电针联合功能性电刺激在促进不完全性脊髓损伤患者下肢运动功能中的应用

Application of electroacupuncture combined with functional electrical stimulation in promoting lower limb motor function in patients with incomplete spinal cord injury

目的:观察电针联合功能性电刺激在不完全性脊髓损伤中的应用效果。方法:将90例不完全性脊髓损伤患者随机分为对照组(n=45)与观察组(n=45),对照组采用功能性电刺激治疗,观察组联合电针治疗。观察2组肌力、下肢运动评分、下肢感觉评分、脊髓损伤步行指数Ⅱ(WISCIⅡ)、改良Ashworth量表(MAS)等级、步态参数、临床疗效及治疗安全性。结果:观察组总有效率高于对照组(P<0.05);治疗后,观察组肌力、下肢运动评分、下肢感觉评分、WISCIⅡ、MAS等级、步态参数均优于对照组(均P<0.05)。2组均未发生严重不良事件。结论:电针联合功能性电刺激治疗不完全性脊髓损伤疗效显著,能够促进下肢运动功能恢复。

Objective:To observe the application effect of electroacupuncture combined with functional electrical stimulation in incomplete spinal cord injury.Methods:Ninety patients with incomplete spinal cord injury were randomly divided into a control group(n=45)and an observation group(n=45).The control group was treated with functional electrical stimulation,and the observation group was additionally treated with electroacupuncture.The muscle strength,lower limb motor score,lower limb sensory score,walking index for spinal cord injuryⅡ(WISCIⅡ),modified Ashworth scale(MAS)grade,gait parameters,clinical efficacy and safety of treatment were observed in the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the muscle strength,lower limb motor score,lower limb sensory score,WISCIⅡ,MAS grade,and gait parameters of the observation group were better in the observation group than the control group(all P<0.05).No serious adverse events occurred in both groups.Conclusion:The efficacy of the combination therapy for the treatment of incomplete spinal cord injury is remarkable,and it can promote the recovery of lower limb motor function.