中国康复理论与实践2017，Vol.23Issue(2)：207-210,4.DOI:10.3969/j.issn.1006-9771.2017.02.018
正中神经电刺激对脑外伤后昏迷促醒治疗的参数研究
Parameters of Median Nerve Electrical Stimulation for Coma after Traumatic Brain Injury
摘要
Abstract
Objective To compare the effects of median nerve electrical stimulation on coma patients after traumatic brain injury with different settings. Methods From 2013 to 2015, 161 patients with traumatic brain injury were randomly divided into control group (n=40), experimental group 1 (n=41), experimental group 2 (n=39) and experimental group 3 (n=41). The control group received routine conscious-ness-promoted methods, and the experimental groups received median nerve electrical stimulation with 200μs and 30 Hz, 100 Hz and 50 Hz in sequence, 60 minutes a day for 90 days. They were assessed with Glasgow Coma Scale (GCS) and Coma Recovery Scale-Revised (CRS-R) before, 30 days and 90 days after treatment. Results There was significant difference in the scores of CCS and CRS-R, times of treatment, number of sobered patients and coma time among groups (P<0.01), that the experimental groups were better than the control group (P<0.05), and no significant difference was found between the experimental groups 1 and 2 (P>0.05). The experimental group 3 was better than the experimental groups 1 and 2 (P<0.05). Conclusion Median nerve electrical stimulation with 200μs, 50 Hz could promote co-ma patients to wake up optimally.关键词
脑外伤/昏迷/正中神经电刺激/频率/促醒Key words
traumatic brain injury/coma/median nerve electrical stimulation/frequency/wake-promoting分类
医药卫生引用本文复制引用
石艳红,邵秀芹,冯珍,郑茶凤,帅浪..正中神经电刺激对脑外伤后昏迷促醒治疗的参数研究[J].中国康复理论与实践,2017,23(2):207-210,4.基金项目
1.国家自然科学基金项目(No.81260295) （No.81260295）
2.江西省自然科学基金项目(No.20132BAB205063) （No.20132BAB205063）
3.江西省卫生厅科技计划项目(No.20131026). （No.20131026）
