核心稳定性训练对脑卒中偏瘫患者跌倒的影响  

The effect of core stability training on falls in stroke patients with hemiplegia

作　　者：黄丽晴[1] 徐亚林 李聪聪 王燕平 张忠琴[1] HUANG Liqing;XU Yalin;LI Congcong;WANG Yanping;ZHANG Zhongqin(Department of Acupuncture and Rehabilitation,Hangzhou Traditional Chinese Medicine Hospital,Hangzhou310007,China)

机构地区：[1]杭州市中医院针灸康复科,浙江杭州310007

出　　处：《中国现代医生》2020年第32期166-168,172,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2019ZB085)。

摘　　要：目的观察核心稳定性训练督导对脑卒中偏瘫患者跌倒的影响。方法选取2017年1月~2019年10月在我院治疗的脑卒中偏瘫患者72例,随机分为观察组和对照组,每组各36例。对照组予跌倒预防干预,观察组在对照组基础上实施核心稳定性训练督导。分别在干预前及干预后3个月比较两组Berg平衡量表评分、Barthel指数量表评分及跌倒发生率。结果两组患者治疗后Berg平衡量表评分和Barthel指数量表评分均高于治疗前,观察组高于对照组,差异有统计学意义(P<0.05)。观察组治疗后跌倒发生率低于对照组,差异有统计学意义(P<0.05)。结论针对脑卒中偏瘫患者,在跌倒预防干预的基础上予核心稳定性训练督导干预,可显著改善患者的日常生活能力,降低跌倒危险性,治疗效果显著,具有临床应用价值。Objective To explore the supervision of core stability training for stroke patients with hemiplegia and observe the impact on falls.Methods A total of 72 patients with stroke and hemiplegia treated in our hospital from January 2017 to October 2019 were selected and randomly divided into the observation group and the control group,with 36 cases in each group.The control group received a fall prevention intervention,and the observation group implemented core stability training supervision based on the treatment of the control group.The Berg balance scale scores,Barthel index scale scores,and the incidence of falls were compared between the two groups before and three months after the intervention.Results The Berg balance scale scores and Barthel index scores of the two groups after treatment were improved compared with those before treatment,the scores above of observation group after treatment were higher than that of the control group after treatment,with statistically significant differences(P<0.05).The incidence of falls in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For stroke patients with hemiplegia,the supervise core stability training based on fall prevention interventions can significantly improve the patient's activity of daily living,reduce the risk of falling,and has significant therapeutic effects,which has clinical application value.

关 键 词：脑卒中 偏瘫 跌倒 核心稳定性训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]