电针刺激对外伤性脊髓损伤患者功能独立性评定影响的临床研究

目的:通过观察电针刺激疗法对外伤性脊髓损伤患者的生活独立功能的影响,为脊髓损伤患者寻求一条有效的康复治疗途径。方法:62例外伤性脊髓损伤患者被随机分成治疗组32例,接受电针刺激加运动治疗、作业治疗;对照组30例,接受单纯性运动治疗、作业治疗。在治疗前后进行功能独立性评定。结果:治疗组与对照组的功能独立性积分均明显高于治疗前(P<0.01),而治疗组治疗后的分值97.78±19.55明显高于对照组的分值87.53±16.67(P<0.05)。同样,治疗组的住院效率明显高于对照组(P<0.05)。结论:电针刺激加运动与作业治疗的综合康复手段能明显改善外伤性脊髓损伤患者的生活独立能力,且能科学地提高住院效率。

Clinical Study on Functional Independence Measure for Patients with Spinal Cord Injury of Trauma Treated by Electroacupuncture

Objective: To observe the effect of electroacupuncture(EA) on traumatic spinal cord injury(SCI) patients' functional independence measure(FIM) scale in order to search for an effective way to treat SCI.Methods: A total of 62 traumatic SCI patients were randomized into control group(n=30) and treatment group(n=32) which were treated respectively by kinesitherapy+occupational therapy,and EA of Jianyu(LI 15),Quchi(LI 11),Waiguan(TE 5),etc.+ kinesitherapy + occupational therapy.In addition,patients of two groups were all asked to take neurotrophic drugs(Methycobal,etc.).Results: After the treatment,the mean FIM scores of the two groups were significantly higher than those of pre-treatment(P<0.01),and the mean FIM score(97.78±19.55) of treatment group was markedly higher than that(87.53±16.67) of control group(P<0.05).The rehabilitation effectiveness(0.63±0.21) of treatment group was significantly higher than that(0.51±0.25) of control group(P<0.05).Compared with pre-treatment,the mean scores of two groups in self-care,sphincter control,transfers,locomotion,exchange,social cognition all increased significantly after the treatment;and the scores of self-care,sphincter control,transfers and locomotion in treatment group were significantly higher than those of control group(P<0.05,0.01).Conclusion: EA combined with kinesitherapy + occupational therapy can obviously improve SCI patients' independent life capability and raise inpatient rehabilitation effectiveness,and provides an effective way for the treatment of acute SCI patients.