关键肌运动点针刺联合运动训练对脊髓损伤患者的疗效观察

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中图分类号：R493 文献标志码：A DOI：10.11958/20252035

Observation on the eficacy of key muscle motor point acupuncture combined with exercise training in patients with spinal cord injury

YUERIGULI·Aiweila，SONG Ningze，SHANG Shuai， CUI Liru， WANG Hanming ， ，

Abstract：ObjectiveTo investigate the effectof acupuncture atkey muscle movement points combined with exercise trainingonneurophysiologicalindicators，muscle toneandqualityof ifeinpatientswithspinalcord injury（SCI）.Methods EightySCIpatientsadmitted tothe Centerof Hospital AfliatedtoCapital Medicalfrom September 2O22 to June2O24 wereselected.Patientsweredivided into the control group（receiving routine acupuncture combined with exercise training，4O cases）andtheobservation group（receiving acupuncturecombined with exercise training at key muscle movement points，4O cases）acording to the random number tablemethod.Theneurophysiologicalindicators[motornerveconductionvelocity（MNCV），sensorynerveconductionveloity （SNCV），limbfunction[Fugl-MeyerAssessment （FMA），ModifiedAshworthScale （MAS）andqualityof lifeBarthelindex， functional independencemeasure （FIM）] werecompared between the two groups.ResultsAfter intervention，the MNCV and SNCVof median nerve，ulnar nerve，tibial nerveand common peroneal nerve were increasedin theobservation group than those in the control group （ P<0.05 ）.After intervention，therewerehigherFMA scores，Barthel index andFIMscoresin theobservation groupthanthoseofthecontrol group，whilethe MASscore waslower than thatofthecontrol group（ P<0.05 ） ConclusionAcupuncture at key muscle movement points combined with exercise training can efectively improve the neuroelectrophysiological indicators，limb functionsandqualityoflifeofSCIpatients，whichisfeasiblerehabilitation intervention program.

Key words： spinal cord injury;acupuncture; exercise; key muscles; motor point; neurophysiology

脊髓损伤（spinal cord injury，SCI）是脊柱损伤中最严重的后果，通常由交通事故和高处坠落等外力因素引起[1]。（剩余10764字）