Effects of acupuncture combined with hyperbaric oxygen on neurological function and cerebral blood flow of children with severe viral encephalitis
10.3760/cma.j.cn311847-20200208-00043
- VernacularTitle:针灸联合高压氧治疗对重症病毒性脑炎患儿神经功能及脑血流的影响
- Author:
Jing LI
1
;
Chungang LIU
1
Author Information
1. 450052 郑州，郑州大学第二附属医院儿科
- Publication Type:Journal Article
- Keywords:
Severe viral encephalitis;
Acupuncture;
Hyperbaric oxygen;
Neurological function;
Cerebral blood flow;
State of consciousness
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2020;27(4):458-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of acupuncture combined with hyperbaric oxygen on neurological function and cerebral blood flow of pediatric patients with severe viral encephalitis.Methods:A total of 100 pediatric patients with severe viral encephalitis admitted to the Department of Pediatrics of the Second Affiliated Hospital of Zhengzhou University from August 2016 to December 2018 were selected as research objects and randomly divided into the observation group ( n=50) and the control group ( n=50) by the random number table method. Patients in both groups received conventional medical treatment. The patients in the control group were supplemented with hyperbaric oxygen, while the patients in the observation group were treated with acupuncture on the basis of the treatment in the control group. The clinical symptoms, the recovery time of body signs, the score of National Institute of Health stroke scale (NIHSS), the score of Glasgow coma scale (GCS), and the cerebral blood flow indexes were compared between the two groups. Results:The defervescence period, the time required for headache and vomiting to subside, the recovery time of consciousness, and the improvement time of electroencephalogram in the observation group were all shorter than those in the control group, the differences were statistically significant ( P<0.05). After treatment, the NIHSS score of the observation group was lower than that of the control group, but the GCS score of the observation group was higher than that of the control group ( P<0.05). After treatment, the systolic blood flow velocity (Vs), mean flow velocity (Vm), and pulsatility index (PI) in the two groups were lower than those before treatment, and the above-mentioned indexes of the observation group were lower than those of the control group, the differences were statistically significant ( P<0.05). Conclusion:In the treatment of severe viral encephalitis in children, acupuncture combined with hyperbaric oxygen can improve the clinical symptoms and signs, alleviate the severity of neurologic impairment, promote the recovery of consciousness, decrease the cerebral blood flow indexes, and speed up rehabilitation.
