中西医结合分期治疗慢性期痛风性关节炎的可行性分析

陈定定　魏文著　刘小琼

[摘要] 目的 觀察阿基米德运动悬吊系统治疗脑卒中后平衡功能障碍的临床疗效。方法 方便选取2015年1月—2016年12月在沈阳浑河新城中西医结合医院康复二科住院的存在卒中后平衡功能障碍的患者共100例，随机分为2组，对照组采用传统平衡训练治疗，观察组采用阿基米德运动悬吊系统训练治疗。采用Berg平衡量表、Barthel指数量表及Lindmark平衡反应测试评分评估患者平衡功能。 结果 治疗后两组患者平衡功能均有改善（P<0.05）。观察组治疗后第2周与治疗前比较BBS（t=2.35，P=0.002）、BI（t=1.28，P=0.004）、Lindmark评分（t=-1.04，P=0.003）；对照组第2周与治疗前比较BBS（t=2.55，P=0.011）、BI（t=5.5，P=0.034）、Lindmark评分（t=8.8，P=0.043）；治疗后2周两组比较无明显差异（三个指标P=1.3，0.8，0.4，P>0.05）。治疗6周后观察组较对照组3个量表评分提高显著（P<0.05）。两组比较BBS（t=2.6，P=0.041）、BI（t=1.1，P=0.038）、Lindmark评分（t=6.9，P=0.031）差异有统计学意义（P<0.05）。结论 阿基米德运动悬吊系统和传统平衡训练对脑卒中平衡障碍患者平衡功能的恢复均有改善作用。阿基米德运动悬吊系统较传统平衡训练对患者的平衡功能恢复作用更大。

[关键词] 阿基米德运动悬吊系统；脑卒中；平衡功能；康复

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）07（c）-0083-04

Archimedean Sports Suspension System for the Treatment of Stroke Balanced Dysfunction

LI Xiao-quan1， ZHANG Lei2

1.Department of Rehabilitation， Second Hospital of Integrated Traditional Chinese and Western Medicine of Hunhe New City， Shenyang， Liaoning Province， 110010 China； 2.Department of Urology， Second Hospital， Shenyang Red Cross Hospital， Shenyang， Liaoning Province， 110013 China

[Abstract] Objective To observe the clinical efficacy of the Archimedes motion suspension system in the treatment of poststroke balance dysfunction. Methods Convenient select a total of 100 patients with post-stroke balance dysfunction admitted to the Department of Rehabilitation， Second Hospital of Integrated Chinese and Western Medicine Hospital from January 2015 to December 2016 were randomly divided into two groups. The control group was treated with traditional balance training. The observation group was treated with the Archimedean sports suspension system. Patients' balance function was assessed using the Berg Balance Scale， Barthel Index Scale， and the Lindmark Balanced Response Test Score. Results 1.After treatment， the balance functions of the two groups were improved （P<0.05）. BBS （t=2.35， P=0.002）， BI （t=1.28， P=0.004） in the observation group 2 weeks after treatment compared with before treatment， the Lindmark score（t=1.04， P=0.003）； BBS was compared between the control group and the first week of treatment （t=2.55， P=0.011）， BI （t=5.5， P=0.034）， Lindmark score （t=8.8， P=0.043）； two weeks after treatment. There was no significant difference（P=1.3， 0.8， 0.4，（P>0.05）. After 2 weeks of treatment， the scores of the three scales in the observation group were significantly higher than those in the control group （P<0.05）. The two groups were compared BBS （t=2.6， P=0.041）， BI （t=1.1， P=0.038）， Lindmark score（t=6.9， P=0.031）. Conclusion Archimedean exercise suspension system and traditional balance training can improve the recovery of balance function in patients with stroke balance disorder. The Archimedean sports suspension system has a greater effect on the balance function recovery of the patient than traditional balance training.