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Effect of Renzhong (GV26) and Neiguan (PC6) combination on consciousness in patients undergoing operation after traumatic brain injury
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DOI   10.11656/j.issn.1673-9043.2021.03.12
Key Words   Renzhong(GV26);Neiguan(PC6);operation after traumatic brain injury;coma
Author NameAffiliationE-mail
WANG Xueling Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China  
ZI Liu Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China  
LIU Jie Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China  
ZHAO Yu Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China  
CHEN Mingjin Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China  
LI Ning Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China zhenjiuhuaxi@163.com 
Abstract
    [Objective] To observe the efficacy and safety of acupuncture GV26+PC6 in patients with traumatic brain injury after operation to improve the consciousness.[Methods] A total of 100 intensive care unit (ICU) patients of standard depression were recruited in the trial and randomized into acupuncture or control groups,with 50 cases in each group. Patients in both groups were treated with conventional western medicine 3 days after surgery. For patients in acupuncture group,electro-acupuncture "GV26+PC6" were given based on western medicine. GV26 were punctured with heavy pecking until patients' eyes became moist or watery. And for the PC6,the disperse-dense wave electro-acupuncture(10 Hz/50 Hz) were given daily for 14 days,and retain needle for 90 min. The current intensity was depended on the degree of local muscle twitch at the acupoint. For patients in control group,treatment of western medicine was given simply. 14-day arousal rate,mismatch negativity,length of total hospital stays and ICU stay,and dead cases were used to assessing the therapeutic effect.[Results] The arousal rate of the patients in the acupuncture group (19 cases and 38%) was higher than that of the control group (10 cases and 20%) after 14-day treatment. The amplitude of mismatch negativity in the acupuncture increased more than that of the control group,and the length of total hospital stay and ICU stay of the patients were all shorter than those in the control group (P<0.05).[Conclusion] Three days after the operation of new traumatic brain injury,acupuncture "GV26+PC6" can improve the patients' consciousness,and shorten the total hospitalization days and the hospitalization days in the ICU. In addition,heavy pecking and bilateral electro-acupuncture stimulation for a long timeis safe,simple and easy to operate and standardized,which is worthy of clinical promotion and further study.

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