肌电生物反馈配合经皮神经电刺激治疗髋臼骨折、髋关节脱位所致坐骨神经损伤的临床研究  

Observation of curative effect of electromyographic biofeedback assisting meridian balancing on sciatic nerve injury after fractures of acetabulum and hip dislocation

作　　者：李剑锋[1] 闫金玉[1] 张旭[1] 刘遵南[1] 

机构地区：[1]内蒙古医学院第二附属医院康复科,呼和浩特010030

出　　处：《中国康复医学杂志》2010年第6期561-564,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察肌电生物反馈技术配合经皮神经电刺激治疗髋臼骨折、髋关节脱位所致坐骨神经损伤患者的疗效。方法:将51例髋臼骨折、髋关节脱位所致坐骨神经损伤患者随机分成治疗组(27例)和对照组(24例),治疗组采用肌电生物反馈技术配合经皮神经电刺激治疗,对照组主要采用药物治疗。治疗前及治疗6个疗程后进行FIM运动功能项及FMA下肢评分评定。结果:治疗后,各组患者FIM运动功能项及FMA下肢评分均较治疗前有所增加,差异有显著性意义(P<0.05);治疗组FIM及FMA评分值较对照组明显增高(P<0.05)。治疗后治疗组优良率为70.37%,对照组为41.67%,两组间差异有显著性意义(P<0.05)。结论:肌电生物反馈技术配合经皮神经电刺激治疗可以有效改善髋臼骨折、髋关节脱位所致坐骨神经损伤患者下肢的运动功能。Objective：To observe the effectiveness of electromyographic biofeedback assisting meridian balancing in treatment of patients with sciatic nerve injury after fractures of acetabulum and hip dislocation.Method：Fifty-one patients with sciatic nerve injuries after fractures of acetabulum and hip dislocation were randomly divided into two groups：a treatment group（27 cases） and a control group（24 cases）.The patients in treatment group were treated with electromyographic biofeedback assisting meridian balancing,while those in control group were treated mainly with drug.All patients were scored with FIM and FMA pre and post treatment.Result：It was shown that the lower limb motor function of all patients was significantly better in comparing with pre-treatment（P0.05）,FIM and FMA scores of patients in treatment group were higher than those in control group（P0.05）.Furthermore,the excellent and good rate was 70.37% in treatment group,while it was 41.67% in control group,which was significant different（P0.01）.Conclusion：Electromyographic biofeedback assisting meridian balancing can effectively improve the lower limb motor function of patients with sciatic nerve injuries,after fractures of acetabulum and hip dislocation.

关 键 词：肌电生物反馈 经皮神经电刺激 髋臼骨折髋关节脱位 坐骨神经损伤 

分 类 号：R684[医药卫生—骨科学] R688[医药卫生—外科学]