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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group (Severe) | Experimental | A patient's Glasgow Coma Score (GCS) between 5-8
|
|
| Control group (Severe) | No Intervention | A patient's Glasgow Coma Score (GCS) between 5-8
| |
| Intervention group (Moderate) | Experimental | A patient's Glasgow Coma Score (GCS) between 9-13
|
|
| Control group (moderate) | No Intervention | A patient's Glasgow Coma Score (GCS) between 9-13
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acupuncture and bloodletting | Other | bloodletting at the well points of both hands and feet and acupuncture in DU26, DU24 3 times per week for 4 weeks, total 12 treatments. |
|
| Measure | Description | Time Frame |
|---|---|---|
| GCS(Glasgow Coma Scale) | To assess the recovery of consciousness. Lower GCS scores are correlated with higher risk of death. | 4 weeks |
| Barthel index | To assess the activities of daily life. | 4 weeks |
| Muscle power | To assess the recovery of muscle power. | 4 weeks |
| mGOS(Modified Glasgow Outcome Score) | To assess the neurological outcomes, score 1 to 5. the higher the score, the better outcome. | 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. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Meridian energy assessment | To assess meridian energy by Meridian Energy Analysis Device (M.E.A.D. ) | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| wei Ling Chou | Contact | +886 975360906 | wenni1207@cgmh.org.tw |
| Name | Affiliation | Role |
|---|---|---|
| wei Ling Chou | Chang Gung Medical Foundation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chang Gung Memorial Hospital | Recruiting | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| D001815 | Bloodletting |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D018962 | Phlebotomy |
| D011677 | Punctures |
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| D006259 |
| Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |