关键肌运动点针刺对脊髓损伤患者神经电生理指标、下肢运动功能及日常生活能力的影响

Effects of Key Muscle Movement Points Acupuncture on Neuroelectrophysiological Indexes,Lower Limb Motor Function and Daily Living Ability in Patients with Spinal Cord Injury

目的:观察关键肌运动点针刺对脊髓损伤(SCI)患者神经电生理指标、下肢运动功能及日常生活能力的影响。方法:按照随机数字表法将2022年12月至2023年6月期间我院收治的98例SCI患者分为对照组(常规康复训练和传统针刺治疗,n=49)和研究组(常规康复训练和关键肌运动点针刺治疗,n=49)。对比两组神经电生理指标[股直肌与胫前肌的均方根值(RMS)及中位频率(MF)]、下肢运动功能[下肢运动评分(LEMS)、改良Ashworth分级(MAS)]、日常生活活动能力[日常生活活动能力评分(MBI)]。结果:与对照组治疗2个疗程后相比,研究组MAS评分更低,股直肌RMS、股直肌MF、胫前肌RMS、胫前肌MF、LEMS评分、MBI评分更高(P<0.05)。结论:关键肌运动点针刺用于SCI患者,可改善神经电生理指标,促进下肢运动功能恢复,提高患者的日常生活能力。

Objective:To observe the effects of key muscle movement points acupuncture on neuroelectrophysiological indexes,lower limb motor function and daily living ability in patients with spinal cord injury(SCI).Methods:98 SCI patients who were admitted to our hospital from December 2022 to June 2023 were divided into control group(conventional rehabilitation training and traditional acupuncture treatment,n=49)and study group(conventional rehabilitation training and key muscle movement point acupuncture treatment,n=49)according to the random number table method.The nerve electrophysiological indexes[root mean square(RMS)and median frequency(MF)of rectus femoris and anterior tibial muscle],lower limb motor function[lower limb motor score(LEMS),modified Ashworth scale(MAS)]and activity of daily living[activity of daily living score(MBI)]were compared between two groups.Results:Compared with control group 2 courses after treatment,the MAS score in study group was lower,and the rectus femoris RMS,rectus femoris MF,tibialis anterior RMS,tibialis anterior MF,LEMS score and MBI score were higher(P<0.05).Conclusion:Key muscle movement points acupuncture for SCI patients,which can improve neuroelectrophysiological indexes,promote the recovery of lower limb motor function,improve the daily living ability of patients.