《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (11): 934-935.

• 临床研究 • 上一篇    下一篇

电针结合耳针治疗急性脊髓损伤的临床研究

陈丽贤; 段俊峰; 詹欣荣; 谢琪; 龙桂花   

  1. 广州军区广州总医院理疗科 510010
  • 收稿日期:2005-08-13 出版日期:2005-11-25 发布日期:2005-11-25

Electrical and auricular acupuncture for patients with acute spinal cord injury

CHEN li-xian, DUAN Jun-feng, ZHAN Xin-rong,et al   

  1. Department of Rehabilitation, GeneralHospital of Guangzhou Military Command, Guangzhou 510010, Guangdong, China
  • Received:2005-08-13 Published:2005-11-25 Online:2005-11-25

摘要: 目的评估电针结合耳针治疗急性脊髓损伤的疗效和安全性。方法我院1999年1月~2004年5月期间急性脊髓损伤美国脊髓损伤学会(ASIA)损伤分级A级和B级患者56例,随机分为针灸治疗组和对照组。针灸治疗组采用双侧后溪和申脉点电针,与脊髓相关耳穴的耳针,同时配合康复治疗。对照组仅仅采用康复治疗。分别记录入院时、出院时及出院后1年ASIA损伤分级及ASIA神经(运动、感觉)功能状况评分、独立性功能评定(FIM)及不良反应。结果在神经(感觉和运动)功能和FIM评分方面针灸治疗组优于对照组(P<0.05),无明显不良反应。结论早期采用电针结合耳针治疗急性脊髓损伤有较好的疗效和安全性。

关键词: 脊髓损伤, 针灸, 康复

Abstract: ObjectiveTo evaluate the efficacy and safety of electrical acupuncture therapy through adhesive surface electrodes and concomitant auricular acupuncture therapy on acute spinal cord injury.MethodsA total of 56 acute spinal cord injury patients with American Spinal Injury Association(ASIA) impairment grading of A and B were recruited into this study.They were randomly divided into the acupuncture and control groups.In the acupuncture group,electrical acupuncture therapy via the adhesive surface electrodes and auricular acupuncture were applied.Rehabilitation therapy was also provided to the patients during acupuncture therapy.In the control group,only rehabilitation therapy was provided to the patients.The ASIA neurologic and functional scores and the Functional Independence Measure(FIM) scores were assessed during the time of admission,hospital discharge,and 1-year postinjury follow-up.There were no adverse events.ResultsThere were significant improvements in neurologic(sensory and motor),functional,and FIM scores in the acupuncture group compared with the control either when hospital discharged or 1-year postinjury follow-up.There was no adverse events.ConclusionThe early use of concomitant auricular and electrical acupuncture therapies are effective and safe in treating acute spinal cord injury.

Key words: spinal cord injury, acupuncture, rehabilitation