatment group, and adjuvant electroacupuncture plus hyperbaric oxygen treatment group, with 30 patients in each group. The changes in Glasgow Coma Scale (GCS) and Glasgow Outcome Scale were recorded posttreatment. Results: Posttreatment, the GCS of all the four groups was increased. The GCSs of electroacupuncture treatment group, hyperbaric oxygen treatment group, and electroacupuncture plus hyperbaric oxygen treatment group were significantly higher than control group (P < 0.05). There was no significant difference in GCSs between electroacupuncture group and hyperbaric oxygen group (P > 0.05). Further, combining electroacupuncture and hyperbaric oxygen treatment made no significant improvement in GCS over individual treatments (P > 0.05). Conclusion: In addition to conventional treatment, the use of electroacupuncture and hyperbaric oxygen therapies may have a beneficial effect on patients' nervous system and thus aid in the awakening of coma patients.
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探讨电针联合高压氧治疗对重型颅脑外伤昏迷患者苏醒的疗效
目的:探讨电针联合高压氧治疗对重型颅脑外伤昏迷患者苏醒的影响。方法:选取120例重型颅脑损伤患者,随机分为常规治疗组、电针治疗组、辅助高压氧治疗组、辅助电针加高压氧治疗组,每组30例。记录治疗后格拉斯哥昏迷评分(GCS)和格拉斯哥结局评分的变化。结果:治疗后,四组患者GCS均升高。电针治疗组、高压氧治疗组、电针加高压氧治疗组GCSs均显著高于对照组(P < 0.05)。电针组与高压氧组gcs比较,差异无统计学意义(P < 0.05)。此外,电针联合高压氧治疗与单独治疗相比,GCS无显著改善(P < 0.05)。结论:在常规治疗的基础上,使用电针和高压氧治疗可能对患者的神经系统有有益的影响,从而有助于昏迷患者的苏醒。
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