| 摘要: |
| 目的：探讨功能性电刺激治疗脊髓损伤的效果及其对生活质量的影响。方法：选取 80 例脊髓损伤患者，应用抽签法将患者随机分为 2 组，对照组常规治疗，研究组在对照组的基础上应用电刺激治疗。比较两组胫前肌肌力、10 米步行最大速度、生活质量和独立性功能功能评定量表（function independent measure，FIM）即行走能力评分。结果：治疗后，研究经前肌肌力Ⅳ＋ – Ⅴ –、Ⅲ＋ – Ⅳ –、Ⅱ＋ – Ⅲ – 的比例分别为 45.0%、45.0% 和 15.0%，明显优于对照组 20.0%、35.0%和 45.0%（P<0.05）；治疗前，两组 10 米步行最大速度无明显区别（P>0.05），治疗后一周和治疗后三周研究组平地行走最大速度分别为（33.18±7.42）、（46.03±9.03）m/min，与对照组的（26.54±7.62）、（39.22±9.43）m/min 比较，存在明显差异（P<0.05）；治疗前，两组患者情绪、社会、角色和认知职能无明显区别（P>0.05），治疗后研究组情绪、社会、角色和认知职能评分分别为（85.2±12.3）、（88.4±7.8）、（82.8±8.2）、（81.8±6.5），明显高于对照组（66.6±9.5）、（71.3±6.5）、（68.3±7.8）、（69.5±5.7），差异具有统计学意义（P<0.05）；治疗前，两组患者 FIM 行走能力评分无明显区别（P>0.05），治疗 1 周和 3 周后，研究组平地行走评分为（3.96±0.72）、（6.06±0.53），上下楼梯评分（2.78±0.24）、（4.04±0.83），明好于治疗 1 周和 3 周后对照组平地行走评分（3.41±0.79）、（4.13±0.48），上下楼梯评分（2.14±1.31）、（2.98±0.79），存在明显差异（P<0.05）。结论：对脊髓损伤患者进行功能性电刺激治疗，可提高患者的行走速度，增加胫前肌肌力，改善生活质量，且效果显著。 |
| 关键词: 功能性电刺激 脊髓损伤 生活质量 行走能力 |
| DOI：10.3969/j.issn.1007-6948.2019.06.028 |
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| 基金项目: |
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| Clinical Effect of Functional Electrical Stimulation in Treatment of Spinal Cord Injury and Its Effect on Life Quality |
| ZHANG Zhen-jie |
| Jiaxing Second Hospital Rehabilitation department, Jiaxing (314000), China |
| Abstract: |
| Objective To explore the effect of functional electrical stimulation on spinal cord injury and its impact on quality of life. Methods Totally 80 patients with spinal cord injury were randomly divided into two groups by drawing lots. The control group received routine treatment, while the research group received electrical stimulation therapy on the basis of the control group. The muscle strength of tibialis anterior muscle, maximum walking speed of 10 m, quality of life and functional independent measure (FIM) of walking ability were compared between the two groups. Results After treatment, the proportions of trans-anterior muscle strength Ⅳ＋ – Ⅴ –、Ⅲ＋ – Ⅳ –、Ⅱ＋ – Ⅲ – were 45.0%, 45.0% and 15.0% compared with 20.0%, 35.0% and 45.0% in the control group (P<0.05); before treatment, there was no significant difference between the two groups (P>0.05); after treatment, the maximum walking speed of 10 m in the study group was (33.18±7.42) and (46.03±9.03) m/min, respectively, one week and three weeks after treatment. The scores of emotional, social, role and cognitive function of the two groups before treatment were not significantly different (P>0.05). After treatment, the scores of emotional, social, role and cognitive function of the study group were (85.2±12.3), (88.4±7.8), (82.8±8.2) and (81.8±6.5), significantly higher than those of the control group (66.6±9.5), (71.3±6.5), (68.3±7.8) and (69.5±5.7). Before treatment, there was no significant difference in FIM walking ability score between the two groups (P>0.05). After treatment for one week and three weeks, the walking ability scores of the study group were (3.96±0.72) and (6.06±0.53), and the walking up and down stairs scores were (2.78±0.24) and (4.04±0.83), which were better than those of the control group after treatment for one week and three weeks. The walking ability scores of the control group were (3.41±0.79) and (4.13±0.48). The staircase scores were (2.14±1.31) and (2.98±0.79), with significant difference (P<0.05). Conclusion Functional electrical stimulation can not only improve walking speed and tibialis anterior muscle strength, but also improve the quality of life of patients with spinal cord injury. |
| Key words: Functional electrical stimulation spinal cord injury quality of life ability to walk |
