| 李忠林,周晓卿,万 军,张 菶,陈桂凤.神经肌肉电刺激同步经皮神经电刺激治疗神经根型颈椎病的疗效观察[J].中国康复医学杂志,2023,(6):780~786 |
| 神经肌肉电刺激同步经皮神经电刺激治疗神经根型颈椎病的疗效观察 点此下载全文 |
| 李忠林 周晓卿 万 军 张 菶 陈桂凤 |
北京中医药大学深圳医院(龙岗)
，广东省深圳市，518172 |
| 基金项目：龙岗区经济与科技发展专项资金项目（LGKCYLWS2020073） |
| DOI：10.3969/j.issn.1001-1242.2023.06.011 |
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| 摘要： |
| 摘要
目的：观察神经肌肉电刺激（NMES）同步经皮神经电刺激（TENS）对神经根型颈椎病的疗效。
方法：72例符合入组条件的神经根型颈椎病（CSR）患者，按Excel产生的随机数字随机分成3组：NMES组（n=24）、TENS组（n=24）、同步组（n=24）。NMES组予颈肩部NMES治疗同步麻木侧上肢安慰TENS治疗；TENS组予颈肩部安慰NMES治疗同步麻木侧上肢TENS治疗；同步组予颈肩部NMES治疗同步麻木侧上肢TENS治疗。每天1次，每次20min，连续治疗14天。分别在治疗前、治疗7次、14次及1个月后比较田中靖久颈椎病症状量表评分（TZCS）、颈椎功能障碍指数（NDI）评分及正中神经和尺神经F波传导速度、生活质量（SF-36），并观察14次治疗后的痊愈率和总有效率。
结果：3组治疗前各项评分结果无显著性差异（P>0.05）。14次治疗后，同步组痊愈率69.57%，高于NMES组（40.91%）、TENS组（34.78%）（P<0.0167）。在TZCS、NDI、神经传导功能、生活质量（SF-36）评分方面，第14次治疗后即刻及治疗后1个月随访时同步组优于NMES组、TENS组（P<0.0167）。在TZCS评分方面，第7次治疗后即刻TENS组在颈肩疼痛、上肢麻木、手指麻木评分方面高于NMES组（P<0.0167）；治疗后1个月随访时NMES组在颈肩疼痛、上肢麻木、手指麻木评分方面优于TENS组（P<0.0167）。在NDI方面，第14次治疗后即刻及治疗后1个月随访时NMES组优于TENS组（P<0.0167）。在神经传导方面，第14次治疗后即刻及治疗后1个月随访时NMES组评分高于TENS组（P<0.0167）；第7次治疗后即刻，TENS组高于NMES组（P<0.0167）。在生活质量（SF-36）评分方面，治疗14次后及治疗后1个月随访时，同步组在躯体疼痛、情感职能、精神健康评分方面优于NMES组、TENS组（P<0.0167），其他方面无显著性差异。
结论：NMES同步TENS可有效缓解CSR患者颈肩疼痛和麻木症状。 |
| 关键词：神经根型颈椎病 神经肌肉电刺激 经皮神经电刺激 |
| Effects of neuromuscular electrical stimulation synchronized transcutaneous electrical nerve stimulation on cervical spondylotic radiculopathy Download Fulltext |
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Beijing University of Chinese Medicine Shenzhen Hospital (Longgang)
， Shenzhen， 518172 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To observe the effect of NMES synchronized TENS on patients with cervical spondylotic radiculopathy.
Method: According to the random number produced by Excel, 72 patients with cervical spondylotic radiculopathy (CSR) were randomly divided into three groups： NMES group (n=24), TENS group (n=24) and synchronous group (n=24). Neck and shoulder NMES was used In the NMES group with the TENS comfort treatment on the side of upper limb numbness; TENS was used on the side of upper limb numbness in the TENS group with NMES comfort treatment on the neck and shoulder; and both NMES and TENS were used in the synchronous group. The treatment was performed every day for 14 days with a total of 20-minute session. The Tian Zhongjingjiu cervical spondylosis symptom scale (TZCS) score, neck disability index (NDI) score, median nerve and ulnar nerve F wave conduction velocity, and quality of life (SF-36) were compared before treatment, 7, 14 times and 1 month after treatment. After 14 treatment, the cure rate and total effective rate were observed.
Result: There was no significant difference in the scores of the three groups before treatment. After 14 treatments, the synchronous group had a cure rate of 69.57%, which was higher than the NMES group (40.91%) and the TENS group (34.78%) (P＜0.0167). The synchronous group outperformed the NMES group and the TENS group following the 14th treatment and 1 month follow-up after treatment in terms of TZCS, NDI, nerve conduction function, and SF-36 scores (P<0.0167). After 7th treatment, the TZCS score, the scores of neck shoulder pain, upper limb numbness and finger numbness in TENS group were higher than those in NMES group (P<0.0167). At 1 month follow-up, NMES group was superior to TENS group in neck and shoulder pain, upper limb numbness, finger numbness (P<0.0167). In terms of NDI, NMES group was superior to TENS group immediately after the 14th treatment and at the follow-up of 1 month after treatment (P<0.0167). In terms of nerve conduction, the scores of NMES group were higher than TENS group immediately after the 14th treatment and at the follow-up of 1 month after treatment (P<0.0167); Immediately after the seventh treatment, TENS group was higher than NMES group (P<0.0167). In terms of quality of life (SF-36) score, the synchronous group's physical pain, emotional function, and mental health score were better than those of the NMES and TENS groups after 14 treatments and a one-month follow-up (P<0.0167). There is no significant difference in other aspects.
Conclusion: NMES synchronized TENS can effectively relieve neck shoulder pain and numbness in patients with CSR. |
| Keywords:cervical spondylotic radiculopathy neuromuscular electrical stimulation transcutaneous electrical nerve stimulation |
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