引用本文:楚 野,梁 斌,吕亚南,丘德赞,韦敏克,韦建勋,陈 峰,易波德,刘新丹.本体感觉神经肌肉促进技术结合中医综合疗法对脊髓损伤患者康复疗效影响的临床研究[J].中国临床新医学,2020,13(5):478-482.
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本体感觉神经肌肉促进技术结合中医综合疗法对脊髓损伤患者康复疗效影响的临床研究
楚 野,梁 斌,吕亚南,丘德赞,韦敏克,韦建勋,陈 峰,易波德,刘新丹
530021 南宁,广西壮族自治区人民医院骨科(楚 野,梁 斌,丘德赞,韦敏克,韦建勋,陈 峰,易波德,刘新丹),推拿科(吕亚南)
摘要:
[摘要] 目的 探讨本体感觉神经肌肉促进技术(PNF)结合中医综合疗法对脊髓损伤患者的临床疗效。方法 选择2012-10~2015-03该院收治的脊髓损伤并不全瘫患者141例,随机分为A组(n=42,PNF结合中医综合康复治疗)、B组(n=43,单纯PNF康复治疗)和C组(n=43,单纯中医综合康复治疗)。比较三组康复治疗前后感觉评分、运动评分和Barthel指数评分。结果 在康复治疗前三组运动评分、感觉评分和Barthel指数评分比较差异无统计学意义(P>0.05)。康复治疗后,三组各项评分均较治疗前提高,差异有统计学意义(P<0.05)。在康复治疗结束时、康复治疗后第3个月、康复治疗后第6个月,A组的三项指标评分均高于B组与C组,差异有统计学意义(P<0.05);但B组各项指标评分与C组比较差异无统计学意义(P>0.05)。结论 采用PNF结合中医综合康复治疗脊髓损伤并不全瘫患者较单独应用PNF和中医综合康复治疗所取得的疗效更好,值得临床上推广应用。
关键词:  本体感觉神经肌肉促进技术  中医综合康复治疗  脊髓损伤  疗效
DOI:10.3969/j.issn.1674-3806.2020.05.12
分类号:R 493
基金项目:广西医疗卫生重点科研课题(编号:重2012102)
Clinical research on the efficacy of proprioceptive neuromuscular facilitation combined with comprehensive therapy of Chinese medicine in rehabilitation for the patients with spinal cord injury
CHU Ye, LIANG Bin, LYU Ya-nan, et al.
Department of Orthopedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To investigate the efficacy of proprioceptive neuromuscular facilitation(PNF) combined with comprehensive therapy of Chinese medicine in rehabilitation for the patients with spinal cord injury. Methods One hundred and forty-one patients with spinal cord injury and incomplete paralysis who were treated in our hospital from October 2012 to March 2015 were selected and were randomly divided into group A(n=42, treated with PNF plus Chinese medicine comprehensive rehabilitation), group B(n=43, treated with PNF rehabilitation alone) and group C(n=43, treated with Chinese medicine comprehensive rehabilitation alone). The sensory scores, motor scores, and Barthel index scores were compared among the three groups before and after rehabilitation. Results There were no significant differences in the sensory scores, motor scores and Barthel index scores among the three groups before rehabilitation(P>0.05). The sensory scores, motor scores and Barthel index scores in the three groups after rehabilitation were significantly elevated compared with those before rehabilitation(P<0.05). The scores of the three indicators in group A were significantly higher than those in group B and group C(P<0.05) at the end of rehabilitation treatment, the third month after rehabilitation treatment and the sixth month after rehabilitation treatment. However, there were no significant differences in the scores of the three indicators between group B and group C(P>0.05). Conclusion PNF combined with Chinese medicine comprehensive rehabilitation is more effective than PNF rehabilitation alone and Chinese medicine comprehensive rehabilitation alone in rehabilitation for the patients with spinal cord injury and incomplete paralysis, which is worthy of clinical application.
Key words:  Proprioceptive neuromuscular facilitation(PNF)  Chinese medicine comprehensive rehabilitation  Spinal cord injury  Efficacy