摘要
目的探讨综合康复治疗脊柱骨折所致截瘫患者的临床疗效。方法将40例脊柱骨折所致截瘫患者随机分为康复组与对照组,2组患者在常规药物治疗基础上,康复组还同时给予手法、运动训练及针灸等治疗。治疗前、后分别对2组患者进行康复疗效评定及体感诱发电位检测。结果 2组患者分别经相应治疗后,康复组患者瘫痪肢体运动功能较治疗前有较大程度提高,日常生活活动能力也有明显改善,其Bar- thel指数积分明显高于对照组,体感诱发电位检查结果亦有一定程度改善;上述各项指标与对照组治疗后比较,差异均有统计学意义(P<0．05),即康复组患者疗效明显优于对照组。结论综合康复治疗对脊柱骨折所致截瘫患者具有显著疗效,可明显促进其患肢运动功能恢复,值得临床进一步推广、应用。
Objective spinal cord injury （SCI） patients To study the effectiveness of comprehensive rehabilitative therapy with paraplegic Methods Forty patients with SCI-caused paraplegia were divided randomly into a rehabilitation group and a control group. The routine treatment was administered to both groups, and comprehensive rehabilitative therapy was also administered to patients in the rehabilitation group as an addition. Functional assessments and somatosensory evoked potential （SEP） tests were performed with the two groups pre-treatment and 30 days post-treatment. Results The rehabilitation group achieved, on average, greater improvement in their physical functions, as demonstrated by their much higher scores in terms of the Barthel index than those of the control group （ P 〈 0. 001 ）. The rehabilitation group also demonstrated greater improvement in their SEP parameters, with larger increases in amplitude and decreased latency of the various SEP components. Conclusion Comprehensive rehabilitative therapy was very effective for treating paraplegic patients caused by spinal cord injury.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2006年第3期189-192,共4页
Chinese Journal of Physical Medicine and Rehabilitation
