悬吊运动训练联合黄芪桂枝五物汤治疗不完全性脊髓损伤的效果研究

Study of Efficacy of Suspension Exercise Training Combined with Huangqi Guizhi Wuwu Decoction on Patients with Incomplete Spinal Cord Injury

目的:观察悬吊运动训练联合黄芪桂枝五物汤对不完全性脊髓损伤患者下肢运动功能及步态参数的影响。方法:60例不完全性脊髓损伤患者按就诊先后随机分为对照组30例(应用黄芪桂枝五物汤治疗),治疗组30例(对照组基础上配合悬吊运动训练),共治疗8周。运用徒手肌力评定(MMT分级)、改良Ashworth (MAS分级)、Berg平衡量表(BBS评分),改良Barthel指数(MBI评分)评价患者治疗前后,双下肢肌力、肌张力、平衡功能、生活质量及日常生活自理能力差异,同时记录治疗前后两组患者步态参数(步长、步速、步频)差异。结果:与本组治疗前比较两组患者治疗8周后MMT分级、BBS评分、MBI评分均明显提高,Ashworth分级降低,且治疗组优于对照组,差异有统计学意义(P<0.05)。与本组治疗前比较两组患者治疗8周后步长、步速、步频均明显提高且治疗组优于对照组,差异有统计学意义(P<0.05)。与本组治疗前比较两组患者治疗后生活质量明显提高且治疗组优于对照组,差异有统计学意义(P<0.05)。结论:悬吊运动训练联合黄芪桂枝五物汤可以改善不完全性脊髓损伤患者下肢运动功能及步行能力,促进患者康复,提高患者生活质量。

Objective:To observe the efficacy of suspension exercise training combined with Huangqi Guizhi Wuwu decoction on lower limb motor function and gait parameters of patients with incomplete spinal cord injury.Methods:60 patients with incomplete spinal cord injury were randomly divided into control group(30 cases) which were treated with Huangqi Guizhi Wuwu decoction and treatment group(30 cases) which were treated with suspension exercise training on the basis of control group.The treatment course was 8 weeks.The patients’ muscle strength of lower limbs, muscle tension, balance function, quality of life and self-care ability of daily life before and after treatment were evaluated by MMT, Modified Ashworth(MAS), Berg Balance Scale(BBS) and Modified Bathel Index(MBI).At the same time, the difference of gait parameters(step length, step speed and step frequency) between the two groups before and after treatment was recorded.Results:MMT grade, BBS score and MBI score in 2 groups were significantly improved.Ashworth grade was decreased, and the treatment group was better than the control group after 8 weeks of treatment(P<0.05), and the difference was statistically significant.Compared with the group before treatment, step length, step speed and step frequency in 2 groups after 8 weeks of treatment were significantly improved, and the treatment group was better than the control group(P<0.05),the difference was statistically significant.Compared with this group before treatment, the quality of life in the two groups after treatment was significantly improved, and the treatment group was better than the control group(P<0.05),the difference was statistically significant.Conclusion:Suspension exercise training combined with Huangqi Guizhi Wuwu decoction can effectively improve the lower limb motor function and walking ability of patients with incomplete spinal cord injury, promote the rehabilitation of patients and improve their quality of life.