中国医科大学学报

中国医科大学学报

中国医科大学学报

• 论著 • 上一篇    下一篇

功能性电刺激对腰椎间盘突出症术后治疗作用的研究

王文娟,赵晓晨,王维   

  1. 辽宁医学院附属第一医院康复科,辽宁锦州121000
  • 收稿日期:2015-04-19 出版日期:2015-12-15 发布日期:2015-12-17
  • 通讯作者: 王维,E-mail:wangweidubutianxia@163.com
  • 作者简介:王文娟(1983 -),女,医师,硕士.
  • 基金资助:

    辽宁省科技厅社会发展课题(2012408002)

Effect of Functional Electrical Stimulation on Postoperative Treatment of Lumbar DiscHerniation

WANG Wen-juan,ZHAO Xiao-chen,WANG Wei   

  1. Department of Rehabilitation Medicine,The First Affiliated Hospital of Liaoning Medical University,Jinzhou 121000,China
  • Received:2015-04-19 Online:2015-12-15 Published:2015-12-17

摘要:

目的 探讨功能性电刺激(FES)对腰椎间盘突出症术后残留神经功能损害的治疗作用。方法 选取腰椎间盘突出症术后有残留神经功能损害的患者60例。患者自愿参加本次研究并签署知情同意书。随机分为FES组、对照组。2组给予相同的基础治疗,FES组术后第1天开始采用FES治疗仪治疗,治疗频率35 Hz、0.28 ms,强度为患者最大耐受,每天治疗1次,每次30min,共4周。对照组在研究期间不接受任何电刺激。观察术后2组患者患肢拇趾背屈肌力、JOA评分的变化。结果 治疗2周后,FES组的肌力为15.10±5.03,与对照组(12.03±6.30)比较差异有统计学意义(P<0.05);4周后FES组肌力为20.43±5.73,比对照组(14.57±7.17)明显增强,差异有统计学意义(P < 0.05)。治疗4周后,FES组的JOA评分为24.63±1.91,较对照组(19.87±2.33)高,差异有统计学意义(P < 0.05)。结论 经过2~4周的功能性电刺激治疗,FES组的拇趾背屈肌力明显改善;并且术后第4周的JOA评分FES组明显高于对照组;提示功能性电刺激治疗腰椎间盘突出症术后残留神经损害有确切的疗效,是值得推广的有效方法之一。

关键词: 腰椎间盘突出症, 术后, 神经损害, 功能性电刺激

Abstract:

Objective To investigate the efficacy of functional electrical stimulationFESon the postoperative treatment of lumbar disc herniation. Methods Informed consents were obtained from all the subjects before the study. Totally 60 patients who had remnant nervous lesion after surgery of lumbar disc herniation were divided into two groupsFES group and Control group. FES group received treatment since the first day after surgery. The parameters of therapeutic apparatus were as follows35 Hz0.28 ms1 time daily and 30 min each time. The intensity of the treatment was the maximum tolerated that the patients can take. The course was 4 weeks. The control group during the study did not receive any stimulation. The myodynamia of hallux dorsiflexion and JOA score of patients were recorded and analyzed. Results After 2 weeks treatmentthe myodynamia of FES group was 15.10±5.03which was significantly larger than that of the control group at 12.03±6.30P < 0.05. After 4 weeks treatmentthe myodynamia of FES group was 20.43±5.73which was significantly larger than that of the control group at 14.57±7.17P < 0.05. After 4 weeks of treatmentthe JOA score of FES group was 24.63±1.91which was significantly higher than that of the control group at 19.87±2.33P < 0.05. Conclusion After 2-4 weeks of functional electrical stimulation therapymyodynamia of hallux dorsiflexion in FES group was significantly improved. And at the 4th week after operationJOA score was more higher than that of the control group. Functional electrical stimulation in the treatment of remnant nervous lesion after postoperative of lumbar disc herniation has exact curative effectwhich is worthy of popularization.

