Postoperative Observation Of Electroacupuncture Treatment For Hyperextension Of Cervical Spinal Cord Injury

Objective:To discuss effect of electroacupuncture treat on spinal cord function for hyperextension of cervical spinal cord injury, at the meantime provide clinical basis for rehabilitation studies of cervical spine hyperextension injury with cervical spinal cord injury, and to play the important role of Chinese medicine in Orthopedics.Methods:40cases of cervical spine hyperextension injury with cervical spinal cord injury confirmed by operation were analyzed (35males and5females, ranging age from30to65years old. After operation, the mentioned patients were treated by antimicrobial transfusion, mannitol20%Ⅳ solution, mecobalamin to nutria nerve, prostaglandin E1to improve circulation, NGF to promote nerve regenerate, Flurbiprofen Axetil Injection to relieve pain and dexamethasone.7days later, stitches were removed. Rehabilitation therapy after operation:appropriate rehabilitation therapy was taken according to different clinical stages. Patients were randomly divided into two groups,20cases in each group. Group A was treated by regular treatment and rehabilitation exercise, and7days after operation electroacupuncture treatment was taken once a day for30minutes,15times for a course of treatment.4days after the first course, the second course was taken.6courses take a treatment cycle. Group B was treated by regular treatment and rehabilitation exercise only.l month,2months,3months before and after operation, JOA was scored and SEP taken.Results:1. Scores of JOA for the two groups one month after operation were obviously better than preoperation (P<0.05);There was no significant difference between the two groups regarding scores of JOA one month after operation (P>0.05); Scores of JOA for Group A two months/three months after operation were obviously better than Group B(P<0.05);2. Compared with normal group, SEP for the Group A,B were both decreased before operation, and the latent periods of peak interval were both prolonged. SEP for Group A,B were both increased after the third months of post operation, and the latent periods of peak interval were both shortened, but didn’t reach normal level. By statistics, SEP for Group A,B were no obviously different(P>0.05), and the latent periods of peak interval of Group A was obviously shorter than that of Group B(P<0.01).Conclusion:Rehabilitation exercise and electroacupuncture treatment individually for hyperextension of cervical spinal cord injury can both improve spinal cord function according statistical comparison between two groups before and after operation regarding scores of JOA and SEP. But rehabilitation exercise accompanied with electroacupuncture treatment is obviously better for improving spinal cord function and is worth popularizing.