Tracheostomy status in patients with prolonged disorders of consciousness
Conditions
Interventions
Electroacupuncture group:Bilateral Zhongfu (LU1), Lieque (LU7), Hegu (LI4), Zusanli (ST36), and Fenglong (ST40) acupoints were selected. The patient was placed in a supine position, and the skin at th
oblique insertion of 0.3–0.5 cun upward at Lieque (LU7)
perpendicular insertion of 0.5–1 cun at Hegu (LI4)
perpendicular insertion of 1–1.5 cun at Zusanli (ST36)
and perpendicular insertion of 1–1.5 cun at Fenglong (ST40).After acupuncture, an electroacupuncture device was connected, with continuous wave at a frequency of 20 Hz and current intensity of 1.5 mA.
Sham electroacupuncture group:1 cun lateral to bilateral Zhongfu (LU1), 0.5 cun superior to bilateral Lieque (LU7), 0.5 cun lateral to bilateral Hegu (LI4), and 1 cun superior to bilateral Zusanli (ST
Sponsors
General Hospital of Southern Theater Command
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Age = 18 years; Meet the diagnostic criteria for prolonged disorders of consciousness (pDoC) in the Chinese Expert Consensus on Diagnosis and Treatment of prolonged Disorders of Consciousness; Tracheostomy with indwelling cannula for = 48 hours; Disease course = 6 months; Signed informed consent.
Exclusion criteria
Exclusion criteria: Requiring mechanical ventilation assistance; History of neurological, psychiatric disorders or severe pulmonary diseases; Complicated with special complications such as epilepsy and severe sympathetic hyperactivity syndrome; Presence of unstable fractures of the clavicle, ribs or spine, uncontrolled active bleeding, malignant tumor, or active infectious diseases without effective control; Brain lesion volume exceeding 25% of total brain volume on conventional MRI; Failure to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diaphragmatic function; | — |
Secondary
| Measure | Time frame |
|---|---|
| Semi-quantitative Cough Strength Score;involuntary cough peak flow;Clinical Pulmonary Infection Score;Blood gas analysis;The Coma Recovery Scale Revised;diffusion tensor imaging ; | — |
Countries
china
Contacts
Public ContactYan Chen
General Hospital of Southern Theater Command
Outcome results
None listed