[1]刘 爽.减重步行训练在脑卒中患者中的应用及对步行功能的改善[J].医学信息,2020,33(24):128-129.[doi:10.3969/j.issn.1006-1959.2020.24.036]
　LIU Shuang.Application of Weight-loss Walking Training in Stroke Patients and Improvement of Walking Function[J].Medical Information,2020,33(24):128-129.[doi:10.3969/j.issn.1006-1959.2020.24.036]
点击复制

减重步行训练在脑卒中患者中的应用及对步行功能的改善()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年24期
页码:
128-129
栏目:
临床研究
出版日期:
2020-12-15

文章信息/Info

Title:
Application of Weight-loss Walking Training in Stroke Patients and Improvement of Walking Function
文章编号:
1006-1959（2020）24-0128-02
作者:
刘 爽
天津市永久医院康复科，天津 300450
Author(s):
LIU Shuang
Department of Rehabilitation,Tianjin Permanent Hospital,Tianjin 300450,China
关键词:
减重步行训练; 脑卒中; 步行功能
Keywords:
Weight loss walking training; Stroke; Walking function
分类号:
R743.3；R255.2
DOI:
10.3969/j.issn.1006-1959.2020.24.036
文献标志码:
A
摘要:
目的 研究减重步行训练在脑卒中患者中的应用效果及对步行功能改善效果。方法 选取2018年11月~2019年11月在我院诊治的94例脑卒中患者为研究对象，采用随机数字表法分为对照组和观察组，各47例。对照组采用常规康复训练，观察组在对照组基础上实施减重步行训练，比较两组临床治疗效果、训练前后神经功能缺损评分、下肢运动功能FMA评分、步行能力FAC评分、平衡功能BBS评分以及步行速度。结果 观察组临床治疗总有效率为95.74%，高于对照组的80.85%（P＜0.05）；训练后观察组神经功能缺损评分均低于训练前，且观察组低于对照组，差异有统计学意义（P＜0.05）；训练后两组FMA、FAC、BBS评分和步行速度均高于训练前，且观察组高于对照组（P＜0.05）。结论 在脑卒中患者中的应用减重步行训练可提高临床治疗总有效率，改善患者下肢运动功能、步行能力、平衡功能，提高步行速度，降低神经功能缺损评分，促进患者康复。
Abstract:
Objective To study the application of weight-loss walking training in stroke patients and its value in improving walking function.Methods A total of 94 stroke patients diagnosed and treated in our hospital from November 2018 to November 2019 were selected as the research objects, and they were divided into a control group and an observation group using a random number table method, with 47 cases in each. The control group used conventional rehabilitation training, and the observation group performed weight loss walking training on the basis of the control group. The clinical treatment effects, neurological deficit scores before and after training, lower limb motor function FMA scores, walking ability FAC scores,balance function BBS scores and walking speed were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 95.74%, which was higher than 80.85% in the control group(P＜0.05); the neurological deficit scores of the observation group after training were lower than those before training, and the observation group was lower than the control group(P<0.05); after training, the FMA, FAC, BBS scores and walking speed of the two groups were higher than those before training, and the observation group was higher than the control group (P<0.05).Conclusion The application of weight-loss walking training in stroke patients can improve the overall effective clinical treatment, improve the lower limb motor function, walking ability, balance function, increase walking speed, reduce neurological deficit score, and promote the recovery of patients.

参考文献/References:

[1]张琳君,周青山.中医针灸联合减重步行训练对高血压性脑出血后下肢功能恢复的影响研究[J].现代中西医结合杂志,2017,26(7):711-713,769. [2]王争.减重步行训练对出血性脑卒中后遗症期偏瘫患者的康复效果观察[J].贵州医药,2016,40(7):717-718. [3]罗少杰,斯钦图.减重步行训练在脑卒中后偏瘫的早期患者中的应用[J].中国社区医师,2016,32(1):171,173. [4]伍国维,徐亚林.功能性电刺激结合减重步行训练治疗脑卒中患者的步行能力康复疗效观察[J].现代医用影像学,2016,25(3):597-599. [5]戴清月,赖靖慧,程熙,等.减重步行训练对脑卒中偏瘫患者步行能力影响的系统评价[J].按摩与康复医学,2017,8(3):15-17.

相似文献/References:

[1]尹美丽.早期康复护理对脑卒中临床疗效及偏瘫肢体功能的影响分析[J].医学信息,2018,31(05):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
　YIN Mei-li.Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia[J].Medical Information,2018,31(24):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
[2]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
　YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Medical Information,2018,31(24):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[3]王晓强,张艳军,贾 琎,等.早期康复介入与脑卒中合并代谢综合征患者并发症的关系[J].医学信息,2018,31(08):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
　WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,et al.Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome[J].Medical Information,2018,31(24):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
[4]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
　LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Medical Information,2018,31(24):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
[5]邵俊丽.静息心率与脑卒中关系的研究[J].医学信息,2018,31(16):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
　SHAO Jun-li.Research on Relationship between Resting Heart Rate and Stroke[J].Medical Information,2018,31(24):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
[6]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(24):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[7]平兴团,赵富强,杨 飞,等.家庭康复管理对卒中患者运动功能恢复的远期影响[J].医学信息,2018,31(16):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
　PING Xing-tuan,ZHAO Fu-qiang,YANG Fei,et al.Long-term Effects of Family Rehabilitation Management on Recovery of Motor Function in Stroke Patients[J].Medical Information,2018,31(24):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
[8]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
　LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Medical Information,2018,31(24):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[9]赵富强,平兴团,杨 飞,等.重心重塑训练对Pusher综合征的疗效观察[J].医学信息,2018,31(20):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
　ZHAO Fu-qiang,PING Xing-tuan,YANG Fei,et al.Therapeutic Effect of Center of Gravity Remodeling Training on Pusher Syndrome[J].Medical Information,2018,31(24):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
[10]包娜娜,刘 超.高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍的疗效观察[J].医学信息,2018,31(22):104.[doi:10.3969/j.issn.1006-1959.2018.22.028]
　BAO Na-na,LIU Chao.Therapeutic Effect of High Frequency Repetitive Transcranial Magnetic Stimulation on Deglutition Disorders after Sequelae Stroke[J].Medical Information,2018,31(24):104.[doi:10.3969/j.issn.1006-1959.2018.22.028]

更新日期/Last Update: 1900-01-01