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目的:观察针刺联合小脑顶核电刺激(ESFN)对轻中型脑外伤(TBI)患者认知功能及日常生活活动能力(ADL)的影响。方法:将GCS≥8分的60例TBI患者,随机分为对照组、治疗组各30例,对照组患者给予ESFN+常规治疗,治疗组患者给予ESFN+针刺+常规治疗,连续治疗6天后休息1天,治疗18次后,采用简明精神状态量表(MMSE)评定认知能力,改良Barthel指数(BI)评定日常生活活动能力。结果:经治疗后,两组患者MMSE、Barthel指数总评分均明显提高(P<0.05),两种治疗方案均能有效改善轻中型TBI者的认知状态及ADL能力;治疗后组间比较,治疗组患者MMSE、Barthel指数总评分显著高于对照组(P<0.05),表明联合治疗较单纯的ESFN能更好地改善轻中型TBI患者认知能力及ADL能力。结论:在常规治疗基础上,ESFN+针刺治疗、ESFN均能有效改善轻中型TBI患者的认知状态、ADL能力;ESFN+针刺治疗较ESFN对轻中型TBI患者认知能力有更好改善作用,有效提高其日常生活活动能力,值得临床推广应用。
Objective: To observe the effect of acupuncture combined with cerebellar fastigial nucleus stimulation (ESFN) on cognitive function and daily living activity (ADL) in patients with mild to moderate traumatic brain injury (TBI). Methods: Sixty TBI patients with GCS≥8 were randomly divided into control group, 30 cases in each treatment group, ESFN + conventional treatment in control group, ESFN + acupuncture plus conventional treatment in treatment group, and 1 day after continuous treatment for 6 days Day. After 18 times of treatment, cognitive ability was assessed by MMSE and modified by Barthel Index (BI). Results: After treatment, the scores of MMSE and Barthel index in both groups were significantly increased (P <0.05). Both treatment regimens could effectively improve the cognitive status and ADL ability of light and medium TBI patients. After treatment, The total score of MMSE and Barthel index in the treatment group was significantly higher than that in the control group (P <0.05), which indicated that combination therapy could better improve the cognitive ability and ADL ability of patients with mild to moderate TBI than simple ESFN. Conclusion: ESFN + acupuncture therapy and ESFN can effectively improve the cognitive status and ADL ability of patients with mild to moderate TBI on the basis of routine treatment. ESFN + acupuncture treatment is better than ESFN in improving the cognitive ability of patients with mild to moderate TBI, Effectively improve their activities of daily living ability, it is worth clinical application.