电针结合常规康复治疗对不同时期不完全性脊髓损伤患者功能恢复的影响

The effects of electro-acupuncture combined with conventional rehabilitation treatment on functional recovery in patients with incomplete spinal cord injury at different stages

目的观察电针结合常规康复治疗对不完全性脊髓损伤患者不同阶段的肢体功能恢复的影响。方法选取2021年1月至2023年6月我院收治的63例不完全性脊髓损伤患者的病例资料。根据损伤后开始康复治疗的时间分为两组,其中A组33例,于损伤后2周内开始康复治疗;B组30例,于伤后2月内开始康复治疗。观察并记录两组患者治疗前后疼痛改善情况—视觉模拟评分法(VAS)评分、肢体功能恢复情况—功能独立性评价(FIM)量表、神经功能恢复情况—美国脊髓损伤协会(ASIA)评分及治疗期间并发症的发生情况。结果治疗后,两组患者VAS评分较治疗前降低,FIM评分较治疗前明显提高,且A组改善更为显著,差异均有统计学意义(P<0.05)。两组患者治疗后的ASIA运动、感觉及针刺觉评分较治疗前显著增加,且A组高于B组,差异有统计学意义(P<0.05)。两组并发症比较,差异无统计学意义(P>0.05)。结论不完全性脊髓损伤2周内采用电针结合常规康复治疗更有效减少疼痛,提升截瘫肢体的功能独立性,促进截瘫肢体的感觉和运动功能恢复。

Objective To observe the effect of electro-acupuncture combined with conventional rehabilitation therapy on limb function recovery in patients with incomplete spinal cord injury(SCI)at different stages.Methods Clinical data of63 patients with incomplete SCI admitted to our hospital from January 2021 to June 2023 were selected.According to the time to started the rehabilitation after SCI,the patients were divided into A and B groups.The A group(n=33)started the rehabilitation within 2 weeks after SCI.The B group(n=30)started the rehabilitation within 2 months after SCI.The improvement of pain assessed by visual analogue scale(VAS)score,the limb function recovery assessed by functional independence measure(FIM)scale,and the neurological function recovery assessed by American Spinal Injury Association(ASIA)score before and after treatment as well as the occurrence of complications during treatment were observed and recorded in the two groups.Results After treatment,the VAS scores were decreased in both groups,and the pain relief was more significant in the A group than that in the B group(P<0.05).After treatment,FIM scores of both groups were significantly higher than those before treatment,and the scores of the A group were increased more significantly than those of the B group(P<0.05).The motor and sensory scores of ASIA as well as acupuncture scores of the two groups after treatment were significantly higher than those before treatment,and these scores of the A group were more significantly higher than those of the B group after treatment(P<0.05).Conclusions Electro-acupuncture combined with conventional rehabilitation therapy within 2 weeks of incomplete SCI can effectively reduce pain.It can also improve the functional independence of paraplegic limbs,and promote the recovery of sensory and motor functions of paraplegic limbs.