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[脉冲电刺激治疗陈旧性脊髓损伤]

[Old spinal cord injury treated by pulsed electric stimulation].

作者信息

Liu S Q

机构信息

General Hospital of Beijing Command.

出版信息

Zhonghua Wai Ke Za Zhi. 1992 May;30(5):297-300, 318.

PMID:1289009
Abstract

From March 1989 to May 1990, 80 cases of old spinal cord injury were treated with pulsed electric stimulation. The pulsed electric field was formed by utilizing paradural needle electrodes positioned cephalad and caudad to the site of spinal cord injury, with the stimulator connected with the electrodes being turned on. This stimulation was given 30 minutes once daily. 13 cases were treated for 3-6 months, 57 for 6-12 months, and 10 for 12-18 months. The nerve functions recovered in 78.5% of the cases (63/80), with the rate of useful recovery of 47.5% (38/80). The rate of EMG and gait improvement were 75.5% and 77.7%, respectively. The effect of pulsed electric stimulations was related to the extent of spinal cord injury, the depth and position of needle electrodes, the frequency and intensity of pulsed current and whether the spinal cord was compressed.

摘要

1989年3月至1990年5月,采用脉冲电刺激治疗80例陈旧性脊髓损伤。利用置于脊髓损伤部位头端和尾端的硬膜外针电极形成脉冲电场,连接电极的刺激器开启。这种刺激每天进行一次,每次30分钟。13例治疗3 - 6个月,57例治疗6 - 12个月,10例治疗12 - 18个月。78.5%(63/80)的病例神经功能恢复,有效恢复率为47.5%(38/80)。肌电图和步态改善率分别为75.5%和77.7%。脉冲电刺激的效果与脊髓损伤程度、针电极的深度和位置、脉冲电流的频率和强度以及脊髓是否受压有关。

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