摘要
目的观察神经肌肉本体感觉促进技术（PNF）结合康复疗法治疗脊髓损伤合并不完全性截瘫的临床疗效。方法脊髓损伤合并不全截瘫患者90例,以年龄不同分为青少年组28例、中年组33例、老年组29例。患者均做脊髓减压、脊柱内固定手术治疗,手术后1～2周进行康复治疗。康复治疗方法包括常规运动疗法、针灸、高压氧及PNF治疗。3组在康复治疗前、治疗后3个月用Frankel脊髓损伤分级、中国脊髓损伤协会评分标准进行感觉及运动评分,改良巴氏指数（MBI）评定表评定日常生活活动能力。结果 3组患者康复治疗后Frankel分级与治疗前比较,中年组差异有统计学意义（P〈0.05）,其余两组差异无统计学意义（P〉0.05）。ASIA感觉评分、运动评分、MBI均较治疗前明显提高（P〈0.05）。康复治疗后,中年组感觉评分、运动评分增加幅度明显大于老年组（P〈0.05）,但与青少年组无明显差异（P〉0.05）。结论 PNF技术结合康复疗法对不同年龄患者疗效基本相同,其对于中年患者疗效是否更为显著有待进一步研究。
Objective To investigate the clinical effects of proprioceptive neuromuscular facilitation（ PNF）technique combined with rehabilitation therapy on patients of different ages with spinal cord injury and complicated by incomplete paraplegia. Methods Ninety patients with spinal cord injury and complicated by incomplete paraplegia were selected and divided into the young group（ n = 28）,middle-aged group（ n = 33） and elderly group（ n = 29）according to their ages. All patients received spinal cord decompression and vertebral internal fixation,and the rehabilitation therapy including routine exercise therapy,acupuncture,hyperbaric oxygen and PNF technique which was performed 1- 2weeks after surgery. The patients＇ Frankel grade for spinal cord injury as well as ASIA scores for sensory and motion function were obtained before and 3 months after rehabilitation treatment among three groups,and the activities of daily life function were assessed by using modified Barthel index（ MBI）. Results With regard to Frankel classification,the difference between the pre-therapy grade and post-therapy grade in the middle-aged group was statistically significant（ P〈0. 05）,but the differences in the other two groups were not statistically significant（ P〉0. 05）. The post-therapy ASIA scores for sensory and motion function as well as MBI index increased significantly in contrast with the pre-therapy ones（ P〈0. 05）. After rehabilitation treatment,the increase of ASIA scores for sensory and motion function showed a significant difference between middle-aged group and elderly group（ P〈0. 05）,but showed no significant difference between middle-aged group and young group（ P〉0. 05）. Conclusion PNF technique combined with rehabilitation therapy shows similar effects on patients of different ages. A further study is needed to confirm the better effects of the therapy on middle-aged patients.
出处
《广西医学》
CAS
2014年第11期1561-1564,共4页
Guangxi Medical Journal
基金
广西医药卫生科研课题(重2012102)
关键词
脊髓损伤
神经肌肉本体感觉促进技术
综合疗法
康复治疗
Spinal cord injury
Proprioceptive neuromuscular facilitation technique
Comprehensive therapy
Rehabilitation therapy
