经皮穴位电刺激对PKP术后腰背肌群力量及功能影响的临床研究

Clinical Research on the Effect of Transcutaneous Acupoint Electrical Stimulation on the Strength and Function of Lumbar and Back Muscles after PKP

摘要: 目的：探讨经皮穴位电刺激对经皮椎体后凸成形术(percutaneous kyphoplasty, PKP)术后腰部肌力及功能的影响。方法：挑选2020年8月至2022年8月福建省中医药大学附属第二人民医院骨科病房收治的老年胸腰椎骨质疏松压缩性骨折(osteoporotic vertebral compression fracture, OVCF)患者128例，依照随机数字表法进行分组，对照组及治疗组各64例。对照组予以抗骨质疏松治疗联合五点支撑锻炼，治疗组在观察组基础上加用经皮穴位电刺激治疗(Transcutanclus electrical acupoint stim-ulation, TEAS)，术后第一天及治疗2周后两组完成4D肌力测试、腰部肌群力量肌力值测定、VAS (visual analogue scale)、ODI (Oswestry dability index)指数等疗效指标测定。结果：治疗后，治疗组患者的4D肌力测试及平衡性测定的改善效果优于对照组；同时，治疗组VAS、ODI评分的下降幅度大于对照组，差异满足统计学意义(P < 0.05)。结论：TEAS在改善PKP术后患者腰背肌群肌力、功能，减轻疼痛方面效果显著，可作为临床PKP术后患者康复的治疗方案。

Abstract: Objective: To investigate the effect of percutaneous acupoint electrical stimulation on lumbar mus-cle strength and function after percutaneous kyphoplasty (PKP). Methods: From August 2020 to August 2022, 128 elderly patients with thoracolumbar osteoporotic compression fracture (osteo-porotic vertebral compression fracture, OVCF) admitted to the orthopedic ward of the Second Peo-ple’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine were selected, accord-ing to random numbers. Table method for grouping, control group and treatment group of 64 cases. The control group received anti-osteoporosis therapy combined with five-point support exercise, and the treatment group received Transcutanclus electrical acupoint stimulation TEAS on the basis of the observation group. The two groups completed 4D on the first day after operation and after 2 weeks of treatment. Muscle strength test, lumbar muscle strength measurement, VAS (visual ana-logue scale), ODI (Oswestry dability index) index and other curative effect index determination. Results: After treatment, the improvement effect of 4D muscle strength test and balance measure-ment in the treatment group was better than that in the control group; at the same time, the de-cline in VAS and ODI scores in the treatment group was greater than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion: TEAS has a significant effect in im-proving the muscle strength and function of the lumbar and back muscles and relieving pain in pa-tients after PKP. It can be used as a rehabilitation treatment plan for patients after PKP.