| 舒胜男,兰朝阳,盛高扬,周郁知.电针联合功能性电刺激在促进不完全性脊髓损伤患者下肢运动功能中的[J].浙江中西医结合杂志,2024,34(10): |
| 电针联合功能性电刺激在促进不完全性脊髓损伤患者下肢运动功能中的 |
| Application of electroacupuncture combined with functional electrical stimulation in promoting lower limb motor function in patients with incomplete spinal cord injury |
| 投稿时间：2024-02-21 修订日期：2024-08-14 |
| DOI： |
| 中文关键词: 不完全性脊髓损伤 电针 功能性电刺激 肌力 下肢运动功能 步态参数 |
| 英文关键词:Incomplete spinal cord injury Electroacupuncture Functional electrical stimulation Muscle strength Lower limb motor function Gait parameters |
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| 中文摘要: |
| 目的 探讨电针与功能性电刺激对不完全性脊髓损伤病人下肢运动功能恢复的促进作用。方法 将90例不完全性脊髓损伤病人按照随机数字表法分成治疗组和对照组,各45 例,对照组予功能性电刺激治疗,观察组联合电针治疗。观察两组肌力、下肢运动评分、下肢感觉评分、脊髓损伤步行指数Ⅱ(WISCIⅡ)、改良Ashworth 量表(MAS)评分、步态参数的变化情况,并比较两组临床疗效及治疗安全性。结果 两组总有效率比较差异有统计学意义(P＜0.05)；经治疗后,两组肌力、下肢运动和感觉评分、WISCIⅡ、MAS评分、步态参数与治疗前比较,差异有统计学意义(P＜0.05),且两组治疗后各项指标比较,差异有统计学意义(P＜0.05)；两组治疗期间均未发生与治疗有关的不良事件。结论 电针联合功能性电刺激治疗不完全性脊髓损伤疗效显著,能够提高股四头肌与胫前肌肌力,缓解肌肉强直痉挛状态,促进下肢运动功能和感觉功能恢复。 |
| 英文摘要: |
| Objective To observe the effect of electroacupuncture combined with functional electrical stimulation in promoting lower limb motor function in patients with incomplete spinal cord injury. Methods 90 patients with incomplete spinal cord injury were randomly divided into the treatment group and the control group, with 45 cases in each group. The control group received functional electrical stimulation treatment, while the observation group received combined electroacupuncture treatment. The changes of muscle strength, lower extremity motor score, lower extremity sensory score, walking index for spinal cord injury II (wisci II), modified Ashworth Scale (MAS) score, gait parameters were observed, and the clinical efficacy and treatment safety of the two groups were compared. Results The difference in total effective rate between the two groups was statistically significant (P<0.05); There was a statistically significant difference in muscle strength, lower limb motor and sensory scores, WISCI II, MAS scores, and gait parameters between the two groups compared to before treatment (P<0.05), and there were statistically significant differences in the above indicators or scores between the two groups after treatment (P < 0.05); No treatment-related adverse events occurred during treatment in both groups. Conclusion Electroacupuncture combined with functional electrical stimulation is effective in the treatment of incomplete spinal cord injury. It can improve the muscle strength of quadriceps femoris and tibialis anterior muscle, alleviate muscle rigidity and spasm, and promote the recovery of lower limb motor function and sensory function. |
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