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肖连根1,樊光亚1,苏文硕1,庞哲栋1,陈晨2,董黎强2,安忠诚2▲.补阳还五汤联合电针对不完全性脊髓损伤患者术后恢复的临床效果[J].中国医药科学,2024,14(9):96-100        基金项目:浙江省中医药科技计划项目(2021ZA075);浙江中医药大学校级科研项目(2021JKZKTS052B)
补阳还五汤联合电针对不完全性脊髓损伤患者术后恢复的临床效果
Clinical effect of Buyang Huanwu Decoction combined with electroacupuncture on postoperative recovery of patients with incomplete spinal cord injury
  
DOI:
中文关键词:  不完全性脊髓损伤;补阳还五汤;电针;肌电图F波
英文关键词:Incomplete spinal cord injury; Buyang Huanwu Decoction; Electroacupuncture; Electromyography F-wave
作者单位
肖连根1,樊光亚1,苏文硕1,庞哲栋1,陈晨2,董黎强2,安忠诚2▲ 1.浙江中医药大学第二临床医学院,浙江杭州 310053;2.浙江中医药大学附属第二医院骨伤科,浙江杭州 310005 
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中文摘要:
      [摘要] 目的 观察补阳还五汤联合电针疗法在不完全性脊髓损伤患者术后恢复的临床效果。 方法 选择2020年12月至2023年4月在浙江中医药大学附属第二医院骨伤科治疗的符合要求的不完全性脊髓损伤患者44例,按照患者治疗意愿,分为对照组和试验组,每组22例。两组均予西医基础治疗,试验组加用补阳还五汤及电针,比较两组美国脊髓损伤协会评分(ASIA)、改良Barthel指数评分(MBI)、视觉模拟评分(VAS)、肌电图F波引出率与离散度,于术后3天及8周各评价一次。 结果 术后3 d,两组患者在ASIA评分、MBI评分、VAS评分、F波离散度与引出率方面比较,差异无统计学意义(P > 0.05)。术后8周,两组上述指标较术后3 d均有改善,而试验组改善程度均优于对照组,差异有统计学意义(P < 0.05)。 结论 补阳还五汤联合电针疗法可促进脊髓神经功能恢复,改善运动与感觉功能,减轻病理性疼痛,提高日常生活质量,是可在临床推广应用的多模式联合疗法。
英文摘要:
      [Abstract] Objective To observe the clinical efficacy of Buyang Huanwu Decoction combined with electroacupuncture therapy in postoperative recovery of patients with incomplete spinal cord injury. Methods A total of 44 patients with incomplete spinal cord injury meeting the requirements who were treated in the Orthopedics and Traumatology Department of the Second Affiliated Hospital of Zhejiang Chinese Medical University from December 2020 to April 2023 were included and divided into a control group and a test group according to the patient’s treatment intention, with 22 patients in each group. Both groups received basic western medicine treatment, while the test group additionally received Buyang Huanwu Decoction and electroacupuncture therapy. The American Spinal Injury Association score (ASIA), modified Barthel index score (MBI), visual analogue score (VAS), electromyography F-wave extraction rate, and dispersion were compared between the two groups, and evaluated once every 3 days and 8 weeks after surgery. Results Three days after surgery, the ASIA score, MBI score, VAS score, F-wave dispersion, and extraction rate were compared between the two groups, without statistically significant differences (P > 0.05). At 8 weeks after surgery, the above indicators in both groups improved compared to those at 3 days after surgery, while the improvement degree in the test group was better than that in the control group, with statistically significant difference (P < 0.05). Conclusion Buyang Huanwu Decoction combined with electroacupuncture therapy can promote the recovery of spinal cord nerve function, improve motor and sensory function, alleviate pathological pain, and improve the quality of daily life. Therefore, it is a multimodal combination therapy that can be promoted and applied in clinical practice.
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