CAJ | 학술논문

目的观察重复功能性磁刺激(rFMS)联合腹直肌电刺激对中、低位颈髓损伤(CSCI)患者肺通气功能的影响.方法共选取25例中、低位CSCI患者,采用随机数字表法将其分为治疗组及对照组.对照组给予上肢主动运动、站立训练、呼吸功能训练等综合康复治疗,治疗组在此基础上辅以rFMS及腹直肌中频电刺激.分别于治疗前、治疗3个月后对2组患者肺功能[包括最大肺活量(VC)、1秒钟用力呼气量(FEV1)、呼气峰值流速(PEF)及潮气量(VT)等指标]进行评定.结果 2组患者分别经3个月治疗后,发现治疗组VC[(3.24 ±0.89)L]、FEV1[(2.58 ±0.74)L]、PEF[(6.74±1.63)L]、VT[(394.33 ±96.54) ml]及对照组VC[(2.19±0.52) L]、FEV1[(2.10 ±0.47)L]、PEF[(5.24±1.69)L]、VT[(316.72±74.18)ml]均较治疗前明显改善(P＜0.05),并且上述指标均以治疗组患者的改善幅度较显著,与对照组间差异均具有统计学意义(P＜0.05).结论中、低位CSCI患者在常规康复训练基础上辅以rFMS及腹直肌中频电刺激,可进一步改善通气效率,提高肺通气功能.
목적 관찰중복공능성자자격(rFMS)연합복직기전자격대중、저위경수손상(CSCI)환자폐통기공능적영향.방법 공선취25례중、저위CSCI환자,채용수궤수자표법장기분위치료조급대조조.대조조급여상지주동운동、참립훈련、호흡공능훈련등종합강복치료,치료조재차기출상보이rFMS급복직기중빈전자격.분별우치료전、치료3개월후대2조환자폐공능[포괄최대폐활량(VC)、1초종용력호기량(FEV1)、호기봉치류속(PEF)급조기량(VT)등지표]진행평정.결과 2조환자분별경3개월치료후,발현치료조VC[(3.24 ±0.89)L]、FEV1[(2.58 ±0.74)L]、PEF[(6.74±1.63)L]、VT[(394.33 ±96.54) ml]급대조조VC[(2.19±0.52) L]、FEV1[(2.10 ±0.47)L]、PEF[(5.24±1.69)L]、VT[(316.72±74.18)ml]균교치료전명현개선(P＜0.05),병차상술지표균이치료조환자적개선폭도교현저,여대조조간차이균구유통계학의의(P＜0.05).결론 중、저위CSCI환자재상규강복훈련기출상보이rFMS급복직기중빈전자격,가진일보개선통기효솔,제고폐통기공능.
Objective To observe the effects of repetitive transcranial magnetic stimulation (rTMS) combined with abdominal muscle electrical stimulation on the pulmonary ventilation of patients with cervical spinal cord injury.Methods Twenty-five patients with cervical spinal cord injury were randomized into an experimental group (n =13) and a control group (n =12).The control group was given comprehensive rehabilitation treatment,including upper limb movements,standing training and training of respiratory function,while the experimental group was given repetitive transcranial magnetic stimulation and abdominal muscle electrical stimulation in addition to the comprehensive rehabilitation treatment.The patients' maximum lung capacity (VC),forced expiratory volume for 1 second (FEV1),peak expiratory flow rate (PEF) and tidal volume (VT) were measured at the outset and after 3 months of treatment.Results The lung function indexes increased in both groups after treatment,but each index improved significantly more in the experimental group,on average,than in the control group.Conclusion As a supplement to routine respiratory function training,repetitive transcranial magnetic stimulation combined with abdominal intermediate frequency electrical stimulation can improve the pulmonary ventilation function of patients with middle and lower cervical spinal cord injury.