有氧耐力训练联合电针刺激疗法对脊柱侧弯患者术后康复效果的影响

陈燕红; 汤样华; 王红亚; 王维维

doi:10.16766/j.cnki.issn.1674-4152.002561

有氧耐力训练联合电针刺激疗法对脊柱侧弯患者术后康复效果的影响

doi: 10.16766/j.cnki.issn.1674-4152.002561

浙江中医药大学附属江南医院五病区，浙江杭州 311201

基金项目:

浙江省医药卫生科技计划项目 2019KY548

详细信息

通讯作者:
陈燕红, E-mail: 1952403625@qq.com

中图分类号: R681.5 R454.1
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出版历程
- 收稿日期: 2021-05-06
- 网络出版日期: 2022-09-23

Effect of aerobic endurance training combined with electroacupuncture stimulation therapy on postoperative rehabilitation of patients with scoliosis

Fifth Ward, Jiangnan Hospital Affiliated to Zhejiang University of Traditional Chinese

摘要

摘要: 目的探究有氧耐力训练联合电针刺激疗法对脊柱侧弯患者术后康复情况、VAS评分及SRS-22评分的影响。方法选取2018年9月—2019年9月浙江中医药大学附属江南医院收治的脊柱侧弯术后接受康复治疗的患者120例为研究对象，按照随机数字表法分为观察组和对照组，每组60例，对照组患者采取有氧耐力训练，观察组患者在对照组的基础上联合采用电针刺激疗法治疗，2组均持续治疗30 d，观察2组患者的康复效果、VAS评分及SRS-22评分情况。结果 2组患者首次站立时间[(2.92±0.33)d vs. (3.87±0.41)d]、首次站立持续时长[(9.34±1.22)min vs.(6.97±1.32)min]和治疗30 d后左右侧屈肌力比较，差异均有统计学意义(均P＜0.05)。治疗后30 d，观察组患者疼痛、自我形象、活动功能、心理健康、治疗满意度及总评分均高于对照组和本组治疗前，差异均有统计学意义(均P＜0.05)。术后治疗7、30 d，观察组患者VAS评分均低于对照组[(6.47±0.82)分vs.(5.75±0.67)分，(3.21±0.36)分vs.(3.98±0.34)分]，差异有统计学意义(均P＜0.05)。结论有氧耐力训练联合电针刺激疗法对脊柱侧弯患者术后具有更好的康复作用，能有效降低VAS评分、提升SRS-22评分值，可以更好地提升患者的生存质量。
- 有氧耐力训练 /
- 电针刺激 /
- 脊柱侧弯 /
- 视觉模拟评分 /
- 脊柱侧凸协会22项量表
Abstract: Objective To explore the effect of aerobic endurance training combined with electroacupuncture stimulation on postoperative rehabilitation, VAS score and SRS-22 score of patients with scoliosis. Methods A total of 120 patients who received rehabilitation therapy after scoliosis surgery in Jiangnan Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine from September 2018 to September 2019 were selected. The patients were divided into observation group and control group according to the random number table method, with 60 cases in each group. The patients in the control group were given aerobic endurance training, and the patients in the observation group were treated with electroacupuncture stimulation on the basis of the control group. Both groups were treated continuously for 30 days. The rehabilitation effect, VAS score and SRS-22 score of the two groups were observed. Results There were statistically significant differences in the time of first standing [(2.92±0.33) d vs. (3.87±0.41) d], the duration of first standing [(9.34±1.22) min vs. (6.97±1.32) min] and the strength of left and right lateral flexors after 30 days of treatment between the two groups (all P < 0.05). After 30 days of treatment, the pain, self-image, activity function, mental health, treatment satisfaction and total score in the observation group were higher than those in the control group and the observation group before treatment, and the differences were statistically significant (all P < 0.05). After 7 and 30 days of treatment, the VAS scores of the observation group were lower than those of the control group [(6.47±0.82) points vs. (5.75±0.67) points, (3.21±0.36) points vs. (3.98±0.34) points], and the difference was statistically significant (all P < 0.05). Conclusion Aerobic endurance training combined with electroacupuncture stimulation therapy has a better rehabilitation effect on patients with scoliosis after surgery. It can effectively reduce the VAS score, improve the SRS-22 score value, and better improve the quality of life of patients.
- Aerobic endurance training /
- Electroacupuncture stimulation /
- Scoliosis /
- Visual analogue scale /
- Scoliosis research society 22-item questionnaire scale

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表 1 2组脊柱侧弯术后患者一般资料比较

Table 1. Comparison of general data of patients after scoliosis between the two groups

组别	例数	性别(例)		年龄 (x±s，岁)	Cobb角 (x±s，°)
组别	例数	男性	女性	年龄 (x±s，岁)	Cobb角 (x±s，°)
观察组	60	25	35	17.45±3.67	59.86±10.23
对照组	60	23	37	18.53±4.04	60.12±11.07
统计量		0.139^a		-1.533^b	-0.134^b
P值		0.709		0.128	0.894
注：^a为χ²值，^b为t值。

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表 2 2组脊柱侧弯术后患者治疗后首次站立时间和脊柱屈肌力情况(x ±s)

Table 2. The first standing time and spinal flexor strength of patients after scoliosis surgery in the two groups

组别	例数	首次站立时间 (d)	首次站立持续时间 (min)	脊柱左侧屈肌力(kg)		脊柱右侧屈肌力(kg)
组别	例数	首次站立时间 (d)	首次站立持续时间 (min)	治疗前	治疗后	治疗前	治疗后
观察组	60	2.92±0.33	9.34±1.22	23.86±3.92	30.45±5.67^a	24.07±4.56	30.98±5.43^a
对照组	60	3.87±0.41	6.97±1.32	24.04±4.14	27.74±5.32	24.16±4.81	28.11±5.24
t值		13.982	10.213	0.245	2.700	0.105	2.946
P值		< 0.001	< 0.001	0.783	0.007	0.916	0.004
注：与同组治疗前比较，^aP＜0.05。

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表 3 2组脊柱侧弯术后患者治疗前后SRS-22评分情况(x ±s，分)

Table 3. SRS22 scores of patients after scoliosis surgery in the two groups before and after treatment

组别	例数	疼痛		自我形象		活动功能
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	60	2.95±0.76	4.68±0.43^a	2.96±0.61	4.71±0.51^a	3.66±0.22	4.67±0.39^a
对照组	60	3.01±0.68	4.06±0.42	2.98±0.58	3.98±0.38	3.74±0.27	4.21±0.41
t值		0.456	7.988	0.184	8.891	1.780	6.297
P值		0.648	< 0.001	0.854	< 0.001	0.076	0.002

组别	例数	心理健康		治疗满意度		总分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	60	3.37±0.46	4.54±0.40^a	2.99±0.57	4.23±0.35^a	16.13±0.75	22.25±1.89^a
对照组	60	3.36±0.41	4.01±0.38	3.01±0.38	3.44±0.32	15.99±0.87	19.94±1.72
t值		0.126	6.879	0.226	12.904	0.944	7.002
P值		0.900	< 0.001	0.821	< 0.001	0.346	0.001
注：与同组治疗前比较，^aP＜0.05。

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表 4 2组脊柱侧弯术后患者治疗后VAS评分情况(x ±s，分)

Table 4. VAS scores of patients after scoliosis surgery in the two groups after treatment

组别	例数	治疗7 d	治疗30 d
观察组	60	5.75±0.67	3.21±0.36
对照组	60	6.47±0.82	3.98±0.34
t值		5.267	12.045
P值		0.006	< 0.001

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