CCFES利用健全人治疗四肢瘫患者的临床疗效观察

Observation on the Clinical Efficacy of CCFES in the Treatment of Tetraplegia Patients Using Healthy Individuals

摘要: 目的：研究CCFES利用健全人治疗四肢瘫患者的神经运动功能康复及生活质量的影响。方法：选取我院2022年1月~2024年1月间80例四肢瘫患者，采用随机数字表法随机分为观察组、对照组各40例(颈段脊髓损伤患者、脑干梗死、脑干出血患者、四肢软瘫患儿各10例)，观察组采用健全人与患者共用CCFES，对照组采用常规治疗，2周后比较两组患者脊髓损伤ASIA分级评估、NLI评定、运动及感觉平面评定，采用GMFM、Milani正常儿童发育评定Peabody运动发育量表、格塞尔发育诊断量表、Gesell等发育量表，Brunnstrom分级、徒手肌力评定、改良Ashworth分级评定的评估。结果：治疗2周后，两组患者脊髓损伤ASIA分级评估、NLI评定、运动及感觉平面评定，采用GMFM、Milani正常儿童发育评定Peabody运动发育量表、格塞尔发育诊断量表、Gesell等发育量表，Brunnstrom分级、徒手肌力评定、改良Ashworth分级评定的评估比较，观察组均优于对照组。结论：CCFES利用健全人治疗四肢瘫患者可有效改善神经功能与四肢功能，提高患者的生活质量，值得临床应用推广。

Abstract: Objective: To investigate the effects of CCFES on neuromotor function recovery and quality of life in tetraplegia patients using healthy individuals. Methods: Eighty tetraplegia patients from our hospital between January 2022 and January 2024 were selected and randomly divided into observation and control groups using a random number table method, with 40 patients in each group (including 10 patients with cervical spinal cord injury, 10 patients with brainstem infarction, 10 patients with brainstem hemorrhage, and 10 children with tetraplegia). The observation group received CCFES treatment shared by healthy individuals and patients, while the control group received conventional treatment. After 2 weeks, the two groups were compared using various assessments, including ASIA grading assessment for spinal cord injury, NLI assessment, motor and sensory level assessment, GMFM, Milani normal child development assessment, Peabody motor development scale, Gesell developmental diagnosis scale, Brunnstrom grading, manual muscle strength assessment, and modified Ashworth grading assessment. Results: After 2 weeks of treatment, the observation group showed better outcomes than the control group in all assessments, including ASIA grading assessment for spinal cord injury, NLI assessment, motor and sensory level assessment, GMFM, Milani normal child development assessment, Peabody motor development scale, Gesell developmental diagnosis scale, Brunnstrom grading, manual muscle strength assessment, and modified Ashworth grading assessment. Conclusion: The use of CCFES in the treatment of tetraplegia patients using healthy individuals can effectively improve neuromotor function and tetraplegia symptoms, enhancing the quality of life of patients. This approach is worthy of clinical application and promotion.