中医针灸联合康复训练对老年脊髓损伤患者疗效及功能恢复的评价

发布时间：2019-01-24 21:26

【摘要】：目的探讨中医针灸结合康复训练对老年脊髓损伤患者的疗效及机体功能恢复的影响。方法老年脊髓损伤患者172例,随机分为研究组和对照组各86例。对照组给予关节、运动、呼吸、膀胱康复训练治疗;研究组在此基础上给予针刺肾俞、命门、关元、太溪、三阴交、足三里、脾俞穴位,1次/d,5次/w;两组治疗4 w为1个疗程。分别于治疗前后用酶联免疫吸附(ELISA)法检测血清肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、IL-5含量;脊髓损伤神经学分类国际标准(ASIA)评定神经功能恢复情况;临床脊柱外科学中的方法评价疗效;记录治疗期间不良反应发生情况。结果治疗1个疗程后研究组总有效率高于对照组(P0.05)。治疗1个疗程后,两组TNF-α、IL-1β、IL-5水平均明显低于治疗前,且研究组明显低于同期对照组(P0.01)。治疗1个疗程后,两组运动、触觉、痛觉ASIA评分均高于治疗前,且研究组均高于同期对照组(P0.01)。治疗期间两组不良反应发生率差异无统计学意义(P0.05)。结论中医针灸联合康复训练可有效提升老年脊髓损伤患者疗效,降低血清炎性因子表达,促进神经功能康复,且安全性较佳。
[Abstract]:Objective to explore the effect of acupuncture and moxibustion combined with rehabilitation training on elderly patients with spinal cord injury (sci). Methods 172 elderly patients with spinal cord injury were randomly divided into study group (n = 86) and control group (n = 86). The control group was treated with joint, exercise, respiration and bladder rehabilitation training, and the study group was treated with acupuncture at Shenshu, Mingmen, Guanyuan, Taixi, Sanyinjiao, Zusanli and Pishu acupoints once a day for 5 times per week. Two groups were treated for 4 weeks as a course of treatment. The levels of serum tumor necrosis factor (TNF)-伪, interleukin (IL)-1 尾 and IL-5 were detected by enzyme linked immunosorbent assay (ELISA) before and after treatment. The neurologic classification of spinal cord injury (ASIA) was used to assess the recovery of nerve function, the methods of clinical spinal surgery were used to evaluate the curative effect, and the adverse reactions during the treatment were recorded. Results after one course of treatment, the total effective rate of the study group was higher than that of the control group (P0.05). After one course of treatment, the levels of TNF- 伪, IL-1 尾, IL-5 in both groups were significantly lower than those before treatment, and those in the study group were significantly lower than those in the control group (P0.01). After one course of treatment, the ASIA scores of exercise, tactile and pain in both groups were higher than those before treatment, and those in the study group were higher than those in the control group (P0.01). There was no significant difference in the incidence of adverse reactions between the two groups during treatment (P0.05). Conclusion Acupuncture and moxibustion combined with rehabilitation training can effectively improve the curative effect of senile patients with spinal cord injury, reduce the expression of serum inflammatory factors, and promote the rehabilitation of nerve function, and the safety is better.
【作者单位】：甘肃省康复中心医院;
【分类号】：R246.6

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