传统康复联合减重步行训练治疗脊髓损伤后不完全截瘫患者的疗效分析  

Efficacy Analysis of Traditional Rehabilitation Therapy and Partial Body Weight Support Treadmill Training on Incomplete Paraplegic after Spinal Cord Injury

作　　者：钟思琳[1] 吴婉霞[1] 曾德良[1] 刘文权[1] 梁宇健[1] 

机构地区：[1]广州市红十字会医院,广东广州510220

出　　处：《中外医学研究》2012年第33期12-13,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨传统康复联合减重步行训练(BWSTT)治疗脊髓损伤(SCI)后不完全截瘫患者的治疗效果。方法:随机选取32例符合标准的脊髓损伤后不完全截瘫患者作为治疗组,同时随机抽取符合标准的30例患者作为对照组。两组患者均接受传统康复治疗。治疗组在传统康复治疗基础上,每日行减重步行训练1～2次,共计治疗1个月。分别记录两组患者治疗前、治疗1个月后的步行能力(步长、步速和功能性步行分级)。结果:治疗后两组患者步行功能均有改善,与治疗前比较差异均有统计学意义(P<0.01),其中治疗组改善明显优于对照组(P<0.05)。结论:早期应用传统康复联合减重步行训练治疗脊髓损伤后不完全截瘫患者能更显著改善患者功能预后。Objective ： To investigate the effect of traditional rehabilitation therapy and partial body weight support treadmill training（BWSTl＇） on patients with incomplete paraplegic after spinal cord injury.Methods ： Thirty-two patients with spinal cord injury were selected randomly as treatment group, as well as the other thirty patients with spinal cord injury with incomplete paraplegic were selected as control group.Both groups received the traditional rehabilitation therapy while the patients in treatment group were additionally treated with BWSTT once or twice every day for one month.Walking ability （stride length, overground walking speed（OWS）, the functional ambulation category（FAC scale）） were recorded before treatment and one month late respectively.Results ： Walking ability improved after treatment in both two groups（P〈0,01）, and the scores in treatment group were better than those in control group significantly（P〈0.05）.Conclusion ： Early application of traditional rehabilitation therapy associated with BWSTT treatment can improve the prognosis in patients with incomplete paraplegic after spinal cord injury.

关 键 词：脊髓损伤 不完全截瘫 传统康复治疗 减重步行训练 

分 类 号：R651.2[医药卫生—外科学]