首页|腹部灸法联合夹脊电针对脊髓损伤后肌痉挛患者肌张力及痉挛程度的改善作用

腹部灸法联合夹脊电针对脊髓损伤后肌痉挛患者肌张力及痉挛程度的改善作用

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目的 对脊髓损伤(spinal cord injury,SCI)后肌痉挛患者应用腹部灸法联合夹脊电针治疗,并分析其疗效及对肌张力、痉挛程度的影响.方法 选择90例接受治疗的脊髓损伤后肌痉挛患者为观察对象,均来自2021年6月-2023年3月,引入随机对照法分组,对照组45例患者以夹脊电针法治疗,研究组45例患者在对照组基础上加以腹部灸法联合治疗.观察两组临床疗效、中医症状评分、痉挛情况、肌张力情况、血清炎症脑源性神经营养因子(brain derived neurotrophic factor,BDNF)和血小板衍生生长因子(platelet derived growth factor,PDGF)水平、日本矫形外科协会人体功能评分(japanese Orthopaedic Association,JOA)及生活质量评分.结果 相比于对照组,研究组治疗总有效率更高,治疗后中医症状评分、痉挛评分及肌张力评分更低,治疗后血清BDNF和PDGF水平、腰椎和颈椎JOA评分、Barthel评分更高,两组以上指标比较P<0.05.结论 对脊髓损伤后肌痉挛患者采用腹部灸法联合夹脊电针进行治疗可取得较好的临床疗效,可明显缓解患者肌肉痉挛情况和改善肌张力,显著提高患者血清BDNF和PDGF水平,腰椎及颈椎JOA评分和患者生活质量也有显著提高,此治疗方法值得临床大力推广.
Effect of Abdominal Moxibustion Combined with Jiaji Electroacupuncture on the Muscle Tone and Spasticity Relief of Patients with Myospasm after Spinal Cord Injury
Objective Patients with muscle spasm after spinal cord injury(SCI)were treated with abdominal moxibustion combined with Jiaji electroacupuncture,and its curative effect and effect on muscle tone and spasticity were analyzed.Methods Ninety patients with muscle spasm after spinal cord injury treated in our hospital from June 2021 to March 2023 were randomly divided into two groups.45 patients in the control group were treated with Jiaji electroacupuncture.45 patients in the study group were treated with abdominal moxibustion on the basis of the control group.The clinical efficacy,TCM symptom score,spasm,muscle tone,serum inflammatory brain derived neurotrophic factor(BDNF)and platelet derived growth factor(PDGF),Japanese Orthopaedic Association human function score(JOA)and quality of life score were observed in the two groups.Results Compared with the control group,the total effective rate of the study group was higher,the TCM symptom score,spasm score and muscle tone score were lower than after treatment,and the serum BDNF and PDGF levels,lumbar and cervical JOA score and Barthel score were higher than after treatment(P<0.05).Conclusion Abdominal moxibustion combined with Jiaji electroacupuncture can achieve better clinical effect in the treatment of muscle spasm and muscle tone after spinal cord injury,which can significantly relieve the spasm of patients,significantly increase the levels of serum BDNF and PDGF,and significantly improve the JOA score of lumbar and cervical vertebrae and the quality of life of patients.This treatment method is worthy of clinical promotion.

abdominal moxibustionJiaji electroacupuncturespinal cord injurymyospasmmuscle tone

薛玉满、徐西林、刘泽霖、刘波、孔庆喜、江巍、张晓峰

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黑龙江中医药大学,黑龙江哈尔滨 150000

黑龙江中医药大学附属第二医院,黑龙江哈尔滨 150000

黑龙江中医药大学附属第三医院,黑龙江哈尔滨 150000

哈尔滨市南岗区七政社区卫生服务中心,黑龙江哈尔滨 150000

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腹部灸法 夹脊电针 脊髓损伤 肌痉挛 肌张力

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)