中西医结合治疗重型颅脑损伤疗效观察

目的：观察高压氧加针灸推拿疗法对重型颅脑损伤的恢复作用。方法：将患者分为常规药物治疗组（Ⅰ组）、常规药物＋针灸推拿治疗（Ⅱ组）及常规药物＋针灸推拿＋高压氧治疗（Ⅲ组）。Ⅰ组、Ⅱ组和Ⅲ组病例数分别为58，65，76例。入院时与出院时分别对各组患者进行格拉斯哥昏迷评分（Glasgowcomascales。GCS）及功能综合评定量表（functionalcomprehensiveassessment，FCA）评分。结果：与入院时比较，出院时3组GCS和FCA评分均显著增加（P〈0．05）。出院时Ⅱ组和Ⅲ组GCS和FCA评分显著高于Ⅰ组（P〈0．05），Ⅲ组GCS评分显著高于Ⅱ组（P〈0．05）。结论：高压氧配合针灸推拿治疗能显著提高颅脑损伤患者的治疗效果。

Western Medicine Combined with Traditional Chinese Medicine in Treatment of Gravis Type Craniocerebral Trauma: An Observation of Therapeutic Effects

Objective： To observe the rehabilitation of gravis type craniocerebral trauma with combined therapies of hyperbaric oxygen, acupuncture and manipulation. Methods： One hundred and ninety-nine patients with gravis type craniocerebral trauma were randomized into three groups： group Ⅰ（58 cases） was treated with conventional drugs, group Ⅱ （65 cases） with combined therapies of conventional drugs and acupuncture, groupⅢ （76 cases） with combined therapies of hyperbaric oxygen, acupuncture and manipu- lation. The manifestations of patients in all groups were assessed with Glasgow coma scale （GCS） and functional comprehensive assessment （FCA） at admission and discharge,respectivelyl Results： The scores of GCS and FCA in three groups at discharge were significantly increased compared with those at admission （P〈0.05）. At discharge, the scores of GCS and FCA in group Ⅱ and group Ⅲ were significantly higher than those in group Ⅰ ; the score of GCS in group Ⅲ was significantly higher than that in group Ⅱ （P〈 0.05）. Conclusion： The combined therapies of hyperbaric oxygen, acupuncture and manipulation have marked effects in treating gravis type craniocerebral trauma.