电针配合康复训练对颈脊髓损伤术后患者功能恢复的影响

Effect of Electroacupuncture plus Early Rehabilitation Training on Function Recovery after Surgery for Cervical Spinal Cord Injury

目的探讨电针配合早期康复训练对颈脊髓损伤术后患者功能恢复的影响。方法将60例颈脊髓损伤且行颈前路减压内固定手术的患者随机分为治疗组和对照组,每组30例。治疗组采用电针配合康复治疗,对照组采用单纯康复治疗。两组治疗前后分别采用Frankel分级、Barthel指数、功能独立性评定(FIM)进行评定。结果两组治疗后Frankel分级与同组治疗前比较,差异均无统计学意义(P>0.05)。治疗组治疗后Frankel分级与对照组比较,差异无统计学意义(P>0.05)。两组治疗后Barthel指数、FIM评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后Barthel指数、FIM评分与对照组比较,差异均具有统计学意义(P<0.05)。结论电针配合早期康复训练能促进颈脊髓损伤术后患者的功能恢复,提高患者的生活质量。

Objective To investigate the effect of electroacupuncture plus early rehabilitation training on the function recovery after surgery for cervical spinal cord injury. Methods Sixty patients with cervical spinal cord injury undergone anterior cervical decompression and internal fixation were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by electroacupuncture plus rehabilitation training, while the control group was by rehabilitation training alone. The Frankel＇s grading （FG）, Barthel Index （BI）, and Functional Independence Measure （FIM） were adopted for evaluation before and after intervention. Results The FG was not significantly changed after intervention in both groups （P〉0.05）. After intervention, there was no significant difference in comparing FG between the two groups （P〉0.05）. The BI and FIM scores were significantly changed after intervention in both groups （P〈0.01）. There were significant differences in comparing BI and FIM scores between the two groups （P〈0.05）. Conclusion Electroacupuncture plus early rehabilitation training can promote the function recovery after surgery for cervical spinal cord injury, and improve the quality of life.