针刺联合常规康复锻炼治疗脊髓损伤临床研究
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R651.2

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浙江省中医药科技计划项目(2019ZB141)


Clinical Study on Acupuncture Combined with Routine Rehabilitation Training for Spinal Cord Injury
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    摘要:

    目的:观察针刺联合常规康复锻炼治疗脊髓损伤的临床疗效。方法:将脊髓损伤患者200 例随机分为对照组和研究组各100 例。对照组给予常规康复锻炼治疗,研究组在对照组的基础上给予针刺治疗。治疗4 周后,分析比较2 组临床总有效率及血栓发生率,分析比较2 组治疗前后神经功能、功能独立性和日常生活能力。结果:研究组总有效率为94.0%,对照组为74.0%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组功能独立性评定量表(FIM) 和日常生活活动能力量表(ADL)评分比较,差异无统计学意义(P>0.05);治疗后,2 组FIM、ADL 评分均较治疗前升高(P<0.05),且研究组FIM、ADL 评分高于对照组(P<0.05)。治疗前,2 组脊髓损伤评分系统(NASCIS) 中的运动功能、轻触觉和针刺觉评分比较,差异无统计学意义(P>0.05);治疗后,2 组运动功能、轻触觉和针刺觉评分均较治疗前升高(P<0.05),且研究组上述各项评分均高于对照组(P<0.05)。研究组在治疗期间没有出现下肢静脉血栓病例,而对照组血栓发生率为32.00%,2 组比较,差异有统计学意义(P<0.05)。结论:针刺疗法联合康复锻炼治疗脊髓损伤,能提高临床疗效,改善患者神经功能、独立活动能力和日常生活能力,降低下肢静脉血栓发生率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture combined with routine rehabilitation training for patients with spinal cord injury. Methods:A total of 200 cases of patients with spinal cord injury were randomly divided into the control group and the study group,100 cases in each group. The control group was given routine rehabilitation training, and the study group was additionally given acupuncture based on the treatment of the control group. After four- week treatment,clinical total effective rate and the incidence of thrombosis were compared between the two groups. Before and after treatment,neurological function,functional independence,and activities of daily living were analyzed and compared between the two groups. Results:The total effective rate was 94.00% in the study group,and 74.0% in the control group, the difference being significant(P<0.05). Before treatment,when compared the scores of Functional Independence Measure (FIM) and Activity of Daily Living(ADL) between the two groups,there was no significance in the difference(P>0.05). After treatment,scores of FIM and ADL in the two groups were increased when compared with those before treatment(P<0.05), and the two scores in the study group were higher than those in the control group(P<0.05). Before treatment, when compared scores of motor function,light touch,and pinprick in National Acute Spinal Cord Injury Study(NASCIS) between the two groups, there was no significance in the difference(P>0.05). After treatment, scores of motor function, light touch,and pinprick in the two groups were increased when compared with those before treatment(P<0.05),and the three scores in the study group were higher than those in the control group(P<0.05). There was no occurrence of thrombosis in the study group during treatment, while the incidence of thrombosis was 32.00% in the control group, the difference being significant(P<0.05). Conclusion: Acupuncture therapy combined with rehabilitation training in the treatment of spinal cord injury can enhance clinical effect,improve neurological function,functional independence,and activities of daily living,and reduce the incidence of thrombosis.

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俞建松,刘莹莹,冯文菊,蔡晶晶.针刺联合常规康复锻炼治疗脊髓损伤临床研究[J].新中医,2021,53(14):146-149

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  • 在线发布日期: 2021-07-24
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