摘要目的 探讨高压氧联合内关郄门穴位电刺激对重度昏迷患者促醒的效果.方法 将2010年4月至2014年9月我院收治的128例昏迷时间在1个月内、格拉斯哥昏迷量表(Glasgow comascale,GCS)评分在3～8分的重度昏迷患者,按治疗方法分为治疗组和对照组,每组64例.对照组给予常规治疗加用内关郄门穴位电刺激治疗,治疗组在常规治疗加用内关郄门穴位电刺激治疗的基础上应用高压氧治疗,高压氧治疗压力为0.2 MPa(2.0 ATA),连续治疗5个疗程后,对2组患者进行GCS评分及脑电图检查,并对治疗效果评估.结果 治疗组和对照组GCS评分分别为(11.15±1.52)分和(8.95±1.32)分,2组比较差异有统计学意义(P＜0.05).结论 高压氧联合内关郄门穴位电刺激治疗重度昏迷患者能够改善脑电活动,对昏迷有较好的促醒作用.

abstractsObjective To investigate the effects of hyperbaric oxygen (HBO) coupled with electrical stimulation at Neikuan Luo-Connecting point for promotion of conscious recovery in the patients with severe coma.Methods One hundred and twenty-eight cases of severe coma for a month and with Glasgow coma scale (GCS) scores of 3-8 were recruited as study subjects.The patients were divided into the treatment group and the control group in accordance with different treatment methods,each consisting of 64 subjects.The control group received conventional therapy plus electrical stimulation at Neikuan Luo-Connecting point,while the treatment group received conventional therapy and electrical stimulation at Neikuan Luo-Connecting point plus HBO with the therapeutic pressure at 0.2 MPa (2.0 ATA).After 5 consecutive treatment courses,GCS scores were assayed and EEG detections were made in the patients of the 2 groups,and then therapeutic results were evaluated and compared.Results GCS scores for the treatment group and the control group were respectively (11.15 ± 1.52) and (8.95 ± 1.32),and statistical significance could be seen when comparisons were made between the 2 groups (P ＜ 0.05).Conclusions HBO coupled with electrical stimulation at Neikuan LuoConnecting point in the treatment of patients with severe coma could obviously improve brain electrical activity and displayed good effect on the promotion of conscious recovery.