头穴丛刺结合神经松动术治疗下肢周围神经损伤术后的临床观察

摘要

目的：观察头穴丛刺结合神经松动术对下肢周围神经损伤术后患者运动、感觉功能的影响。方法：选取61例符合下肢周围神经损伤术后患者，用随机数字表，随机分为3组， A组为头穴丛刺组20例，B组为神经松动术组21例，C组为头穴丛刺结合神经松动术组20例，基础治疗为药物、常规电体针与康复治疗，A组加头穴丛刺，B组加神经松动术，C组加头穴丛刺与神经松动术，根据治疗前与治疗8周后神经电生理、肢体神经运动功能和感觉功能评定，观察头穴丛刺结合神经松动术疗法对下肢周围神经损伤术后功能的影响。结果：①3组患者治疗前后相比在肢体神经运动功能和感觉功能，神经电生理差异方面具有统计学意义（ P＜0．05）；②治疗后，头穴丛刺结合神经松动术组在肢体神经运动功能和感觉功能、神经电生理上分别与头穴丛刺组和神经松动术组比较差异具有统计学意义（P＜0．05）。结论：头穴丛刺、神经松动术以及头穴丛刺结合神经松动术均能改善周围神经损伤术后患者的运动和感觉功能，并且头穴丛刺结合神经松动术效果优于单纯的头穴丛刺与神经松动术。%Objective:To observe the effect on postoperative patients with peripheral nerve of lower limb treated by neurodynamic mobilization technique.Methods:Select 61 peripheral nerve of lower limb postoperative pa-tients who met the inclusion criteria were randomly divided into three groups:Group A, group B and group C. The basic treatment was conventional electric body acupuncture and rehabilitation.Group A was plus cluster of head acupuncture; group B was plus neurodynamic mobilization technique and group C received the therapy from both group A and group B.After 8 weeks treatment the nerve electrophysiology, limb motor function and sensation function were assessed.Observe cluster of head acupuncture and the neurodynamic mobilization tech-nique for peripheral nerve of lower limb postoperative patients.Resulst :①After treatment, there was a signifi-cant increase in motor function and sensation function of low limb and neurophysiological data compared with those before treatment ( P<0.05);②After treatment, there was a significant increase in motor function and sensation function of low limb and neurophysiological data in group C compared with those in group B and group A(P<0.05).Conclusion:Cluster of head acupuncture, neurodynamic mobilization technique and cluster of head acupuncture combined with neurodynamic technique can improve the function of postoperative patients with peripheral nerve of lower limb, and cluster of head acupuncture combined with the neurodynamic mobilization technique is better than cluster of head acupuncture or the neurodynamic mobilization technique alone.