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程晓午.右正中神经电刺激对颅脑损伤昏迷促醒的效果分析[J].中国医药科学,2021,(4):180-182        基金项目:
右正中神经电刺激对颅脑损伤昏迷促醒的效果分析
Analysis on the efficacy of electrical stimulation of right median nerve on coma and awakening after craniocerebral injury
  
DOI:
中文关键词:  [关键词] 右正中神经电刺激;颅脑损伤;昏迷;促醒
英文关键词:[Key words] Electrical stimulation of right median nerve; Craniocerebral injury; Coma; Awakening
作者单位
程晓午 江苏省江阴市中医院脑外科,江苏江阴 214400 
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中文摘要:
      [摘要] 目的 探讨右正中神经电刺激对颅脑损伤昏迷促醒的效果。 方法 选择2016年1月至2020年1月于江苏省江阴市中医院接受治疗的60例颅脑损伤昏迷患者,采用随机数字表法将其分为对照组(30例)和观察组(30例),对照组采取常规治疗,观察组在对照组的基础上采取右正中神经电刺激。治疗周期为2周。使用格拉斯哥昏迷指数(GCS)和CT检查评估两组患者的治疗效果并进行比较。比较两组患者清醒率、清醒时间及不良反应发生率。 结果 观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。经过治疗后两组患者的GCS评分均有所提高,观察组明显高于对照组,差异有统计学意义(P<0.05)。通过CT检查可知观察组病灶局部脑血流量明显增加。观察组恢复清醒率明显高于对照组,且观察组清醒时间明显短于对照组,差异有统计学意义(P<0.05)。两组患者不良反应总发生率比较,差异无统计学意义(P>0.05)。 结论 对颅脑损伤昏迷患者行右正中神经电刺激可有效促醒,增加患者病灶局部脑血流量,效果确切,值得临床采纳。
英文摘要:
      [Abstract] Objective To investigate the efficacy of electrical stimulation of right median nerve on coma and awakening after craniocerebral injury. Methods A total of 60 comatose patients with craniocerebral injury admitted to Jiangyin Hospital of Traditional Chinese Medicine from January 2016 to January 2020 were selected as the research objects, and they were divided into the control group (n=30) and the observation group (n=30) according to the random number table method. The control group was given conventional treatment, while the observation group was given electrical stimulation of right median nerve on the basis of the control group. The therapeutic cycle was 2 weeks. Glasgow coma scale (GCS) and CT examination were applied to evaluate the therapeutic efficacy of the two groups of patients. The awakening recovery rate,awakening time and incidence of adverse reactions was compared between the two groups. Results The total efficacy rate of the observation group was significantly higher to that of the control group, and the difference was statistically significant (P<0.05). After treatment, the GCS scores of the two groups of patients increased to a certain extent, and the observation group was significantly higher to that of the control group, with statistically significant difference (P<0.05). Through CT examination, it could be seen that the local cerebral blood flow in the observation group was significantly increased. The awakening recovery rate of the observation group was significantly higher than that of the control group, and the awakening time of the observation group was significantly shorter than that of the control group, with statistically significant differences (P < 0.05). The total incidence of ADRs between the two groups, with no statistically significant difference (P > 0.05). Conclusion Electrical stimulation of the right median nerve in coma patients with craniocerebral injury can effectively promote awakening and increase local cerebral blood flow in patients with focal lesions, which is effective and worthy of clinical adoption.
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