摘要
目的:分析中频电刺激联合康复训练对胸腰段不完全性脊髓损伤患者下肢肌力、尿潴留和步态参数的影响。方法:选择2018年1月至2021年9月我院收治的胸腰椎段不完全性脊髓损伤患者103例作为研究对象,按照简单随机法分为联合组(予以中频电刺激联合康复训练治疗,n=52例)和常规组(予以常规康复训练治疗,n=51例),连续治疗12周,比较两组患者治疗前后的下肢肌力(股四头肌和胫前肌的肌力)情况;对比两组患者尿潴留的改善情况;进行步态试验比较两组患者治疗前后步长、步频和步速等步态参数的变化,使用功能性独立评定量表(FIM)比较两组患者治疗前后的独立生活能力。结果:广义估计方程结果示,两组肌力情况均较前改善,联合组患者肌力改善情况优于常规组(P<0.05)。联合组尿潴留治疗临床有效率为94.23%高于常规组80.39%,且联合组疗效等级情况优于常规组,上述差异均有统计学意义(P<0.05)。治疗前,两组患者步频、步长和步速比较无明显差异(P>0.05),治疗后,联合组患者上述步态参数治疗前后差值均高于常规组,差异有统计学意义(P<0.05)。治疗前,两组FIM各维度评分无明显差异(P>0.05),治疗后,联合组FIM各维度治疗前后差值均高于常规组(P<0.05)。结论:中频电刺激联合康复训练可以提高胸腰段不完全性脊髓损伤患者的下肢肌力,有助于改善患者尿潴留症状及步态,提高患者独立生活能力。
Objective:To analyze the effects of medium frequency electrical stimulation combined with rehabilitation training on lower limb muscle strength,urinary retention and gait parameters of patients with thoracolumbar incomplete spinal cord injury.Methods:A total of 103 patients with thoracolumbar incomplete spinal cord injury admitted to the hospital between January 2018 and September 2021 were selected as the research subjects.They were divided into combined group(given medium frequency electrical stimulation combined with rehabilitation training,n=52)and conventional group(given conventional rehabilitation training treatment,n=51)according to the simple randomization method.The patients were continuously treated for 12weeks.The lower limb muscle strength(muscle strengths of quadriceps femoris and tibialis anterior muscle)before and after treatment and improvement status of urinary retention were compared between the two groups of patients.Gait test was conducted to compare the changes in gait parameters such as step length,step frequency and step speed in the two groups before and after treatment.Functional Independence Measure(FIM)was used to compare the independent living ability before and after treatment in the two groups.Results:Generalized estimating equation results showed that muscle strength in both groups was improved,and the improvement of muscle strength in combined group was better than that in conventional group(P<0.05).The clinical effective rate of urinary retention treatment of 94.23%in combined group was higher than 80.39%in conventional group,and the efficacy grading was better in combined group than that in conventional group(P<0.05).There were no significant differences between the two groups of patients in terms of step frequency,step length and step speed before treatment(P>0.05).After treatment,the differences of the above gait parameters before and after treatment in combined group were higher compared with those in conventional group(P<0.05).Before treatment,the differences in scores of di
作者
郜娟
梁俊豪
黄英
陈罗西
GAO Juan;LIANG Junhao;HUANG Ying(Sichuan Orthopaedic Hospital,Sichuan Chengdu 610041,China)
出处
《河北医学》
CAS
2022年第8期1370-1375,共6页
Hebei Medicine
基金
四川省中医药管理局科学技术研究专项课题,(编号:2020LC0178)。
关键词
胸腰段不完全性脊髓损伤
中频电刺激
下肢肌力
尿潴留
步态
Thoracolumbar incomplete spinal cord injury
Medium frequency electrical stimulation
Lower limb muscle strength
Urinary retention
Gait
