摘要
目的 探讨电动站立床对偏瘫患者下肢及平衡功能恢复的作用及站立训练时心血管反应的安全性。方法 将 60例Barthel指数评分小于 40分的 3个月内以卧床为主的偏瘫患者 ,随机分为站立床训练组 (治疗组 ,n =30 )和口服药物组 (对照组 ,n =30 ) ,采用自身对照及空白对照法 ,观察治疗前及治疗后 1周、2周时患肢负重能力、平衡能力、肌张力及躯干控制力的变化 ,以及站立过程中的心血管反应及不良反应。结果与对照组比较 ,治疗组患者患肢负重能力、躯干控制及平衡能力、下肢肌张力均有明显改善 ,差异有显著性(P <0 .0 1) ;2周训练后站立时的血压、脉搏波动减小 ,且在安全范围内。结论 电动站立床站立训练有助于早期偏瘫患者肢体功能的恢复 。
Objective To investigate the effects of dynamic standing bed training on the functional recovery of hemiplegic patients. Methods Sixty hemiplegic patients with Barthel index score of 40 were randomized into a standing rehabilitation group and a control group. The patients in standing rehabilitation group were asked to take part in dynamic standing bed training in addition to drug treatment. Those in the control group were treated with medication only. After 1 to 2 weeks of treatment, the weight-bearing ability of the lower limbs, balance, muscle tone, trunk control and the cardiovascular response were evaluated and compared with those before the treatment. Results The scores of weight-bearing, balance, muscle tone and trunk control of the patients in the standing rehabilitation group were better improved than those in the control group. The changes of blood pressure and pulse of patients were reduced and within the range of safety after 2 weeks of training. Conclusion Dynamic standing bed training is beneficial for the functional recovery of hemiplegic patients. It is safe for the patients in terms of cardiovascular response.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2003年第4期236-238,共3页
Chinese Journal of Physical Medicine and Rehabilitation
