摘要
目的探讨强化坐-站训练对急性期脑卒中患者平衡及步行能力的影响。方法选取重庆市某医院2013年2月-2015年2月在神经内科住院首次发病的80例急性期脑卒中患者作为研究对象,随机分为观察组和对照组,每组40例。对照组患者给予常规治疗及康复训练,观察组患者在对照组的基础上采用强化坐-站训练,每次15min,每周5次,连续治疗3周。治疗前及治疗3周后,对2组患者采用Berg平衡量表(BBS)、功能性步行量表(FAC)进行评分,同时进行起立-行走计时测试(TUGT)及步态分析。结果治疗前,2组患者BBS,FAC评分及TUGT结果组间比较,差异无统计学意义。治疗3周后,2组患者的BBS,FAC评分及TUGT结果均优于治疗前,且观察患者的BBS,FAC评分及TUGT结果优于对照组,差异均有统计学意义(P<0.05);治疗前,2组患者步速、步幅、患侧及健侧步长比较,差异无统计学意义。治疗3周后,2组患者步速、步幅、患侧及健侧步长较治疗前均有明显改善(P<0.05),且观察组优于对照组,差异均有统计学意义(P<0.05)。结论脑卒中后早期对患者进行坐-站训练,能有效提高患者的平衡能力和步行能力,缩短患者住院时间,减轻残障及后遗症,促进患者运动功能的康复。
Objective To explore the effect of strengthening sitting-standing training on the balance and walking ability in acute stroke patients.Methods 80 cases of patients with first onset of acute stroke who were hospitalized in Department of Neuro Medicine of a hospital in Chongqing from February 2013 to February 2015 were randomly divided into an observation group and a control group,40 cases in each.The control group were treated with conventional therapy and rehabilitation and besides conventional therapy and rehabilitation,the observation group were treated with strengthening sitting-standing training 15 minutes a time,5times a week for 3weeks.Before treatment and after three-week treatment,patients of both groups were scored with Berg Balance Scale（BBS）,Functional Ambulation Scale（FAC）and they were taken standing-walking timing（TUGT）and gait analysis.Results Before treatment,there were no significant differences in scores of BBS and FAC and TUGT results between the two groups.After three weeks of treatment,scores of BBS and FAC and TUGT results were both better than before treatment,scores of BBS and FAC and TUGT results of the observation group were better than the control group and the differences were statistically significant（P〈0.05）.Before treatment,the differences in walking speed,stride length,diseased ipsilateral and contralateral steps between the observation and control groups were not statistically significant.After three-week treatment,patients in both groups improved their walking speed,stride length,diseased ipsilateral and contralateral steps obviously（P〈0.05）,the effect of the observation group was better than the control group and the difference was statistically significant（P〈0.05）.Conclusion After stroke,patients should have sittingstanding training in the early stage to effectively improve their balance and walking ability,shorten their hospitalization time,reduce disability and complications and promote their rehabilitation of movement function.
出处
《保健医学研究与实践》
2016年第1期34-37,共4页
Health Medicine Research and Practice
基金
重庆医科大学附属永川医院一般课题(201350)
关键词
脑卒中
坐-站训练
平衡
步行能力
Stroke
Sitting-standing training
Balance
Walking ability
