中西医结合康复治疗对脊髓损伤患者痉挛缓解的疗效观察

Integrative medicine efficacy of rehabilitation therapy on patients with spinal cord injury spasm relief

目的观察中西医结合的康复治疗对脊髓损伤患者肌肉痉挛的缓解作用。方法 60例脊髓损伤后痉挛患者按康复介入的方法分为治疗组(中西医结合的康复治疗缓解痉挛)和对照组(西医的康复治疗缓解痉挛)各30例,分别在训练开始前和训练12周后进行肌肉痉挛的评定,比较两组的并发症发生率。结果治疗组患者泌尿系感染、骨质疏松、双上肢屈曲痉挛、双下肢内收伸展痉挛、压疮、踝关节跟腱挛缩、水肿、肩关节挛缩等脊髓损伤常见并发症的发生率明显低于对照组;中西医结合康复治疗组患者运动功能的恢复优于康复对照组。结论中西医结合康复治疗可明显缓解脊髓损伤后肌肉痉挛,促进运动功能恢复。

【Objective】 To observe the effects of integrative medicine in patients with spinal cord injury rehabilitation on muscle spasm relief.【Methods】 60 cases of spastic patients with spinal cord injury rehabilitation method of intervention is divided according to treatment group（integrative medicine rehabilitation relieve spasms） and the control group（western medicine rehabilitation relieve spasm） of the 30 cases,respectively,in training and training 12 weeks before the start of after the assessment of muscle spasm,the incidence of complications were compared.【Results】 Patients treated with urinary tract infections,osteoporosis,upper limbs flexion spasms,lower extremity adduction stretching spasms,pressure sores,ankle Achilles tendon contractures,edema,shoulder joint contracture and other common complications of spinal cord injury were significantly lower than the control group;Integrative Medicine treated patients recovered motor function recovery and ADL scores were better than excellent rehabilitation control group（P 0.05～0.01）.【Conclusions】 Chinese and western medicine combined with rehabilitation therapy can significantly relieve muscle spasms after spinal cord injury,promote recovery of motor function,improved ADL.