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王雪强,毕 霞,戴敏辉,孙 丹,许莉莎,杨文娟,李 英.经皮电神经刺激配合磁热振疗法对脊髓损伤中枢性疼痛的疗效观察[J].中国康复医学杂志,2009,24(9):
经皮电神经刺激配合磁热振疗法对脊髓损伤中枢性疼痛的疗效观察    点此下载全文
王雪强  毕 霞  戴敏辉  孙 丹  许莉莎  杨文娟  李 英
上海开元骨科医院康复医学科,上海,200129
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摘要:
      目的:探讨经皮电神经刺激(TENS)合并磁热振治疗对脊髓损伤(SCI)中枢性疼痛的效果。方法:将36例SCI后中枢性疼痛患者随机分为观察组(A组)、TENS组(B组)、磁热振治疗组(C组),每组12例。观察组采用经皮电神经刺激疗法合并磁热振治疗,TENS组只采用经皮电神经刺激疗法,磁热组只采用磁热振疗法。三组均在治疗前、治疗后采用简式McGill疼痛问卷对中枢性疼痛进行评定。结果:疗程结束后,患者疼痛的6项参数值均有降低,TENS组参数值低于磁热组,但两组差异并无显著性;观察组参数值显著低于TENS组或磁热振组(P<0.01)。结论:经皮电神经刺激合并磁热振疗法对治疗SCI后中枢性疼痛优于单纯的经皮电神经刺激疗法和磁热振疗法。
关键词:脊髓损伤  中枢性疼痛  经皮电神经刺激  磁热振疗法
Effects of transcutaneous electric nerve stimulation and magneto-thermo-vibration therapy on central pain in spinal cord injury patients    Download Fulltext
Dept. of Rehabilitation Medicine,Shanghai Kaiyuan Othopeadics Hospital,Shanghai,200129
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Abstract:
      Objective: To observe the effects of transcutaneous electric nerve stimulation(TENS) combined with magneto-thermo-vibration therapy on central pain of patients with spinal cord injury(SCI). Method: Thirty-six cases with central pain after SCI were randomly divided into three groups:group A, group B and group C. Group A(observation group) was treated with TENS and magneto-thermo-vibration therapy. Group B was treated with TENS. Group C was treated with magneto-thermo-vibration therapy. All patients were assessed with McGill Pain Questionnaire(MPQ) before and after treatments. Result: For the values of 6 parameters of pain, there were significantly decrease in patients after treatments, and values of parameters of pain in group B were lower than those in group C, but there was no significant difference between the two groups. Values of parameters in group A were significantly lower than those in group B or group C(P<0.01). Conclusion: The effects of TENS therapy combined with magneto-thermo-vibration therapy on central pain in SCI patients are better than that of TENS therapy or magneto-thermo-vibration therapy alone.
Keywords:spinal cord injury  central pain  transcutaneous electric nerve stimulation  magneto-thermo-vibration therapy
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