Key words: lumbar disc herniation, postoperative, nervous lesion, functional electrical stimulation

中图分类号: 

  • R651.3
[1] 朱华, 郑兵, 陈新凤, 顾栋华, 潘晓东, 陆明, 陈建刚, 张冰, 王振誉, 潘彬, 钱麟. 上尿路结石微创手术后严重并发症的临床观察和分析[J]. 中国医科大学学报, 2018, 47(9): 850-853.
[2] 孙聪, 皮晓丽, 陈莹, 刘刚, 王俊. 术中脑氧饱和度监测对心血管手术患者术后认知功能障碍发生率的影响[J]. 中国医科大学学报, 2018, 47(7): 631-636.
[3] 刘卫霞, 倪鹏, 宋岩, 黄宝俊, 王振宁, 徐惠绵, 那迪. 357例胃肠癌手术后相关性腹泻的临床研究[J]. 中国医科大学学报, 2018, 47(4): 364-367.
[4] 黄吉莉,马跃文. 对侧控制型功能性电刺激对偏瘫上肢功能的影响[J]. 中国医科大学学报, 2017, 46(9): 821-824.
[5] 陈方园,杨悦,孙雪晨,黑笑凡,马铃. 经皮穴位电刺激对小儿电子耳蜗植入术苏醒期躁动的影响[J]. 中国医科大学学报, 2017, 46(4): 298-301.
[6] 于鹭,汤可娜,仲星星,李梅,管阳太. 视神经脊髓炎谱系疾病患者中水通道蛋白 4 抗体与视神经损害的相关性[J]. 中国医科大学学报, 2017, 46(4): 345-348.
[7] 吴宏娇. 综合护理干预改善经鼻内镜垂体瘤术后早期头痛的效果分析[J]. 中国医科大学学报, 2017, 46(3): 270-272.
[8] 梁晨曦,刘丽丹,穆莹,冯静,张宁,吴秀英. 预防性给予止吐药物的妇科患者发生术后恶心呕吐的 危险因素[J]. 中国医科大学学报, 2017, 46(11): 1032-1035.
[9] 史晓洋,董明,周建平,孔凡民. 52例食管胃结合部腺癌的诊断与治疗[J]. 中国医科大学学报, 2017, 46(10): 934-938.
[10] 邱爽,董有静,段丽芳,孙越. 七氟烷与异丙酚对老年肺癌患者局部脑氧饱和度及术后早期 认知功能的影响[J]. 中国医科大学学报, 2016, 45(9): 797-800.
[11] 冯艳,魏芳. 槲皮素对丙泊酚麻醉术后小鼠认知功能的影响及其机制[J]. 中国医科大学学报, 2016, 45(9): 801-804.
[12] 金娟 ,李妍 ,朱皓月 ,赵珊珊 ,曲慧玲 ,赵传胜. 脊髓亚急性联合变性患者临床神经损害相关因素及电生理特点分析[J]. 中国医科大学学报, 2016, 45(8): 715-718.
[13] 张焕焕,李阳,滕秀飞,杨延超,万玉骁,万静洁,朱俊超. 右美托咪定复合舒芬太尼用于妇科腹腔镜手术患者术后镇痛的 效果观察[J]. 中国医科大学学报, 2016, 45(4): 333-336.
[14] 朱俊超,滕秀飞,杨延超,万玉骁,李阳. 经皮穴位电刺激与右美托咪定对腹腔镜手术患者术后早期 认知功能的影响[J]. 中国医科大学学报, 2016, 45(4): 345-348.
[15] 朱俊超,杨延超,滕秀飞,金宁,白文娅,刘诗煜,史胜哲. 甲强龙联合经皮穴位电刺激对老年患者术后认知功能的影响[J]. 中国医科大学学报, 2016, 45(3): 233-236.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!

中国医科大学学报版权所有©2018

未经允许,严禁擅自转载本站图文资料

地址:中国 沈阳市沈北新区蒲河路77号 110122

辽ICP备05014850

JOURNAL OF CHINA MEDICAL UNIVERSITY

ADDRESS: NO.77 PUHE ROAD

SHENYANG NORTH NEW AREA, SHENYANG

LIAONING PROVINCE, P.R. CHINA