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中西医结合康复对不完全性脊髓损伤的影响

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目的 探讨中西医结合康复对不完全性脊髓损伤(ISCI)患者的影响.方法 选择64例不完全性脊髓损伤患者,采用随机数字表简单化分组法(余数法)分为观察组与对照组,各32例,对照组给予常规物理治疗+康复训练,观察组在对照组基础上联合针刺+中医特色功能训练.通过评估美国脊柱损伤学会运动评分(ASIA-MS)、疼痛视觉模拟评分(VAS)、日常生活能力评分(ADL)、10 m最快步行速度测试(10MWT)、6 min步行耐力测试(6MWT)、计时起立-行走测试(TUGT)、Berg平衡量表(BBS)变化情况,分析2组康复效果.结果 康复治疗4周时,观察组ASIA-MS、ADL评分高于对照组(P<0.05),VAS评分低于对照组(P<0.05);治疗4周、6周、8周时,观察组10MWT均低于对照组(P<0.05),6MWT均高于对照组(P<0.05);观察组治疗8周时TUGT低于对照组(P<0.05);观察组治疗8周、12周时BBS评分高于对照组(P<0.05).结论 中西医结合康复治疗有利于不完全性脊髓损伤神经再生修复,促进患者步行能力、平衡能力提升.
Influence of integrated traditional Chinese and Western medicine rehabilitation on incomplete spinal cord injury
Objective To explore the influence of integrated traditional Chinese and Western medicine rehabilitation on patients with incomplete spinal cord injury(ISCI).Methods 64 patients with ISCI were selected and divided into the observation group and the control group according to random number table method,with 32 cases in each group.The control group received routine physical therapy and rehabilitation training,while the observation group received acupuncture and traditional Chinese medicine characteristic function training on the basis of the treatment of the control group.By evaluating the changes of American Spinal Injury Association Motor Score(ASIA-MS),Visual Analogue Scale(VAS),Activities of Daily Living(ADL),10 Meter Fastest Walking Speed Test(10MWT),6-minutes Walk Test(6MWT),Time Up and Go Test(TUGT)and Berg Balance Scale(BBS),the rehabilitation effects of two groups were analyzed.Results After 4 weeks of rehabilitation treatment,in the observation group the ASIA-MS score and ADL score were higher than those in the control group(P<0.05),while the VAS score was lower than that in the control group(P<0.05).At 4,6 and 8 weeks of treatment,in the observation group the 10MWT was lower than that in control group(P<0.05),while the 6MWT was higher than that in the control group(P<0.05).At 8 weeks of treatment,the TUGT in the observation group was lower than that in the control group(P<0.05).At 8 and 12 weeks of treatment,the BBS scores in the observation group were higher than those in the control group(P<0.05).Conclusion Integrated traditional Chinese and Western medicine rehabilitation treatment is beneficial to the nerve regeneration and repair of ISCI,and can promote the improvement of walking ability and balance ability.

incomplete spinal cord injuryrehabilitationintegrated traditional Chinese and Western medicineacupuncturetraditional Chinese medicine characteristic function trainingwalking ability

陈罗西、敬竹子、刘付龙、梁俊豪、任凯

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四川省骨科医院康复科,成都 610041

不完全性脊髓损伤 康复 中西医结合 针刺 中医特色功能训练 步行能力

四川省中医药局科研项目

2020LC0178

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(6)