针刺与运动疗法对重型颅脑损伤后功能恢复的影响

目的观察针刺与运动疗法干预重型颅脑损伤后功能障碍的交互作用。方法120 例重型脑外伤急性期患者在常规治疗基础上分为4 组：综合组(针刺配合运动疗法)、康复组、针刺组、对照组。治疗前后采用格拉斯哥昏迷量表(GCS)、Fugl-Meyer评定法(FMA)、改良Brathel 指数(MBI)及神经功能缺损程度评分(MESSS)进行评定。结果治疗2 个月后，综合组GCS、FMA、MBI 及MESSS 评分均优于对照组(P<0.05)，针刺组、康复组MESSS 及GCS 评分优于对照组(P<0.05)，综合组MESSS 评分明显优于康复组(P<0.01)。结论针刺腧穴和运动疗法对重型颅脑损伤均有促醒和减轻神经缺损的作用，相互间有协同作用。

Effect of Acupuncture and Exercise Therapy on Dysfunction after Severe Traumatic Brain Injury

Objective To explore the interactive effect of acupuncture and exercise on severe traumatic brain injury (TBI). Methods 120 comatose patients following TBI after routine surgery were equally divided into combined group (acupuncture and exercise), acupuncture group, exercise group, and control group (neither acupuncture, nor exercise). They were assessed with Glasgow coma scale (GCS),Fugl-Meyer assessment (FMA), modified Brathel index (MBI) and neurological deficit scores (modified Edinburgh-Scandinavia stroke scale, MESSS) before and after the treatment. Results The scores of GCS, FMA, MESSS and MBI improved more in the combined group than in the control group (P<0.05). The scores of GCS and MESSS improved more in the acupuncture group and the exercise group than in the control group (P<0.05). The scores of MESSS improved more in the combined group than in the exercise group (P<0.01). Conclusion Both acupuncture and exercise can synergetically reduce the disability and coma of comatose patients following TBI.