摘要
目的观察在经颅磁刺激(TMS)的基础上结合电针在促醒方面的疗效。方法2015年1月至2019年10月,西部战区总医院收治的意识障碍住院患者30例,随机分为对照组(n=15)和观察组(n=15)。对照组行TMS治疗,观察组另行电针百会、神庭、双侧内关、双侧合谷、双侧涌泉穴,共3个月。治疗前、治疗1个月、治疗3个月后检测失匹配负波(MMN),采用格拉斯哥昏迷量表(GCS)、持续植物状态(PVS)评分进行评定。结果治疗3个月后,观察组MMN潜伏期较对照组缩短(t=2.159,P<0.05)。结论电针可加强TMS的促醒效果。
Objective To observe the effect of electroacupuncture based on transcranial magnetic stimulation(TMS)on wakefulness for consciousness disorder.Methods From January,2015 to October,2019,30 inpatients with consciousness disorder from the General Hospital of Western Theater Command were randomly divided into control group(n=15)and observetion group(n=15),Both groups received TMS,and the observetion group received electroacupuncture at Baihui(GV20),Shenting(GV24),bilateral Neiguan(PC6)bilateral Hegu(LI4)and bilateral Yongquan(KI1)in addition,for three months.They were tested the latency of the mismatch negativity(MMN),and assessed with Glasgow Coma Scale(GCS)and persistent vegetative state(PVS)score before,and one month and three months after treatment.Results The latency of MMN decreased more in the observetion group than in the control group three months after treatment(t=2.159,P<0.05).Conclusion Combination of electroacupuncture on TMS is more effective on wakefulness for consciousness disorder.
作者
陈喆思
刘建成
赵小华
郑重
柏玲
杨丹
王文春
CHEN Zhe-si;LIU Jian-cheng;ZHAO Xiao-hua;ZHENG Zhong;BAI Ling;YANG Dan;WANG Wen-chun(The General Hospital of Western Theater Command,Chengdu,Sichuan 610083,China;West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2021年第1期102-106,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
四川省卫生健康委员会基金项目(No.19PJ158)。
关键词
意识障碍
电针
经颅磁刺激
促醒
失匹配负波
consciousness disorder
electroacupuncture
transcranial magnetic stimulation
wakefulness
mismatch negativity
