夹脊电针疗法联合康复训练对不完全性脊髓损伤后双下肢运动功能的影响

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目的:观察夹脊电针疗法联合康复训练对不完全性脊髓损伤后双下肢运动功能的影响.方法:将84例确诊为不完全性脊髓损伤患者随机分成对照组和联合组,每组42例.对照组患者常规康复训练治疗;联合组在上述治疗基础上,采用夹脊脉冲电刺激治疗,每日1次,10次为1疗程.完成4个疗程后,比较两组患者运动功能、感觉功能、步行能力以及日常生活活动能力改善情况,并评价临床疗效.结果:治疗后,两组患者运动功能、感觉功能、步行能力以及日常生活活动能力均有一定程度改善,且联合组患者改善程度均明显优于对照组(P<0.05).对照组有效率为64.29%,而联合组有效率达88.10%,差异具有统计学意义(P<0.05).结论:夹脊电针疗法联合康复训练对不完全性脊髓损伤疗效确切,能促进损伤后双下肢运动功能的恢复.“,”Objective:To observe the effect of electroacupuncture at Jiaji points combined with rehabilitation training on the lower extremities motor function after incomplete spinal cord injury (SCI).Methods:84 eligible patients with incomplete SCI were randomized into controlled group and combined group,42 cases in each group.The patients in the controlled group were intervened with rehabilitation training,while the patients in the combined group were received with rehabilitation training plus electroacupuncture at Jiaji points for treatment.Electro-acupuncture treatment was performed once to each patient per day and ten times served as one course.After four courses finished,the improvements of motor and sensory functions,walking ability and activities of daily living (ADL) were compared before and after the treatment,and then therapeutic efficiencies were evaluated.Results:After the treatment,the motor and sensory functions,walking ability and ADL were improved in both groups.Especially,the improvements of motor and sensory functions,walking ability and ADL in the combined group were better than those in the controlled group.Therapeutic efficiency of the controlled group was only 64.29% whereas the combined group was 88.10%,which showed there was an obvious difference between the controlled group and the combined group by statistics analysis (P < 0.05).Conclusion:The electro-acupuncture at Jiaji points combined with rehabilitation training for incomplete SCI,which can improve the recovery of lower extremities motor function,is considered to obtain a better therapeutic efficiency.
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