Functional Recovery Effect of Bloodletting Puncture at Jing-well Points on Acute Brain Injury Patients

Chang Gung Memorial Hospital72 enrolled

Overview

Traumatic brain injury (Traumatic brain injury, TBI) can be derived from various forms of injury, including blunt trauma, penetrating or acceleration/deceleration force caused by head injury.There are some study data show that acupuncture treatment has a superficial effect on the prognosis of traumatic brain injury and can limit the progression of secondary brain injury, but the effect of early bloodletting at the Jing-points on TBI patients still unknown. In our study, the investigators have proposed a randomized, controlled study design and plan to evaluate the efficacy and safety of Jing-point puncture to improve consciousness and neurological function in patients with TBI. In addition, an objective meridian instrument analysis was added to analyze the energy distribution in the meridian of TBI patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Traumatic Brain Injury (TBI)

Interventions

Eligibility

Sex: ALLMin age: 20 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patient with moderate to severe head injury are admitted to the ICU (Intensive Care Unit). patient with stable vital sign and the GCS (Glasgow coma volume) between 5-13 will be included. 2. Patient with normal consciousness and no cognitive or motor function disease before brain injury. 3. Patient aged between 20 to 80 years old and is willing to sign the consent (the agent can sign on behalf of patient). Exclusion Criteria: 1. Patients who are vital sign unstable and with severe complication. 2. Patients combined with other terminal illness such as cancer in terminal stage, liver failure, end stage renal failure and so on. 3. Pregnant patients. 4. Any other conditions deemed unsuitable by the physician in charge. 5. Patients (agent of the patient) who did not sign the consent.

Outcomes

Primary Outcomes

GCS(Glasgow Coma Scale)

To assess the recovery of consciousness. Lower GCS scores are correlated with higher risk of death.

Time frame: 4 weeks

Barthel index

To assess the activities of daily life.

Time frame: 4 weeks

Muscle power

To assess the recovery of muscle power.

Time frame: 4 weeks

mGOS(Modified Glasgow Outcome Score)

To assess the neurological outcomes, score 1 to 5. the higher the score, the better outcome.

Time frame: 4 weeks

RTS (Revised Trauma Score)

To assess the physiologic condition of patients. The Revised Trauma Score is made up of a three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0-12. A lower score indicates a higher severity of injury.

Time frame: 4 weeks

Secondary Outcomes

Meridian energy assessment

To assess meridian energy by Meridian Energy Analysis Device (M.E.A.D. )

Time frame: 4 weeks

Functional Recovery Effect of Bloodletting Puncture at Jing-well Points on Acute Brain Injury Patients

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts