截瘫步行器对脊髓损伤患者日常生活能力及生活质量的干预效果  

Effects of gait orthosis on activity of daily living and quality of life in patients with spinal cord injury

作　　者：周夫瑞[1] 

机构地区：[1]徐州医学院附属医院康复科,江苏徐州221002

出　　处：《徐州医学院学报》2015年第12期906-908,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的：探讨截瘫步行器对脊髓损伤患者日常生活能力及生活质量的影响。方法将38例完全性胸腰段脊髓损伤患者分为2组，观察组采用重心移动式截瘫步行矫形器治疗，对照组采用往复式步态矫形器治疗。进行日常生活能力（ Bathel指数，BI）、生活质量及卫生经济学评价。结果装配后8周，与对照组比较，观察组BI评分明显升高（P＜0．01）。观察组的躯体功能、整体健康状况、疼痛评分及社会功能评分均优于对照组（P＜0．01）。观察组较对照组的治疗成本－效果增加明显（P＜0．01）。结论重心移动式截瘫步行矫形器不仅可有效提高截瘫患者的日常生活能力，而且可改善其生活质量，降低患者的就医成本。Objective To explore the effects of gait orthosis on activity of daily living and quality of life in patients with spinal cord injury （ SCI） .Methods A total of 38 patients with complete thoracolumbar SCI were divided into two groups：an observation group using alternative gait orhosis （ AGO） , and a control group using reciprocating gait orthosis （ RGO） .Then, Bathel index （ BI） assessment and QLQ-C30 evaluation were performed.Results Eight weeks after assembly, compared with the control group, the observation group showed a remarkable increase in BI score （P〈0.01）. The observation group was superior to the control in body function, overall health condition, pain scores and social func-tion scores （P〈0.01）.The ratio of cost to effects was more markedly enhanced in the observation group than in the con-trol group （P〈0.01）.Conclusion AGO can improve the activity of daily living and quality of life of patients with spi-nal cord injury, and reduce treatment cost.

关 键 词：截瘫 重心移动式步行矫形器 日常生活活动 生活质量 

分 类 号：R743[医药卫生—神经病学与精神病学]