电针夹脊穴配合康复训练治疗脊髓损伤患者的临床研究

Clinical Research of Electric-impulse Stimulation to Jiaji Points in the Rehabilitation of Spinal Injury

目的观察夹脊脉冲电场对脊髓损伤患者疗效的影响。方法将126例确诊为脊髓损伤并符合纳入标准的患者随机分为治疗组和对照组,每组63例。对照组采用常规康复训练配合针刺治疗,治疗组在对照组治疗基础上采用夹脊脉冲电刺激治疗。治疗90 d后观察两组患者痉挛程度、功能评定及日常生活活动能力评分结果。结果治疗组治疗后各项痉挛评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。对照组治疗后腱反射、痉挛评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后各项痉挛评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组治疗前后运动功能评分及感觉功能评分差值与对照组比较,差异均有统计学意义(P<0.01,P<0.05)。两组治疗后Barthel指数评分与同组治疗前比较,差异均有统计学意义(P<0.05)。治疗组治疗后Barthel指数评分与对照组比较,差异有统计学意义(P<0.05)。结论夹脊脉冲电刺激结合常规康复治疗可明显改善患者痉挛状态,提高运动和感觉功能评分,促进患者日常生活活动能力的恢复。

Objective To observe the effect of electric-impulse stimulation to Jiaji points （EX-B2） on spinal cord injury （SCI）. Methods Totally 126 eligible SCI patients were randomized into a treatment group and a control group, 63 cases in each group. The control group was intervened by conventional rehabilitation training plus acupuncture, while based on which the treatment group additionally received electric-impulse stimulation to Jiaji points （EX-B2）. The spasticity, function, and activities of daily living （ADL） were evaluated 90 d later. Results The spasticity score was significantly changed after intervention in the treatment group（P〈0.01）. Tendon reflex and spasticity score were significantly changed in the control group （P〈0.01）. After intervention, there was a significant difference between the two groups in comparing spasticity score （P〈0.01）. The changes of motor function and sensory function scores in the treatment group were significantly different from that in the control group （P〈0.01, P〈0.05）. The Barthel Index （BI） scores were significantly changed in both groups after intervention （P〈0.05）. There was a significant difference in comparing the BI score between the two groups after intervention （P〈0.05）. Conclusion Electric-impulse stimulation to Jiaji （EX-B2） plus conventional rehabilitation training can significantly improve spasticity, and the motor and sensory functions, and promote the recovery of activities of daily living.