头针留针入高压氧舱治疗对颅脑损伤后认知障碍的影响  

After treatment by Scalp Acupuncture Retaining into Hyperbaric Oxygen Chamber Cognitive Dysfunction in Patients with Traumatic Brain Injury

作　　者：王晓红[1] 黄礼群[1] 龚琴[1] 刘婷[1] 

机构地区：[1]广州军区武汉总医院康复理疗科,湖北武汉430070

出　　处：《华南国防医学杂志》2016年第4期247-249,274,共4页Military Medical Journal of South China

摘　　要：目的观察头针留针入高压氧舱治疗对颅脑损伤患者认知功能的影响。方法 60例颅脑损伤患者随机均分为Ⅰ组(头针留针入高压氧舱组)、Ⅱ组(单纯高压氧组)和Ⅲ组(对照组),3组患者均接受常规治疗,Ⅱ组在常规治疗基础上接受高压氧治疗,Ⅰ组患者行头针治疗后留针入高压氧舱行高压氧治疗。分别比较治疗30次(5周)、60次(10周)后各组患者蒙特利尔认知功能量表(Montreal cognitive assessment,MoCA)评分。结果在治疗30次(5周)后,3组的MoCA评分都较治疗前有所增加,各组间的评分差异并无统计学意义(P=0.09)。在治疗60次(10周)后,3组的MoCA评分都较治疗30次有明显增加,各组间的评分差异有统计学意义(P=0.00);Ⅰ组和Ⅱ组MoCA评分均较对照组增高,差异均有统计学意义(P=0.00,0.02);同时Ⅰ组的MoCA评分较Ⅱ组增高,差异有统计学意义(P=0.03)。表明头针留针入高压氧舱治疗和单纯高压氧治疗均能在治疗60次后改善患者的认知功能,且头针留针入高压氧舱治疗在治疗30次时即可有改善的趋势。结论头针留针入高压氧舱治疗较单纯高压氧治疗能快速有效改善患者的认知功能。Objective To investigate the effect of scalp acupuncture retaining into hyperbaric oxygen chamber on cognitive dysfunction in patients with traumatic brain injury （TBI）. Methods Sixty cases of TBI were randomly divided into three groups：group I received scalp acupuncture retaining into hyperbaric oxygen chamber therapy group and routine therapy ; group Ⅱ received hyperbaric oxygen therapy group and routine therapy; group Ⅲ received routine therapy, with 20 cases in each group. Cognitive function were evaluated before and after 5-week and 10-week therapy. Results After 5- week period, group Ⅰ showed significantly greater improvement on Montreal cognitive assessment （MoCA） scores than group Ⅲ （P = 0. 03） ; but there were no significantly differences among the 3 groups （P = 0. 09）. After 10-week period, group Ⅰ（P = 0. 00） and group Ⅱ （P = 0. 02） showed greater improvement than group Ⅲ ,group Ⅰ showed greater improve- ment than groupⅡ （P = 0. 03）, and within-group gains were significant（P = 0. 00）. Conclusion Scalp acupuncture retai- ning into hyperbaric oxygen chamber therapy may be more effective on cognitive dysfunction than hyperbaric oxygen ther- apy in patients with TBI.

关 键 词：头针 留针 高压氧 颅脑损伤 认知功能障碍 

分 类 号：R459.6[医药卫生—治疗学] R651.15[医药卫生—临床医学]