目的:探讨坐式八段锦训练对截瘫患者坐位平衡的疗效及其临床应用.方法:将截瘫患者 40 例随机分为对照组和观察组各 20 例.分别采用常规坐位平衡训练、坐式八段锦训练 4 周,治疗前后采用功能性前伸及 T恤测试观察 2 组坐位平衡疗效变化.结果:治疗后,2 组患者的功能性前伸得分均显著高于治疗前(P＜0.05);T恤测试耗时均显著低于治疗前(P＜0.05).治疗后,观察组功能性前伸测试提高值显著高于对照组(P＜0.05),观察组治疗后的T恤测试耗时显著低于对照组(P＜0.05).结论:坐式八段锦训练能明显提高截瘫患者的坐位平衡能力,其不受时间与场地的限制,具有社区推广价值.
Objective:To evaluate the effects of pelvic floor electrical stimulation (PES) on neurogenic bladder in patients with spinal cord injury (SCI). Method:Twenty-one patients with neurogenic bladder caused by complete or incomplete suprasacral SCI were treated by means of PES twice a day for 8 weeks. All patients were asked to fill out urinary voiding dairy for 7d before electrical treatment,at the 2nd,4th and 8th week during the treatment course. Ultrasound examination was used to check the residual volume of urine. Result:After treatment,the mean frequency of urinary voiding decreased from 11.9±2.8 to 8.4±1.9time/d ,incontinent episodes per day decreased from 6.2 ±3.1 to 2.5 ±1.7time/d and the mean urinary voiding volume increased from 188.1 ±43.3 to 254.1 ±42.4ml. Conclusion:PES can improve urinary voiding frequency and incontinence episodes in patients with neurogenic bladder caused by suprasacral SCI. Further studies must be carried out to identify the best stimulation parameters and to verify the long term results.
本院骨科就诊的截肢患者62例,男52例,女10例;年龄20～53岁;其中髋部截肢12例,大腿截肢28例,小腿22例.62例患者分为照射组34例及对照组28例,2组一般资料比较差异均无统计学意义.
Objective To study the effect electrode placement of transcutaneous electrical nerve stimulation(TENS) on phantom limb pain in the postoperative phase of amputation.Methods 60 cases with phantom limb pain after amputation were equal divided into the treatment group and the control group.The electrodes were placed in the contralateral side similar as phantom limb in the treatment group,but were placed at the stumps in the control group.Results After two course of treatment,93.3% of the treatment group improved,and 76.7% very improved,which were better than those of the control group(P<0.05).Conclusion Electrode placement of TENS effects the different result of treating phantom limb pain.
