The Effect Of Acupuncture Combined With Chinese Medicine On Rehabilitation In Patients With Traumatic Brain Injury Operation

Objectives:Study on the clinical effect of acupuncture combined with Chinese medicine on rehabilitation of neural function in patients with traumatic brain injury operation.Methods:The study included 80 patients with traumatic brain injury who were treated in neurosurgery of The First Affiliated Hospital of Anhui University of Chinese Medicine from September 2010 to September 2014. The patients were randomly divided into control group and study group, each with 40 cases. Control group were treated by the basic treatment, including medicine, HPO(high pressure oxygen) and physiotherapy. Study group were treated by the combination of basic treatment and Chinese medical treatment. Main outcome measures include eye opening response, verbal response, motor response, functional behavior, clinical effect and complication. Both of the groups were assessed on functional comprehensive assessment(FCA)and Glasgow coma scale(GCS). All the data were analyzed with the SPSS 17.0 software and evaluated by the comprehensive effect.Results:1. Scores of FCA before and after the treatment in two groups had statistically significant differences(P<0.05). Score of FCA before treatment in control group is 17.84±0.42, while after treatment the score is 64.24±7.2. Score of FCA before treatment in study group is 20.58±0.36, while after treatment the score is 88.06±5.62. The scores of FCA after the treatment in two groups showed significant increases in comparison to those before the treatment. The score of FCA after the treatment in study group was significantly increased comparing with that in control group. 2. Scores of GCS before and after the treatment in two groups had statistically significant differences(P<0.05). Score of GCS before treatment in control group is 5.7±1.06, while after treatment the score is 10.5±1.3. Score of GCS before treatment in study group is 6.1±1.34, while after treatment the score is 11.1±1.46. The scores of GCS after the treatment in two groups showed significant increases in comparison to those before the treatment. The score of GCS after the treatment in study group was significantly increased comparing with that in control group. 3.The clinical effect of both groups was compared as follows: In study group, the cure rate was 27.5%, the effective rate was 37.5%, and the total effectiveness was 27.5%. In control group, the cure rate was 20.0%, the effective rate was 30.0% and the total effectiveness was 25.0%. All of the scores in study group were higher than those in the control group. The total effective rate of study group(27.5%) was significantly higher than that of control group(25,0%)(P<0.05). 4.The rates of complications in both groups were compared as follows: In study group, the rate of lung infection was 27.5%, the rate of gastrointestinal bleeding was 10.0%, the rate of hepatic insufficiency was 12.5%, and the rate of renal insufficiency was 7.5%. In control group, the rate of lung infection was 52.5%, the rate of gastrointestinal bleeding was 27.5%, the rate of hepatic insufficiency was 25.0%, and the rate of renal insufficiency was 20.0%. All of the scores in study group were significantly lower than those in the control group.Conclusions:The treatment of acupuncture combined with Chinese medicine can significantly improve the FCA and GCS scores. It will decrease the complication and improve the clinical effects. Curative effect in study group was higher than that in the control group. The treatment of acupuncture combined with Chinese medicine can improve the neural functions recovery of patients with traumatic brain injury operation and has a reliable curative effect.