综合康复对老年脊髓损伤患者生活质量的影响

The Effect of Comprehensive Rehabilitation on the Quality of Life of Elderly Patients with Spinal Cord Injury

目的:探究综合康复对老年脊髓损伤患者的生活质量影响。方法:抽选2019年6月-2019年12月在我院神经内科住院的脊髓损伤患者76名,根据发病时间进行随机数表分组,分别标记为对照组、观察组,对照组与观察组中各包含患者38人,76名患者在年龄、性别等资料方面差异均无统计学意义(P>0.05),并符合我院伦理委员会标准。对照组38名患者进行一般康复训练。观察组38名患者进行综合康复训练,内容包含:叩点膀胱法、心理辅导法、核心肌力训练法及低频脉冲治疗法。对对照组与观察组患者的治疗时间为4个月。观察治疗前后患者的膀胱功能评分、足底压力、下肢肌力分级及生活质量评分。结果:治疗后,对照组及观察组膀胱功能积分较治疗前均有不同程度的降低,观察组膀胱功能积分降低程度更明显(P<0.05)。治疗后,对照组及观察组足跟外侧、足跟内侧、晦趾、足中部压力、下肢肌力分级及生活质量评分较治疗前均有不同程度的升高。观察组足跟外侧、足跟内侧、晦趾、足中部压力、下肢肌力分级及生活质量评分升高程度更明显(P<0.05)。结论:综合康复治疗可通过修复膀胱功能、诱导脊髓α神经元兴奋、促使目标神经元修复、舒缓情绪等方式改善老年脊髓损伤患者肢体制动、尿潴留等症状,提高其生活质量。

Objective:To explore the effect of comprehensive rehabilitation on the quality of life of elderly patients with spinal cord injury.Method:A random number table of 76 patients with spinal cord injury who were hospitalized in the Department of Neurology of our hospital from June 2019 to December 2019 was selected,grouped according to the time of onset,and labeled as general rehabilitation group,comprehensive rehabilitation group,and general rehabilitation group.There were 38 patients in the comprehensive rehabilitation group;there was no statistically significant difference in age,gender and other data between 76 patients(P〉0.05),and they met the standards of our hospitals ethics committee.Thirty-eight patients in the general rehabilitation group received general rehabilitation training.Thirty-eight patients in the comprehensive rehabilitation group received comprehensive rehabilitation training,which included:tapping bladder method,psychological counseling method,core strength training method and low-frequency pulse therapy.The treatment time for the general rehabilitation group is 1 month,and the treatment time for the comprehensive rehabilitation group is 4 months.Observe the patients'bladder function score,plantar pressure,lower limb muscle strength score and quality of life score before and after treatment.Results:After treatment and after treatment,the bladder function scores of the general rehabilitation group and the comprehensive rehabilitation group were reduced to different degrees than before treatment,and the bladder function scores of the comprehensive rehabilitation group decreased more significantly(P<0.05).After treatment,the general rehabilitation group and the comprehensive rehabilitation group had higher levels of lateral heel,inner heel,toe,midfoot pressure、lower limb muscle strength classification and quality of life scores than before treatment.The lateral heel of the comprehensive rehabilitation group,Inner heel,toe,mid-foot pressure,lower limb muscle strength classification and quality of life score increased significantly(P<0.05).Conclusion:Comprehensive rehabilitation therapy can improve the symptoms of limb immobilization and urinary retention and improve the quality of life in elderly patients with spinal cord injury by repairing bladder function,inducing excitation of spinal α neurons,stimulating target neuron repair,and soothing emotions.