Jiang Yue-Bo, Guan Ling, Li Ying, Shu Man, Cui Bin-Chuan, Huang Zong-Yue
Department of Acupuncture and Moxibustion, The Sixth Medical Center of Chinese PLA General Hospital & Medical School, Beijing, China.
Department of Acupuncture and Moxibustion, The First Medical Center of Chinese PLA General Hospital & Medical School, Beijing, China.
Medicine (Baltimore). 2025 Jan 10;104(2):e41245. doi: 10.1097/MD.0000000000041245.
This study investigates the role and efficacy of acupuncture combined with rehabilitation therapy during the recovery phase of patients with traumatic spinal cord injury. Patients hospitalized in the acupuncture department of our center between December 1, 2019, and December 1, 2021, were enrolled.
Participants were divided into an observation group (acupuncture and rehabilitation therapy) and a control group (rehabilitation therapy alone) based on their treatment sequence. Initially, 15 patients were allocated to each group; however, 3 patients in the observation group and 4 in the control group withdrew, leaving 11 and 12 patients in the respective groups. The observation group received combined acupuncture and rehabilitation therapy, while the control group received conventional rehabilitation therapy. Outcomes were evaluated using the American Spinal Injury Association score and classification, urodynamic data, SF-36 scale, Functional Independence Measure, and Barthel Index, analyzed through data mining techniques.
Posttreatment assessments revealed significant improvements in residual urine volume and detrusor pressure in the observation group (P < .05), whereas no significant changes were noted in the control group (P > .05). Both groups demonstrated improved motor function after treatment (P < .05), with the observation group showing significantly greater improvement (P < .05). Quality of life evaluations indicated substantial enhancement in physical pain, energy levels, general health, social functioning, perceived health changes, and mental health in both groups (P < .05).
Acupuncture combined with rehabilitation therapy offers significant clinical benefits for patients with traumatic spinal cord injury. This approach effectively alleviates urinary and bowel dysfunction, accelerates motor function recovery, and improves overall quality of life, making it a valuable treatment option worthy of wider adoption.
本研究探讨针刺联合康复治疗在创伤性脊髓损伤患者恢复期的作用及疗效。纳入2019年12月1日至2021年12月1日在本中心针灸科住院的患者。
根据治疗顺序将参与者分为观察组（针刺与康复治疗）和对照组（仅康复治疗）。最初，每组分配15例患者；然而，观察组有3例患者退出，对照组有4例患者退出，各组分别剩下11例和12例患者。观察组接受针刺联合康复治疗，而对照组接受传统康复治疗。使用美国脊髓损伤协会评分和分类、尿动力学数据、SF-36量表、功能独立性测量和巴氏指数评估结果，并通过数据挖掘技术进行分析。
治疗后评估显示，观察组残余尿量和逼尿肌压力有显著改善（P<0.05），而对照组无显著变化（P>0.05）。两组治疗后运动功能均有改善（P<0.05），观察组改善更为显著（P<0.05）。生活质量评估表明，两组在身体疼痛、能量水平、总体健康、社会功能、感知健康变化和心理健康方面均有显著提高（P<0.05）。
针刺联合康复治疗对创伤性脊髓损伤患者具有显著的临床益处。这种方法有效缓解了排尿和排便功能障碍，加速了运动功能恢复，提高了总体生活质量，是一种值得更广泛采用的有价值的治疗选择。
