| 英文摘要 |
To investigate the effect of adjuvant acupuncture therapy on restoration of consciousness and muscle power (MP) recovery in patients with severe traumatic brain injury. Twenty-four patients with severe traumatic brain injury (Glasgow Coma Scale, GCS ≤ 8) were enrolled and randomly divided into three groups sequentially. They were treated with conventional treatment in addition to needle acupuncture, laser acupuncture, or sham acupuncture (laser acupuncture without laser output). They were treated 3 times a week (maximum 18 sessions). The GCS and MP were measured before and after treatment during hospitalization. The GCS and MP of the three groups improved after treatment. There is no significant difference in MP recovery in control group after treatment. The GCS score before and after treatment were 6.00 ± 1.41 and 9.14 ± 1.95, respectively, in the needle acupuncture group; 5.78 ± 1.30 and 9.00 ± 4.00, respectively, in the laser acupuncture group; and 6.00 ± 1.41 and 10.83± 2.79, respectively, in the control group. The MP before and after treatment were 7.29 ± 3.82 and 11.57 ± 3.69, respectively, in the needle acupuncture group; 5.33 ± 4.06 and 9.67 ± 4.30, respectively, in the laser acupuncture group; and 8.33 ± 2.88 and 11.17 ± 4.54, respectively, in the control group. No adverse effect was reported. We found that conventional Western medicine combined with traditional acupuncture, laser acupuncture, or sham acupuncture, all contributed to the restoration of awareness and MP recovery in patients with severe traumatic brain injury. There were no significant differences in the therapeutic effect between the groups. This result may be related to the small number of subjects, statistical error, time for initial acupuncture intervention, therapeutic sessions, severity of the patients brain injury, or other complications. Further trial and investigation with a larger number of subjects is warranted. |
